Simulation in healthcare : journal of the Society for Simulation in Healthcare
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Randomized Controlled Trial Comparative Study
Comparison of success rates using video laryngoscopy versus direct laryngoscopy by residents during a simulated pediatric emergency.
Emergency airway situations are relatively rare events in pediatrics with most graduating residents having little exposure to intubate. Newer video technology offers the promise of reducing complications associated with intubation. This study proposes that video laryngoscopy (VL) should aid less skilled residents to intubate an infant mannequin with greater success and speed as compared with traditional direct laryngoscopy (DL). ⋯ In a simulated respiratory failure scenario involving residents, VL provided no additional success over DL with slightly longer time to intubation.
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Randomized Controlled Trial
Skills transfer after proficiency-based simulation training in superficial femoral artery angioplasty.
The purpose of this study was to explore whether basic endovascular skills acquired using proficiency-based simulation training in superficial femoral artery (SFA) angioplasty translate to real-world performance. ⋯ Basic endovascular skills acquired using proficiency-based simulation training in SFA angioplasty do translate to real-world performance.
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Randomized Controlled Trial
The effectiveness of video-assisted debriefing versus oral debriefing alone at improving neonatal resuscitation performance: a randomized trial.
Debriefing is a critical component of effective simulation-based medical education. The optimal format in which to conduct debriefing is unknown. The use of video review has been promoted as a means of enhancing debriefing, and video-assisted debriefing is widely used in simulation training. Few empirical studies have evaluated the impact of video-assisted debriefing, and the results of those studies have been mixed. The objective of this study was to compare the effectiveness of video-assisted debriefing to oral debriefing alone at improving performance in neonatal resuscitation. ⋯ Using this study design, we failed to show a significant educational benefit of video-assisted debriefing. Although our results suggest that the use of video-assisted debriefing may not offer significant advantage over oral debriefing alone, exactly why this is the case remains obscure. Further research is needed to define the optimal role of video review during simulation debriefing in neonatal resuscitation.
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Randomized Controlled Trial
Targeted crisis resource management training improves performance among randomized nursing and medical students.
In this study designed with adequate statistical power to detect relevant training effects, investigators evaluated Crisis Resource Management (CRM) training during a simulated patient crisis. This study is guided by the Team Effectiveness Conceptual Model by Kozlowski and Ilgen. ⋯ CRM team training and team practice in an environment of high-fidelity simulation and facilitated debriefing have significant effects on team process and team effectiveness. The conceptual framework is potentially adaptable to additional settings and populations for team-related research and education.
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Randomized Controlled Trial
A randomized trial of simulation-based deliberate practice for infant lumbar puncture skills.
Infant lumbar puncture (LP) is mandated by the Accreditation Council for Graduate Medical Education for all pediatric trainees. Current training usually involves the apprenticeship model of "see one, do one, teach one" where a trainee's first LP attempt occurs in a high-stakes environment. Simulation training promotes skill development in a safe environment before patient contact. ⋯ Participation in a simulation-based deliberate practice intervention can improve infant LP skill.