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Alert 2017 tejani - nbi resident mock code study-2017-updated

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Pediatric and Med-Peds resident resuscitation quality imrovement

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Alert 2017 tejani - nbi resident mock code study-2017-updated

  1. 1. ALERT Presentation: Pediatric and Med-Peds Resident Resuscitation Quality Improvement Cena Tejani MD, Shamyla Farrukh, MD Newark Beth Israel, Children’s Hospital of NJ INSPIRE @ IMSH 2017 – Orlando, FL, USA International Network for Simulation-based Pediatric Innovation, Research and Education
  2. 2. • High-fidelity mannequins  simulation center • Residency requirement • Low frequency of critical cases1  minimal opportunities • Pediatric mock code simulation program  exposure to 9 additional code experiences  optimizing learning, clinical competency, patient care and safety International Network for Simulation-based Pediatric Innovation, Research and Education Background 1. Mittiga M, Geis G, Kerrey B, et al. The spectrum and frequency of critical procedures performed in a pediatric emergency department: implications of a provider-level view. Ann Emerg Med. 2012;61:263-270.
  3. 3. • Population: Pediatric and Med-Peds residents • Intervention: Pediatric mock code simulation program • Control/Comparison: Simulation assessment scores pre- and post- program (2016 vs 2017) • Outcome(s): Aim to achieve 20% improvement in simulation assessment score during mock code performance by 12/1/2017.2 2. Auerbach M, Roney L, Aysseh A, et al. In situ pediatric trauma simulation: assessing the impact and and feasability of an interdisciplinary pediatric in situ trauma care quality improvement simulation program. Pediatr Emerg Care. 2014 Dec;30(12):884-91. International Network for Simulation-based Pediatric Innovation, Research and Education PICO / Research Question
  4. 4. • Residents – 3 codes/year, once/month cycles • Video recordings of each mock code • Email video and simulation assessment • Outside physician expert completes assessment after each mock code • Data – physician expert assessment scores International Network for Simulation-based Pediatric Innovation, Research and Education Approach / Design
  5. 5. International Network for Simulation-based Pediatric Innovation, Research and Education Approach / Design Simulation Assessment Survey (score 0-2 or N/A per category) • Medical knowledge – Medication doses – Equipment size/use – PALS protocols – ABCs/SAMPLE history – Performance of procedure
  6. 6. International Network for Simulation-based Pediatric Innovation, Research and Education Approach / Design Simulation Assessment Survey (score 0-2 or N/A per category) • Communication Skills – Closed-loop communication/response to feedback – Assignment of teams roles – Sign-out/summary of case – Parent/patient-provider communication – Use of ancillary staff
  7. 7. International Network for Simulation-based Pediatric Innovation, Research and Education Data Start of simulation curriculum
  8. 8. • ALERT Presentation - 1/28/2017 • Recruitment / Data Collection – Currently recruiting PEM attendings for score assessment • Data Analysis – Pending recruitment • Abstract Presentation – By June 2018 • Manuscript Preparation – By June 2018 International Network for Simulation-based Pediatric Innovation, Research and Education Timeline
  9. 9. 1. Is it best to have mixed year resident groups or divide amongst years? 2. How will we differentiate whether improvement is a direct result of our simulation intervention or from going through residency in general over the year? 3. How can we use this data to increase funding for our simulation center? International Network for Simulation-based Pediatric Innovation, Research and Education 3 questions to improve study
  10. 10. At INSPIRE @ IMSH 2017: Gain advice on how to improve study application/data collection In 2 months: Data analysis with scoring by outside expert physicians International Network for Simulation-based Pediatric Innovation, Research and Education Goals to accomplish
  11. 11. Name: Cena Tejani, MD/Shamyla Farrukh, MD Institution: Newark Beth Israel/CHoNJ E-mail: shamylaf@aol.com Phone: Peds ED: (973) 926-7337 International Network for Simulation-based Pediatric Innovation, Research and Education Contact Information

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