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Development of a Standardized Process for INSPIRE Procedure Kits

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Dr. Marjorie White (U Alabama)

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Development of a Standardized Process for INSPIRE Procedure Kits

  1. 1. INSPIRE Procedures Working Group:Development of a Standardized Process for INSPIRE Procedure Kits Marjorie Lee White MD, MPPM Children’s of Alabama/University of Alabama at Birmingham IMSH 2013: Orlando, Florida / USA International Network for Simulation-based Pediatric Innovation, Research and Education
  2. 2. Background • Pediatric Emergency Medicine program directors have approached INSPIRE leadership for assistance with teaching procedures. • Individually (IO, CVL) and in research groups (LP), INSPIRE members are active in developing expertise in the development of resources to address procedural competency. • Informal groups of pediatric simulation experts (PEM, NICU, Hospitalists) have met at national meetings i.e. IMSH 2012, PAS 2012, AAP 2012 to start this work. International Network for Simulation-based Pediatric Innovation, Research and Education
  3. 3. PICO Question • P: pediatric procedural training and assessment is highly variable • I: develop standardized components and process for development of INSPIRE approved procedural training kits • C: current procedural training and assessment • O: Primary: improved procedural competence of trainees and teaching by faculty; Secondary: meet needs of program directors International Network for Simulation-based Pediatric Innovation, Research and Education
  4. 4. Approach / Design • Develop common resources – Procedural competency overview – How to teach procedures with simulation/ deliberate practice – How to use a checklist – Formative and summative evaluation • Develop procedure level specific process that results in an INSPIRE “Kit” to include: a. Validated checklist b. Learner resources i. Video/handouts c. Teaching resources i. Information about task trainers/ Supply lists ii. Knowledge-based questions iii.Simulation scenarios to embed training in International Network for Simulation-based Pediatric Innovation, Research and Education
  5. 5. Suggested Procedure Process1. Identify all current resources available2. Adapt/Develop checklist Develop checklist Distribute to INSPIRE procedure subgroup for review using “How to evaluate a checklist ppt” Make videos of learners performing task using checklist Distribute via video portal to look at issues of inter-rater reliability etc.3. Adapt/Develop video resources How to do procedure How to teach procedure4. Adapt/Develop INSPIRE procedure kit Learner resources Teaching resources –5. Test INSPIRE procedure kit – to move towards summative evaluation6. Publish-- Research about process AND INSPIRE procedure kits to MedEdPortal7. Continuous improvement-- Biannually? – review INSPIRE kit for necessary updates
  6. 6. ProceduresPediatric Resident Pediatric EM Fellow• Bag-mask ventilation • Cricothyrotomy• Neonatal endotracheal intubation• Umbilical catheter placement • Central venous catheter placement• Lumbar puncture • Tube thoracostomy• Venipuncture • Umbilical vessel catheterization• Peripheral IV placement• Bladder catheterization • Vaginal delivery • IO• Simple removal of foreign body • Endotracheal intubation/Supraglottic• Incision and drainage of abscess airway devices• Temporary splinting of fracture• Reduction of simple dislocation • Cardioversion/Defibrillation/Pacing• Simple laceration repair • Perciardiocentesis• Giving immunizations • Lumbar puncture
  7. 7. 3 Questions to improve study 1. What psychometric resources are available within INSPIRE to improve rigor of process? 2. How can this project best be organized and facilitated? 3. Is it feasible? International Network for Simulation-based Pediatric Innovation, Research and Education
  8. 8. People already involvedMarc Auerbach Taylor SawyerTodd Chang Tom Gratton-SmithDavid Kessler Renee PyburnJosh Nagler Elizabeth VukinGary Geis Akshaya VachharajaniElaine Feilder Pavan ZaveriDaniel Lemke Cara DoughtyDJ Scherzer Noel ZuckerbraunRebecca Hamilton Nirali PatelTonya Thompson Mary PattersonJoel ClingenpeelJoseph DobsonRenuka MehtaDenis OrioEric Reichman
  9. 9. Contact Information Name: Marjorie Lee White MD, MPPM, MEd Institution: UAB/Children’s of Alabama E-mail, Phone: mlwhite@peds.uab.edu, 205-638-9587 International Network for Simulation-based Pediatric Innovation, Research and Education

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