Application of bedside simulation training in pediatric critical care medicine / 中国小儿急救医学

ABSTRACT

Objective To investigate whether bedside simulation teaching can improve the ability to deal with critical situation in systematic and standardized way in junior medical staff,and the effect of differ-ent debriefing methods on training. Methods According to the different debriefing methods,the health care staff,as a team of 6 persons,were divided into 3 groups by randomized block method( control group,tradi-tional debriefing group and immediate debriefing group) . Each team would run 3 cases,which had the same degree of difficulty. The different scores of running case and key skills according to the goal of exam would be recorded before and after debriefing,and 1 month later respectively. We evaluated the clinical ability of medical team before and after simulation, and the ability of skill maintenance after 1 month, and effect of different debriefing methods. Results There were 54 teams(each group had 18 teams),including 270 per-sons,participated in this study. The scores of running case and key skills were all improved after a series of simulation training in each team of any group. The difference was statistically significant(P< 0. 05). There was no significant difference among the 3 groups in the scores of running case and key skills ( P>0. 05 ) , when medical teams run case 1. After debriefing,medical teams run case 2 and case 3,the scores of running case and endotracheal intubation skills were significantly improved ( P <0. 05 ) . There was no significant difference between cardiopulmonary resuscitation and intraosseous infusion(P>0. 05). There was no signifi-cant difference between different debriefing methods after running case 2 and case 3(P>0. 05). Conclusion Bedside simulation training has a good clinical value in junior medical staff and repeated practice can improve the comprehensive ability,including clinical and non clinical skills. So the new teaching method is worthy of promotion.