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Evaluation of an Online Educational Tool to Improve Postresuscitation Debriefing in the Emergency Department.
Eaton, Patricia L; Mullan, Paul C; Papa, Linda; Chen, Jerome Gene; Cramm, Kelly; Buning, Brian; Vazifedan, Tuzraj; Zinns, Lauren E.
Afiliación
  • Eaton PL; From the Pediatric Emergency Department, Pediatric Emergency Department, Arnold Palmer Hospital for Children, Orlando, FL.
  • Mullan PC; Pediatric Emergency Department, Children's Hospital of the King's Daughters, Norfolk, VA.
  • Papa L; Emergency Medicine Department, Academic Clinical Research for Orlando Health.
  • Chen JG; Pediatric Critical Care.
  • Cramm K; Pediatric Emergency Department, Arnold Palmer Hospital for Children, Orlando, FL.
  • Vazifedan T; Division of Biostatistics, Children's Hospital of The King's Daughters, Norfolk, VA.
Pediatr Emerg Care ; 37(12): e1233-e1238, 2021 Dec 01.
Article en En | MEDLINE | ID: mdl-32011557
OBJECTIVE: Postresuscitation debriefing (PRD) addresses Accreditation Council for Graduate Medical Education core competencies and is recommended by the American Heart Association. Postresuscitation debriefing improves resuscitation outcomes, promotes team morale, supports emotional well-being, and reduces burnout. Despite these benefits, PRD occurs infrequently. Commonly cited barriers to PRD include lack of training and comfort in facilitating PRD. We are unaware of any video-based educational tools that train physicians in PRD. We aimed to evaluate the impact of an educational tool on the frequency of PRD using a before- and after-study design. METHODS: We created and distributed a 20-minute, video-based educational tool via youtube.com on PRD to pediatric emergency medicine (EM) fellows, pediatric EM attendings, senior EM residents, and EM attending physicians. Participants completed web-based surveys before, immediately after, and 3 months after watching the tool. We analyzed the effects of participation on PRD knowledge, comfort conducting PRD, and frequency of PRD performance. RESULTS: Thirty-five (63%) of 56 participants completed all 3 surveys. Participation in our study showed significant improvements in reported frequency of performing PRD (23% presurvey, 38% follow-up survey; 95% confidence interval [CI], 2%-29%; P = 0.03), perceived knowledge of PRD (odds ratio, 6.1; 95% CI, 3.05-12.29; P < 0.001), and comfort in conducting PRD (odds ratio, 3.7; 95% CI, 1.96-7.03; P < 0.001). Most respondents (94%) reported that the tool was worthwhile. Most (83%) would recommend the tool to colleagues, and 86% reported positive effects on their teams with PRD. CONCLUSIONS: Implementation of a video-based educational tool on PRD in the emergency department was associated with increased provider report of PRD frequency, knowledge, and comfort level.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Medicina de Emergencia / Medicina de Urgencia Pediátrica / Internado y Residencia Límite: Child / Humans Idioma: En Revista: Pediatr Emerg Care Asunto de la revista: MEDICINA DE EMERGENCIA / PEDIATRIA Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Medicina de Emergencia / Medicina de Urgencia Pediátrica / Internado y Residencia Límite: Child / Humans Idioma: En Revista: Pediatr Emerg Care Asunto de la revista: MEDICINA DE EMERGENCIA / PEDIATRIA Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos