Your browser doesn't support javascript.
loading
A Customizable Digital Cognitive Aid for Neonatal Resuscitation: A Simulation-Based Randomized Controlled Trial.
Benguigui, Laurie; Le Gouzouguec, Solène; Balanca, Baptiste; Ristovski, Maud; Putet, Guy; Butin, Marine; Guillois, Bernard; Beissel, Anne.
Afiliación
  • Benguigui L; From the Women, Mother and Children Hospital (L.B., M.B., A.B.), Departement of Neonatology, Claude Bernard University of Lyon, Bron, France; The Center for Teaching by Simulation in Health Care (B.B., A.B.), SAMSEI, Lyon, France; The Normandie Simulation Center in Health Care (NorSimS) (M.R., B.G.), Division of Neonatology, Department of Pediatrics, Caen Normandie University, Caen, France (M.R., B.G.); Fleyriat Hospital, Department of Pediatrics, Division of Pediatric Medecine, Bourg en Bresse,
Simul Healthc ; 19(5): 302-308, 2024 Oct 01.
Article en En | MEDLINE | ID: mdl-38587329
ABSTRACT

OBJECTIVE:

Adherence to the International Liaison Committee on Resuscitation (ILCOR) algorithm optimizes the initial management of critically ill neonates. In this randomized controlled trial, we assessed the impact of a customizable sequential digital cognitive aid (DCA), adapted from the 2020 ILCOR recommendations, compared with a poster cognitive aid (standard of care [SOC]), on technical and nontechnical performance of junior trainees during a simulated critical neonatal event at birth.

METHODS:

For this prospective, bicentric video-recorded study, students were recruited on a voluntary basis, and randomized into groups of 3 composed of a pediatric resident and two midwife students. They encountered a simulated cardiac arrest at birth either (1) with DCA use and ILCOR algorithm poster displayed on the wall (intervention group) or (2) with sole ILCOR algorithm poster (poster cognitive aid [SOC]). Technical and nontechnical skills (NTS) between the two groups were assessed using a standardized scoring of videotaped performances. A neonate specific NTS score was created from the adult Team score.

RESULTS:

108 students (36 groups of three) attended the study, 20 groups of 3 in the intervention group and 16 groups of 3 in the poster cognitive aid (SOC) group. The intervention group showed a significant improvement in the technical score ( P < 0.001) with an average of 24/27 points (24.0 [23.5-25.0]) versus 20.8/27 (20.8 [19.9-22.5]) in poster cognitive aid (SOC) group. No nontechnical score difference was observed. Feedback on the application was positive.

CONCLUSIONS:

During a simulated critical neonatal event, use of a DCA was associated with higher technical scores in junior trainees, compared with the sole use of ILCOR poster algorithm.
Asunto(s)
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Competencia Clínica / Entrenamiento Simulado Límite: Adult / Female / Humans / Male / Newborn Idioma: En Revista: Simul Healthc Asunto de la revista: PESQUISA EM SERVICOS DE SAUDE Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Competencia Clínica / Entrenamiento Simulado Límite: Adult / Female / Humans / Male / Newborn Idioma: En Revista: Simul Healthc Asunto de la revista: PESQUISA EM SERVICOS DE SAUDE Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos