Pediatric Mock Code Curriculum: Improving Resident Resuscitations
Pediatric Mock Code Curriculum: Improving Resident Resuscitations
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儿科模拟代码课程：改善住院医师复苏
DOI：
10.1097/pec.0b013e3181e5bf34
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发表时间：
2010
影响因子：
1.4
通讯作者：
Karen J. O’Connell
中科院分区：
文献类型：
--
作者：
D. Friedman;Pavan P. Zaveri;Karen J. O’Connell
目标：急症儿童的复苏是儿科住院医生的一项必备技能。医院范围内的模拟代码项目对参与、焦虑和领导力的影响尚未被研究。我们假设，经过一年的模拟代码后，儿科住院医生会报告：（1）参与度增加，（2）焦虑减少，对知识的舒适感增加，以及（3）领导和感觉有能力运行代码的可能性增加。方法：在这项针对儿科住院医师的横断面研究中，匿名调查评估了每月模拟代码课程纳入住院医师教育课程之前和之后一年的参与度、舒适度和领导力。该调查测量了居民对实际和模拟守则的参与程度以及守则期间的焦虑水平、知识和领导能力。结果：每年约有 60 名居民返回填妥的调查表。多年来，实际代码的出席率和参与度没有显着变化。对于模拟代码，观察和参与都有显着变化（P < 0.001）。一年后，居民报告说，他们在编码过程中对知识的舒适度在统计上显着增加（比值比，2.5；95% 置信区间，1.2-5.2）。他们还表示焦虑有所减轻，并且感觉运行代码的能力更强，尽管这些数字在统计上并不显着。结论：开始模拟代码项目一年后，居民参加了更多的模拟代码，并表示对代码知识更加满意。持续的每月模拟代码计划将为居民提供关键技能培训和经验，并可能转化为积极参与、增强领导力并减少对实际代码的焦虑。
Objectives: Resuscitation of the acutely ill child is a necessary skill for pediatric residents. The effects of a hospital-wide mock code program on involvement, anxiety, and leadership have not been studied. We hypothesized that after 1 year of mock codes, pediatric residents would report (1) increased participation, (2) decreased anxiety and increased comfort with knowledge, and (3) increased likelihood of leading and feeling capable of running a code. Methods: In this cross-sectional study of pediatric residents, anonymous surveys evaluated involvement, comfort, and leadership in codes before and 1 year after a monthly mock code curriculum was incorporated into the resident educational curriculum. The survey measured residents' involvement in actual and mock codes and levels of anxiety, knowledge, and leadership ability during codes. Results: Approximately 60 residents returned completed survey forms each year. Attendance and participation at actual codes were not significantly changed between years. For mock codes, there was a significant change (P < 0.001) in both observation and participation. After 1 year, residents reported a statistically significant increase in their comfort with knowledge during a code (odds ratio, 2.5; 95% confidence interval, 1.2-5.2). They also reported a decrease in anxiety and felt more capable of running a code, although these numbers were not statistically significant. Conclusions: One year after starting a mock code program, residents attended more mock codes and reported more comfort with knowledge in codes. A continued monthly mock code program will provide residents with critical skills training and experience and may translate into active participation, increased leadership, and decreased anxiety in actual codes.
影响因子：
6.5
作者：
Brown, TB;Dias, JA;Waterbor, JW
通讯作者：
Waterbor, JW