Correlation Between Paramedic Disaster Triage Accuracy in Screen-Based Simulations and Immersive Simulations.
Correlation Between Paramedic Disaster Triage Accuracy in Screen-Based Simulations and Immersive Simulations.
复制标题
基于屏幕的模拟和沉浸式模拟中护理人员灾难分类准确性之间的相关性。
DOI：
10.1080/10903127.2018.1475530
复制
发表时间：
2019
影响因子：
2.4
通讯作者：
Auerbach,Marc
中科院分区：
文献类型：
--
作者：
Cicero,MarkX;Whitfill,Travis;Walsh,Barbara;Diaz,MariaCarmenG;Arteaga,GraceM;Scherzer,DanielJ;Goldberg,ScottA;Madhok,Manu;Bowen,Angela;Paesano,Geno;Redlener,Michael;Munjal,Kevin;Auerbach,Marc
灾难分类是紧急医疗服务（EMS）人员使用的一种罕见的高风险技能。基于屏幕的模拟（SBS）提供了方便的异步灾难分类教育。然而，目前还不清楚，如果在SBS的性能与沉浸式模拟performance.MethodsThis是一个随机对照试验（RCT）内的嵌套队列研究。RCT比较了护理人员和紧急医疗技术人员（EMT）的分类准确性，他们完成了学校射击的沉浸式模拟，与SBS互动13周，然后再次完成沉浸式模拟。参与者被分为两组：接触过60 Seconds to Survival©（60 S）的人和没有接触过60 Seconds to Survival©（60 S）的人，这是一种灾难分类SBS。该研究的目的是测量SBS分诊准确性和沉浸式模拟分诊准确性之间的相关性。改善分流准确性进行了比较，在嵌套的研究中的参与者之间的互动与60 S之前和之后，并与改善分流准确性在以前的研究中，沉浸式模拟被用作教育intervention.ResultsThirty-nine参与者完成了SBS; 26（67%）完成了至少三个游戏，并被列入评估结果的兴趣。平均播放次数为8.5（SD =7.4）。在研究完成时，受试者在沉浸式模拟中正确分类的患者增加了12.4%（之前为73.1%，之后为85.8%，P = 0.004）。总体SBS分诊准确性的改善量、过度分诊的情况（P = 0.101）、不足分诊的情况（P = 0.523）与第二次沉浸式模拟的改善之间没有相关性。从以前的沉浸式模拟研究与嵌套队列数据的汇总数据的比较显示，类似的改善分诊准确性（P = 0.079）。ConclusionsSBS教育与分诊准确性显着增加沉浸式模拟，虽然分诊准确性表明在SBS没有相关的沉浸式模拟的性能。这种准确性的提高与以前研究中使用沉浸式模拟作为教育干预时所看到的改善相似。
BackgroundDisaster triage is an infrequent, high-stakes skill set used by emergency medical services (EMS) personnel. Screen-based simulation (SBS) provides easy access to asynchronous disaster triage education. However, it is unclear if the performance during a SBS correlates with immersive simulation performance.MethodsThis was a nested cohort study within a randomized controlled trial (RCT). The RCT compared triage accuracy of paramedics and emergency medical technicians (EMTs) who completed an immersive simulation of a school shooting, interacted with an SBS for 13 weeks, and then completed the immersive simulation again. The participants were divided into two groups: those exposed vs. those not exposed to60 Seconds to Survival©(60S), a disaster triage SBS. The aim of the study was to measure the correlation between SBS triage accuracy and immersive simulation triage accuracy. Improvements in triage accuracy were compared among participants in the nested study before and after interacting with60S, and with improvements in triage accuracy in a previous study in which immersive simulations were used as an educational intervention.ResultsThirty-nine participants completed the SBS; 26 (67%) completed at least three game plays and were included in the evaluation of outcomes of interest. The mean number of plays was 8.5 (SD =7.4). Subjects correctly triaged 12.4% more patients in the immersive simulation at study completion (73.1% before, 85.8% after, P = 0.004). There was no correlation between the amount of improvement in overall SBS triage accuracy, instances of overtriage (P = 0.101), instances of undertriage (P = 0.523), and improvement in the second immersive simulation. A comparison of the pooled data from a previous immersive simulation study with the nested cohort data showed similar improvement in triage accuracy (P = 0.079).ConclusionsSBS education was associated with a significant increase in triage accuracy in an immersive simulation, although triage accuracy demonstrated in the SBS did not correlate with the performance in the immersive simulation. This improvement in accuracy was similar to the improvement seen when immersive simulation was used as the educational intervention in a previous study.