Staying Current: Developing Just-in-time Evidence-Based Learning Objectives for a Maternal Cardiac Arrest Simulation Curriculum.
Staying Current: Developing Just-in-time Evidence-Based Learning Objectives for a Maternal Cardiac Arrest Simulation Curriculum.
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DOI：
10.26502/fccm.92920260
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发表时间：
2022-06
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我们的目标是回顾孕产妇心脏骤停 (MCA) 复苏护理的最新证据，并就最佳实践达成专家共识，为循证课程提供信息。我们在 MCA 中召集了一个由利益相关者组成的多学科小组，开发基于证据的模拟培训 Obstetric Life Support™ (OBLS)。为了实现学习目标，我们采用了一种新颖的三步流程，就孕产妇复苏的最佳实践达成共识。首先，我们使用研究和评估指南评估 (AGREE II) 重申了现有 MCA 指南的证据流程。接下来，通过系统回顾，我们评估了 MCA 的最新证据，并确定了自 MCA 指南发布以来出现的新主题。最后，我们应用了改进的研发 (RAND) 技术，就新兴主题达成共识，将其作为额外的及时最佳实践。 AGREE II 调查结果表明，各方一致同意重申 2015 年美国心脏协会 (AHA) MCA 指南，将其纳入 OBLS 课程。采用重复数据删除技术的系统审查产生了 11,871 篇文章进行审查。对相关文献进行分类和综合后，我们使用改进的 RAND 技术向专家小组提出了 12 种其他最佳实践。完成后，2015 年 AHA 声明和九个额外的及时最佳实践得到确认，以告知 OBLS 课程。新颖的三步流程包括重申证据流程、系统审查和改进的 RAND 技术，导致 MCA 复苏专家就现有和新的及时最佳实践达成一致共识，为循证课程的学习目标提供信息。
Our objective was to review the latest evidence on resuscitation care for maternal cardiac arrest (MCA) and gain expert consensus on best practices to inform an evidence-based curriculum. We convened a multidisciplinary panel of stakeholders in MCA to develop an evidence-based simulation training, Obstetric Life Support™ (OBLS). To inform the learning objectives, we used a novel three-step process to achieve consensus on best practices for maternal resuscitation. First, we reaffirmed the evidence process on an existing MCA guideline using the Appraisal of Guidelines for Research and Evaluation (AGREE II). Next, via systematic review, we evaluated the latest evidence on MCA and identified emerging topics since the publication of the MCA guideline. Finally, we applied a modified Research and Development (RAND) technique to gain consensus on emerging topics to include as additional just-in-time best practices. The AGREE II survey results demonstrated unanimous consensus on reaffirmation of the 2015 American Heart Association (AHA) MCA guideline for inclusion into the OBLS curriculum. A systematic review with deduplication resulted in 11,871 articles for review. After categorizing and synthesizing the relevant literature, we presented twelve additional best practices to the expert panel using a modified RAND technique. Upon completion, the 2015 AHA statement and nine additional just-in-time best practices were affirmed to inform the OBLS curriculum. A novel three-step process including reaffirmation of evidence process, systematic review, and a modified RAND technique resulted in unanimous consensus from experts in MCA resuscitation on existing and new just-in-time best practices to inform the learning objectives for an evidence-based curriculum.