Transfer of a Novel Pediatric Simulation Program

说明(应用后)：传统的医疗模式 培训安排学员在特定环境中进行一段时间的培训 期望这样的活动将导致临床能力。 传统上，新生儿复苏的培训是通过 承担起照顾真实病人的渐进式责任 参加标准化课程，如新生儿复苏 美国儿科学会的项目。尽管在历史上被接受 并被医生和护理培训计划普遍使用，有 描述这种培训模式对以下方面影响的客观数据很少 实际练习。 申请者开发了一种新的新生儿复苏培训模式， NeoSim，这体现了现实中在职培训的许多优势 产房和标准化课程(利用课本、讲座、技能 站点和客观测试)，同时最大限度地减少相关的限制 用这种传统的训练模式。申请人试图回答以下问题 关于这种基于模拟的高保真医疗的基本问题 培训计划：在模拟产房内获得技能 环境改善了人的表现，增强了患者的安全性 在真正的产房里？首先，基准数据将在 我们新生儿复苏团队在护理过程中的表现和错误率 为真正的产房里的新生儿准备的。接下来，所有成员 研究团队将在模拟产房接受NeoSim培训 环境。接下来将评估这一事件的影响 在真实产房实践的模拟培训计划。 仅在美国，每年就有大约400万新生儿出生；其中， 很大一部分人需要有一支熟练的新生儿团队 复苏。这项工作可能会影响 每年向数十万新生儿和他们的母亲提供医疗保健。 这不仅是对影响进行批判性评估的第一次尝试 在真实的医疗领域中基于模拟的人类表现培训， 但它也是唯一基于模拟的全面高保真培训 世界儿科医学计划。

DESCRIPTION (after the application): The traditional model of medical training places trainees in a particular environment for a period of time with the expectation that such activity will lead to clinical competence. Traditionally, training in neonatal resuscitation has been accomplished by assuming graduated responsibility in caring for real patients and participation in standardized courses such as the Neonatal Resuscitation Program of the American Academy of Pediatrics. Although historically accepted and universally utilized by physician and nursing training programs, there is little objective data that describes the impact of this training model upon actual practice. The applicant has developed a new model of training in neonatal resuscitation, NeoSim, that embodies many of the strengths of on-the-job training in the real delivery room and standardized courses (utilizing textbooks, lectures, skill stations, and objective tests) while minimizing the limitations associated with this traditional training model. The applicant seeks to answer a fundamental question regarding this high-fidelity simulation-based medical training program: Do the skills acquired within the simulated delivery room environment result in improved human performance and enhanced patient safety in the real delivery room? First, baseline data will be gathered on the performance and error rate of our neonatal resuscitation teams as they care for human neonates in the real delivery room. Next, all members of investigator teams will undergo NeoSim training in the simulated delivery room environment. This will be followed by evaluating the impact of this simulation-based training program upon practice in the real delivery room. Approximately four million births occur annually in the U.S. alone; of these, a large percentage require the presence of a team skilled in neonatal resuscitation. This work has the potential to impact the delivery of healthcare to hundreds of thousands of newborns and their mothers each year. Not only does this represent the first attempt to critically assess the impact of simulation-based training on human performance in a real medical domain, but it is also the only comprehensive high-fidelity simulation-based training program in pediatric medicine in the world.