In situ simulation of neonatal resuscitation to improve team performance and clinical outcomes

新生儿复苏的原位模拟可提高团队绩效和临床结果

基本信息

  • 批准号:
    9233469
  • 负责人:
  • 金额:
    $ 33.55万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2016
  • 资助国家:
    美国
  • 起止时间:
    2016-12-05 至 2021-11-30
  • 项目状态:
    已结题

项目摘要

Project Summary Neonatal resuscitation can be challenging for healthcare teams due to its complex nature, requiring a combination of content knowledge, technical skills, behavioral skills, and teamwork. Simulation as a training tool can address this complex skill and also address the infrequent nature of resuscitations in conditions such as very preterm birth or hypoxic ischemic encephalopathy. While simulation is common in neonatal resuscitation training, the effectiveness of using simulation on actual clinical outcomes is unknown. We will test whether using in situ simulation training – simulation training in the actual setting that healthcare teams practice – improves team performance and clinical outcomes. This hypothesis will be tested in a stepped wedge trial in a large population-based quality improvement network. A stepped wedge trial allows for all participants to receive the intervention, and therefore increases recruitment ability and gives all participants to benefit from the intervention. In this design, the intervention is rolled out over time with some centers starting earlier than others. Each center is able to then serve as its own control, increasing the power to make comparisons. The setting of this research project will be the California Perinatal Quality Care Collaborative (CPQCC), a population-based network of neonatal intensive care units. CPQCC includes both academic and community units, which means that results will be generalizable. CPQCC already has an existing data infrastructure that includes maternal and neonatal data, including follow-up data at 2 years of age giving an opportunity to study outcomes that does not exist in similar networks. In this project, 40 hospitals will engage in a proven quality improvement model for neonatal resuscitation. In a stepwise fashion, each unit will learn and implement in situ simulation. The setting of the CPQCC allows for a unique opportunity to study the impact of training programs on important clinical outcomes for the most common cause of mortality and long-term morbidity in newborns, preterm birth. In Aim 1, we will assess whether in situ simulation improves clinical outcomes for preterm infants. In Aim 2, we will assess whether better team performance in simulation predicts better clinical outcomes. This will help to inform training methodologies and assessment in neonatal resuscitation. In Aim 3, we will examine facilitators and barriers of implementing simulation training across hospitals. This will inform the implementation of training programs across hospitals to improve neonatal resuscitation. In Aim 4, we will evaluate perform an economic evaluation of in situ simulation and implementation. The results of this research will provide a clearer understanding of how simulation can be used as an assessment tool, and more importantly the impact that it can have on improving clinical outcomes.
项目摘要 新生儿复苏对医疗团队来说可能是具有挑战性的,因为它的性质复杂,需要 内容知识、技术技能、行为技能和团队合作的结合。将模拟作为一种培训 工具可以解决这一复杂的技能,还可以解决在以下情况下复苏的罕见性质 如极早产或缺氧缺血性脑病。虽然模拟在新生儿中很常见 在复苏训练中,使用模拟对实际临床结果的有效性尚不清楚。 我们将测试是否使用现场模拟训练-模拟训练在实际设置中 医疗团队实践-提高团队绩效和临床结果。这一假设将得到检验。 在一个以人口为基础的大型质量改进网络中的阶梯式楔形试验中。阶梯式楔形试验 允许所有参与者接受干预,从而提高招聘能力并给予所有人 参与者将从干预中受益。在这种设计中,干预是随着时间的推移而展开的,其中包括 中心比其他中心开始得更早。然后,每个中心都能够作为自己的控制,从而增加权力 来做比较。这项研究项目的背景是加州围产期质量护理 协作性新生儿重症监护病房(CPQCC),一个以人口为基础的新生儿重症监护病房网络。CPQCC包括两者 学术和社区单位,这意味着结果将是可推广的。CPQCC已经有一个 现有数据基础设施,包括产妇和新生儿数据,包括2岁时的跟踪数据 提供了一个研究类似网络中不存在的结果的机会。 在这个项目中,40家医院将为新生儿提供经过验证的质量改进模式 复苏。每个单元将以一种循序渐进的方式学习和实施现场模拟。的设置 CPQCC提供了一个独特的机会来研究培训计划对重要临床结果的影响 早产是导致新生儿死亡和长期发病的最常见原因。在目标1中,我们将 评估原位模拟是否能改善早产儿的临床结局。在目标2中,我们将评估 在模拟中更好的团队表现是否预示着更好的临床结果。这将有助于告知 新生儿复苏中的培训方法和评估。在目标3中,我们将检查促进者和 跨医院实施模拟培训的障碍。这将为培训的实施提供信息 跨医院改善新生儿复苏的计划。在目标4中,我们将评估执行一项经济 现场模拟和实施的评估。 这项研究的结果将使我们更清楚地了解如何将模拟作为一种 评估工具,以及更重要的是它可以对改善临床结果产生的影响。

项目成果

期刊论文数量(0)
专著数量(0)
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会议论文数量(0)
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Henry Chong Lee其他文献

Concordance between electronic health record-recorded race/ethnicity and parental report in hospitalized children.
电子健康记录记录的种族/民族与住院儿童家长报告之间的一致性。
  • DOI:
  • 发表时间:
    2023
  • 期刊:
  • 影响因子:
    2.6
  • 作者:
    Kim Hoang;Jessica M Gold;Carmin Powell;Henry Chong Lee;Baraka Floyd;Alan Schroeder;Whitney Chadwick
  • 通讯作者:
    Whitney Chadwick
Early term-infant discharge associated with higher re-admission rates
  • DOI:
    10.1016/j.jpeds.2020.12.051
  • 发表时间:
    2021-03-01
  • 期刊:
  • 影响因子:
  • 作者:
    Henry Chong Lee;Jeffrey B. Gould
  • 通讯作者:
    Jeffrey B. Gould

Henry Chong Lee的其他文献

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{{ truncateString('Henry Chong Lee', 18)}}的其他基金

Improving outcomes of periviable births via an enhanced prediction tool
通过增强的预测工具改善围产率结果
  • 批准号:
    10807854
  • 财政年份:
    2023
  • 资助金额:
    $ 33.55万
  • 项目类别:
Improving outcomes of periviable births via an enhanced prediction tool
通过增强的预测工具改善围产率结果
  • 批准号:
    10378480
  • 财政年份:
    2020
  • 资助金额:
    $ 33.55万
  • 项目类别:
Improving outcomes of periviable births via an enhanced prediction tool
通过增强的预测工具改善围产率结果
  • 批准号:
    9884296
  • 财政年份:
    2020
  • 资助金额:
    $ 33.55万
  • 项目类别:
GO MOMS hybrid simulation model for labor and delivery care
用于分娩护理的 GO MOMS 混合仿真模型
  • 批准号:
    10197693
  • 财政年份:
    2016
  • 资助金额:
    $ 33.55万
  • 项目类别:
In situ simulation of neonatal resuscitation to improve team performance and clinical outcomes
新生儿复苏的原位模拟可提高团队绩效和临床结果
  • 批准号:
    10055771
  • 财政年份:
    2016
  • 资助金额:
    $ 33.55万
  • 项目类别:
Maternal, Clinician & Hospital Factors in Breastmilk for Premature Infants
产妇、临床医生
  • 批准号:
    8598488
  • 财政年份:
    2012
  • 资助金额:
    $ 33.55万
  • 项目类别:
Maternal, Clinician & Hospital Factors in Breastmilk for Premature Infants
产妇、临床医生
  • 批准号:
    8240229
  • 财政年份:
    2012
  • 资助金额:
    $ 33.55万
  • 项目类别:
Maternal, Clinician & Hospital Factors in Breastmilk for Premature Infants
产妇、临床医生
  • 批准号:
    8409789
  • 财政年份:
    2012
  • 资助金额:
    $ 33.55万
  • 项目类别:
Maternal, Clinician & Hospital Factors in Breastmilk for Premature Infants
产妇、临床医生
  • 批准号:
    8774235
  • 财政年份:
    2012
  • 资助金额:
    $ 33.55万
  • 项目类别:

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