Chest
Original ResearchEXPERIENTIAL LEARNINGSimulation-Based Education Improves Quality of Care During Cardiac Arrest Team Responses at an Academic Teaching Hospital: A Case-Control Study
Section snippets
Design
This was a retrospective case-control study20 of cardiac arrest team responses at Northwestern Memorial Hospital (NMH) from January to June 2004. An educational program had been started 6 months earlier for second-year internal medicine residents featuring simulation-based training in ACLS. A 6-month study period was selected because it provided an opportunity to compare two groups of ACLS team leaders as a natural quasi-experiment.21 Cases and controls are team responses to ACLS events divided
Results
The mean interrater reliability for the 20 randomly selected ACLS events across the eight performance measures was high (κ = 0.87). This indicates that there was very little disagreement about abstraction of ACLS performance data.
Twenty ACLS events were led by simulator-trained second-year residents and 28 were led by traditionally trained third-year residents. As shown in Table 1, no difference between patients in either group was shown by age, ventilator, or telemetry status.
Simulator-trained
Discussion
This study amplifies the outcomes of past research on simulation-based ACLS medical education by extending those research findings to the quality of care provided during real ACLS events. Our prior work documented the ability of simulation-based training to significantly increase residents' ACLS skills,6 to allow for the setting of mastery standards,7 and to demonstrate the retention of skill over a 14-month study period.8 The research situation described in this article presented a unique
ACKNOWLEDGMENT
We thank the Northwestern University internal medicine residents for their dedication to patient care and education. We acknowledge Charles Watts, MD, and J. Larry Jameson, MD, PhD, for their support and encouragement of this work. We appreciate the input of anonymous reviewers who helped to strengthen this article.
References (38)
- et al.
Beta test of a new system assessing competence in laparoscopic surgery
J Am Coll Surg
(2006) - et al.
Achieving housestaff competence in emergency airway management using scenario based simulation training
Chest
(2006) - et al.
Bronchoscopy simulator effectively prepares junior residents to competently perform basic clinical bronchoscopy
Ann Thorac Surg
(2004) - et al.
Learning curves and reliability measures for virtual reality simulation in the performance assessment of carotid angiography
J Am Coll Cardiol
(2006) - et al.
Computer simulation training enhances patient comfort during endoscopy
Clin Gastroenterol Hepatol
(2004) - et al.
Cardiopulmonary resuscitation of adults in the hospital: a report of 14,720 cardiac arrests from the National Registry of Cardiopulmonary Resuscitation
Resuscitation
(2003) - et al.
Resuscitation in the hospital: circadian variation of cardiopulmonary arrest
Am J Med
(2007) - et al.
Simulation technology for health care professional skills training and assessment
JAMA
(1999) - et al.
Proving the value of simulation in laparoscopic surgery
Ann Surg
(2004) - et al.
Discriminative validity of the minimally invasive surgical trainer in virtual reality (MIST-VR) using criteria levels based on expert performance
Surg Endosc
(2004)
Objective psychomotor skills assessment of experienced and novice flexible endoscopists with a virtual reality simulator
J Gastrointest Surg
Simulation-based training of internal medicine residents in advanced cardiac life support protocols: a randomized trial
Teach Learn Med
Mastery learning of advanced cardiac life support skills by internal medicine residents using simulation technology and deliberate practice
J Gen Intern Med
A longitudinal study of internal medicine residents' retention of advanced cardiac life support (ACLS) skills
Acad Med
Evaluation of trauma team performance using an advanced human patient simulator for resuscitation training
J Trauma
Trauma assessment training with a patient simulator: a prospective, randomized study
J Trauma
Test of a cardiology patient simulator in fourth-year electives
J Med Educ
Virtual reality training improves operating room performance: results of a randomized double-blinded study
Ann Surg
Impact of the endoscopic sinus surgical simulator on operating room performance
Laryngoscope
Cited by (511)
An appropriate simulation-based training for surgical technology students
2023, Nurse Education in PracticeSafe and Sound: An Improvisational Theater-Based Curriculum and Behavioral Intervention to Address Violence in the Emergency Department
2023, Journal of Emergency MedicineSimulation-based assessment of trainee's performance in post-cardiac arrest resuscitation
2022, Resuscitation PlusEffects of Smart Advanced Life Support protocol implementation including CPR coaching during out-of-hospital cardiac arrest
2022, American Journal of Emergency MedicinePowerful medical education improves health care quality and return on investment
2024, Medical Teacher
The study was supported by the Excellence in Academic Medicine Act of the Illinois Department of Public Aid administered through Northwestern Memorial Hospital.
The authors have reported to the ACCP that no significant conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.