دورية أكاديمية
CPR during COVID-19: Use of Expert-driven Rapid Cycle Deliberate Practice to Implement PALS Guidelines.
| العنوان: | CPR during COVID-19: Use of Expert-driven Rapid Cycle Deliberate Practice to Implement PALS Guidelines. |
|---|---|
| المؤلفون: | Nichols BE; Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, Tex., McMichael ABV; Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, Tex., Volk APD; Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, Tex., Bhaskar P; Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, Tex., Bowens CD; Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, Tex. |
| المصدر: | Pediatric quality & safety [Pediatr Qual Saf] 2020 Dec 28; Vol. 6 (1), pp. e374. Date of Electronic Publication: 2020 Dec 28 (Print Publication: 2021). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wolters Kluwer Health, Inc Country of Publication: United States NLM ID: 101702480 Publication Model: eCollection Cited Medium: Internet ISSN: 2472-0054 (Electronic) Linking ISSN: 24720054 NLM ISO Abbreviation: Pediatr Qual Saf Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: [Philadelphia, PA] : Wolters Kluwer Health, Inc., [2016]- |
| مستخلص: | The American Heart Association (AHA) and other national institutions have endorsed modifications to resuscitation guidelines given the risk of healthcare workers' (HCWs) exposure to COVID-19. Institutional implementation of the COVID-19-focused guidelines requires both proof of feasibility and education of HCW. Pediatric critical care medical directors at The University of Texas Southwestern/Children's Health System of Texas (UTSW/CHST) created a guideline for the resuscitation of COVID-19 patients. The simulation team used in situ simulation to demonstrate guideline feasibility and to create educational materials. Methods: A UTSW/CHST guideline incorporated COVID-19-focused AHA and other national organizational recommendations to fit the institutional needs. A high-fidelity in situ simulation helped test the feasibility and optimize the UTSW/CHST guideline. We developed a novel form of rapid cycle deliberate practice (RCDP), expert-driven RCDP, in which all simulation participants are experts, to debrief the simulation. Results: In situ simulation with expert-driven RCDP demonstrated guideline feasibility in the resuscitation of a COVID-19 patient while balancing the protection of HCW. Expert-driven RCDP allowed for real-time alterations to the guideline during the simulation event. Video recording and dissemination of the simulation allowed for the education of over 300 staff on the new recommendations. Conclusions: High-fidelity in situ simulation with expert-driven RCDP created a rapid consensus among expert critical care providers to develop the UTSW/CHST guideline and quickly adopt the new AHA recommendations. This debriefing method helped minimize the risk of HCW exposure by minimizing the number of required participants and time for simulation. We recommend using this distinctive, expert-driven RCDP debriefing method for expeditious testing of COVID-19-focused processes at other institutions. Video Abstract available at: [link forthcoming]. Competing Interests: The authors have no financial interest to declare in relation to the content of this article. (Copyright © 2020 the Author(s). Published by Wolters Kluwer Health, Inc.) |
| References: | Intensive Care Med. 2020 May;46(5):854-887. (PMID: 32222812) JAMA Pediatr. 2020 Sep 1;174(9):868-873. (PMID: 32392288) J Interprof Care. 2015;29(5):433-44. (PMID: 25973615) Resuscitation. 2014 Jul;85(7):945-51. (PMID: 24607871) Cureus. 2017 Apr 19;9(4):e1180. (PMID: 28540142) Acad Pediatr. 2015 Mar-Apr;15(2):134-42. (PMID: 25748973) PLoS One. 2010 May 19;5(5):e10717. (PMID: 20502660) Circulation. 2020 Jun 23;141(25):e933-e943. (PMID: 32270695) PLoS One. 2012;7(4):e35797. (PMID: 22563403) MMWR Morb Mortal Wkly Rep. 2020 Mar 27;69(12):343-346. (PMID: 32214079) MMWR Morb Mortal Wkly Rep. 2020 Jun 19;69(24):759-765. (PMID: 32555134) JAMA. 2015 Aug 25;314(8):802-10. (PMID: 26305650) JAMA. 2020 Apr 7;323(13):1239-1242. (PMID: 32091533) MMWR Morb Mortal Wkly Rep. 2020 Apr 17;69(15):465-471. (PMID: 32298250) MMWR Morb Mortal Wkly Rep. 2020 Apr 10;69(14):422-426. (PMID: 32271728) |
| تواريخ الأحداث: | Date Created: 20210106 Latest Revision: 20220419 |
| رمز التحديث: | 20221213 |
| مُعرف محوري في PubMed: | PMC7775030 |
| DOI: | 10.1097/pq9.0000000000000374 |
| PMID: | 33403320 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder كن أول من يترك تعليقا!