Simulation-based training for trauma resuscitation among ACS TQIP-Pediatric centers: Understanding prevalence of use, associated center characteristics, training factors, and implementation barriers

Affiliations

¹ Department of Surgery, Children's Hospital Los Angeles and USC Keck School of Medicine, Los Angeles, CA, USA; Southern California Clinical and Translational Science Institute (SC-CTSI), Los Angeles, CA, USA. Electronic address: ajensen@chla.usc.edu.
² Department of Surgery, Children's Hospital Los Angeles and USC Keck School of Medicine, Los Angeles, CA, USA. Electronic address: cmclaughlin@chla.usc.edu.
³ Department of Pediatrics, Children's Hospital Los Angeles and USC Keck School of Medicine, Los Angeles, CA, USA; Southern California Clinical and Translational Science Institute (SC-CTSI), Los Angeles, CA, USA. Electronic address: cawong@chla.usc.edu.
⁴ American College of Surgeons, Chicago, IL, USA. Electronic address: kathleen.mcauliff@einstein.yu.edu.
⁵ American College of Surgeons, Chicago, IL, USA; Department of Surgery, University of Toronto, Toronto, ON, Canada. Electronic address: anathens@facs.org.
⁶ Department of Surgery, Children's Hospital Los Angeles and USC Keck School of Medicine, Los Angeles, CA, USA. Electronic address: ebarin@chla.usc.edu.
⁷ Southern California Clinical and Translational Science Institute (SC-CTSI), Los Angeles, CA, USA; Department of Preventative Medicine, USC Keck School of Medicine, Los Angeles, CA, USA. Electronic address: dmeeker@usc.edu.
⁸ Department of Surgery, Children's Hospital Los Angeles and USC Keck School of Medicine, Los Angeles, CA, USA. Electronic address: hford@chla.usc.edu.
⁹ Division of Burn and Trauma Surgery, Children's National Medical Center, Washington, DC, USA. Electronic address: rburd@cnmc.org.
¹⁰ Department of Surgery, Children's Hospital Los Angeles and USC Keck School of Medicine, Los Angeles, CA, USA. Electronic address: jupperman@chla.usc.edu.

PMID: 29934123
PMCID: PMC7169990
DOI: 10.1016/j.amjsurg.2018.06.009

Simulation-based training for trauma resuscitation among ACS TQIP-Pediatric centers: Understanding prevalence of use, associated center characteristics, training factors, and implementation barriers

Aaron R Jensen et al. Am J Surg. 2019 Jan.

. 2019 Jan;217(1):180-185.

doi: 10.1016/j.amjsurg.2018.06.009. Epub 2018 Jun 18.

Authors

Affiliations

¹ Department of Surgery, Children's Hospital Los Angeles and USC Keck School of Medicine, Los Angeles, CA, USA; Southern California Clinical and Translational Science Institute (SC-CTSI), Los Angeles, CA, USA. Electronic address: ajensen@chla.usc.edu.
² Department of Surgery, Children's Hospital Los Angeles and USC Keck School of Medicine, Los Angeles, CA, USA. Electronic address: cmclaughlin@chla.usc.edu.
³ Department of Pediatrics, Children's Hospital Los Angeles and USC Keck School of Medicine, Los Angeles, CA, USA; Southern California Clinical and Translational Science Institute (SC-CTSI), Los Angeles, CA, USA. Electronic address: cawong@chla.usc.edu.
⁴ American College of Surgeons, Chicago, IL, USA. Electronic address: kathleen.mcauliff@einstein.yu.edu.
⁵ American College of Surgeons, Chicago, IL, USA; Department of Surgery, University of Toronto, Toronto, ON, Canada. Electronic address: anathens@facs.org.
⁶ Department of Surgery, Children's Hospital Los Angeles and USC Keck School of Medicine, Los Angeles, CA, USA. Electronic address: ebarin@chla.usc.edu.
⁷ Southern California Clinical and Translational Science Institute (SC-CTSI), Los Angeles, CA, USA; Department of Preventative Medicine, USC Keck School of Medicine, Los Angeles, CA, USA. Electronic address: dmeeker@usc.edu.
⁸ Department of Surgery, Children's Hospital Los Angeles and USC Keck School of Medicine, Los Angeles, CA, USA. Electronic address: hford@chla.usc.edu.
⁹ Division of Burn and Trauma Surgery, Children's National Medical Center, Washington, DC, USA. Electronic address: rburd@cnmc.org.
¹⁰ Department of Surgery, Children's Hospital Los Angeles and USC Keck School of Medicine, Los Angeles, CA, USA. Electronic address: jupperman@chla.usc.edu.

PMID: 29934123
PMCID: PMC7169990
DOI: 10.1016/j.amjsurg.2018.06.009

Abstract

Background: Simulation-based training (SBT) for pediatric trauma resuscitation can improve team performance. The purpose of this study was to describe the nationwide trend in SBT use and barriers to SBT implementation.

Methods: Trauma centers that participated in ACS TQIP Pediatric in 2016 (N = 125) were surveyed about SBT use. Center characteristics and reported implementation barriers were compared between centers using and not using SBT.

Results: Survey response rate was 75% (94/125) with 78% (73/94) reporting SBT use. The frequency of pediatric SBT use increased from 2014 to 2016 (median 5.5 vs 6.5 annual sessions, p < 0.01). Funding barriers were negatively associated with number of annual SBT sessions (r ≤ -0.34, p < 0.05). Centers not using SBT reported lack of technical expertise (p = 0.01) and lack of data supporting SBT (p = 0.03) as significant barriers.

Conclusions: Simulation use increased from 2014 to 2016, but significant barriers to implementation exist. Strategies to share resources and decrease costs may improve usage.

Level of evidence: Level 3, epidemiological.

Keywords: Barriers; Implementation; Pediatric trauma; Simulation; Simulation-based training; Trauma resuscitation.

PubMed Disclaimer

Figures

**Figure 1:**
A) Annual reported number of simulated pediatric trauma resuscitations by trauma center for calendar year 2016, and B) Reported duration of use of simulation-based training for trauma resuscitation within TQIP Pediatric centers. *15 and 27 centers did not respond to this question, respectively.

See this image and copyright information in PMC

References

1. Borse N, Sleet DA. CDC Childhood Injury Report: Patterns of Unintentional Injuries Among 0- to 19-Year Olds in the United States, 2000–2006. Fam Community Health. 2009;32:189. - PubMed
1. Borse NN, Gilchrist J, Dellinger AM, et al. Unintentional childhood injuries in the United States: key findings from the CDC childhood injury report. J Saf Res. 2009;40:71–74. - PubMed
1. National Center for Injury Prevention and Control, CDC using WISQARS. https://www.cdc.gov/injury/wisqars/LeadingCauses.html; 2017. Accessed 17 May 2017.
1. McLaughlin C, Zagory JA, Fenlon M, et al. Timing of Mortality in Pediatric Trauma Patients: A National Trauma Databank Analysis. J Pediatr Surg. In press 2017. - PMC - PubMed
1. Gunst M, Ghaemmaghami V, Gruszecki A, et al. Changing epidemiology of trauma deaths leads to a bimodal distribution. Proc. 2010;23:349–354. - PMC - PubMed

Publication types

Actions

MeSH terms

Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions

Grants and funding

LinkOut - more resources

Full Text Sources
Other Literature Sources
- scite Smart Citations
Medical
- MedlinePlus Consumer Health Information
- MedlinePlus Health Information
Research Materials
- NCI CPTC Antibody Characterization Program

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

Simulation-based training for trauma resuscitation among ACS TQIP-Pediatric centers: Understanding prevalence of use, associated center characteristics, training factors, and implementation barriers

Affiliations

Simulation-based training for trauma resuscitation among ACS TQIP-Pediatric centers: Understanding prevalence of use, associated center characteristics, training factors, and implementation barriers

Authors

Affiliations

Abstract

Figures

References

Publication types

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources

Other Literature Sources

Medical

Research Materials