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. 2022 Feb 1;38(2):e622-e627.
doi: 10.1097/PEC.0000000000002454.

Benefit of Simulation-Based Training in Medical Adverse Events Disclosure in Pediatrics

Juliette Aubin  1 , Océane Rivolet  1 , Anne-Laure Taunay  1 , Stéphanie Ragot  2 , Daniel Aiham Ghazali, Denis Oriot
Affiliations

Benefit of Simulation-Based Training in Medical Adverse Events Disclosure in Pediatrics

Juliette Aubin et al. Pediatr Emerg Care. .

Abstract

Introduction: Adverse events (AEs) in health care are a public health issue. Although mandatory, error disclosure is experienced by health providers as a difficult task.

Methods: In this prospective study, the primary objective was to assess performance in disclosing AEs to simulated parents using a validated scale before and after training among a pediatric residents' population. Secondary objectives were to assess correlation with year of residency, sex, and previous experience and to analyze gain in knowledge (theoretical pretest/posttest scores) and satisfaction. Two evaluation simulations (simulation [SIM] 1 and SIM 2) were scheduled at 3-week interval. In the intervention group, mastery learning was offered after SIM 1 including a didactic approach and a training session using role-playing games. For the control group, the course was carried out after SIM 2. Assessments were performed by 2 independent observers and simulated parents.

Results: Forty-nine pediatric residents performed 2 scenarios of AE disclosure in front of simulated parents. In the intervention group, performance scores on SIM 2 (72.36 ± 5.40) were higher than on SIM 1 (65.08 ± 9.89, P = 0.02). In the control group, there was no difference between SIM 1 and SIM 2 (P = 0.62). The subjective scores from simulated parents showed the same increase on SIM 2 (P < 0.01). There was no correlation with the residents' previous experience or their residency year. There was an increase in self-confidence (P = 0.04) for SIM 2. There was also an increase in posttest theoretical scores (P = 0.02), and residents were satisfied with the training.

Conclusions: This study showed the benefits of simulation-based training associated with mastery learning in AE disclosure among pediatric residents. It is important to train residents for these situations to avoid traumatic disclosure generating a loss of confidence of the family regarding physicians and possible lawsuits.

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Conflict of interest statement

Disclosure: The authors declare no conflict of interest.

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