Impact of EHR on Realism, Skills, and Workload in Sepsis Simulation

IF 3.4 3区医学 Q1 NURSING

Clinical Simulation in Nursing Pub Date : 2024-06-29 DOI:10.1016/j.ecns.2024.101560

Lauren M. Hess MD, ABPM-CI , Shailendra Das DO , Rathi Asaithambi MD, MPH, EdM , Erica Delbecq MD , Carolina Molleda Castro MD , Wallis Molchen DO , Daniel Lemke MD

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引用次数: 0

Abstract

Introduction

Sepsis is one of the leading causes of death for children. Simulation provides a framework for improvement in teamwork and communication, which are essential skills in conditions such as sepsis, where early recognition is crucial.

The purpose of this mixed methods project was to understand the effects of adding sandbox Electronic Health Record (EHR) on realism and team dynamics. This study was conducted during multidisciplinary (pediatric residents and nurses) in-situ sepsis simulations.

Methods

This study was conducted during multidisciplinary (pediatric residents and nurses) in-situ sepsis simulations.

Groups were randomized to receive EHR or paper. Team clinical times were recorded. After completion, participants completed a survey about attitudes and workload, and some completed qualitative interviews.

Results

Participants in both groups wanted to have EHR in future simulations. Differences in workload and clinical times were not significantly different. Themes that emerged were: EHR improved realism allowing for skills practice but could be a distraction. Key elements for the simulated EHR design were identified and aligned with prior literature.

Conclusions

Acute care simulations that utilized EHR were perceived by learners to improve realism and can allow for skills practice.

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电子病历对败血症模拟的真实性、技能和工作量的影响

引言败血症是导致儿童死亡的主要原因之一。本混合方法项目旨在了解添加沙盘电子健康记录（EHR）对真实感和团队动力的影响。本研究在多学科（儿科住院医师和护士）脓毒症现场模拟中进行。方法本研究在多学科（儿科住院医师和护士）脓毒症现场模拟中进行。记录团队的临床时间。模拟结束后，参与者完成了一份关于态度和工作量的调查，部分参与者完成了定性访谈。工作量和临床时间的差异并无明显不同。出现的主题有电子病历提高了技能练习的真实性，但可能会分散注意力。结论学习者认为使用电子病历的模拟急症护理提高了逼真度，可以进行技能练习。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Simulation in Nursing NURSING-

CiteScore

5.50

自引率

15.40%

发文量

107

期刊介绍： Clinical Simulation in Nursing is an international, peer reviewed journal published online monthly. Clinical Simulation in Nursing is the official journal of the International Nursing Association for Clinical Simulation & Learning (INACSL) and reflects its mission to advance the science of healthcare simulation. We will review and accept articles from other health provider disciplines, if they are determined to be of interest to our readership. The journal accepts manuscripts meeting one or more of the following criteria: Research articles and literature reviews (e.g. systematic, scoping, umbrella, integrative, etc.) about simulation Innovative teaching/learning strategies using simulation Articles updating guidelines, regulations, and legislative policies that impact simulation Leadership for simulation Simulation operations Clinical and academic uses of simulation.