Does simulation-based training improve the involvement of cardiology health professionals during pediatric cardiac arrest?

Introduction

Healthcare professionals working in a pediatric cardiology department (PCD) could be exposed to a cardiac arrest (CA).

The expertise required for the interprofessional management of a CA could be achieved through in situ simulation.

The lack of a simulation culture within the department hinders the development of a simulation-based teaching program.

Objective

Does an educational session composed of a simulation-based bootcamp followed by an in situ simulation focused on the management of a shockable pediatric CA lead the intention of modifying behaviours among health professionals in the PCD? The primary objective is to assess the intention that pediatric cardiology healthcare professionals have in modifying their involvement when managing pediatric CA, following an educational simulation session. The secondary objective is to identify latent safety threats (LSTs) in the current work environment during the in situ simulation sessions.

Methods

Members of the pediatric cardiology department participated in an educational session (bootcamp and an in situ simulation session).

The educational session focused on the multidisciplinary management of a shockable cardiac arrest until the arrival of the code blue team.

Intention to modify behaviors was documented using the REACTION questionnaire (Figure 1). Simulations and debriefings were be video-recorded and reviewed to identify LSTs in the current workplace.

Results/Expected results

After participating in the educational simulation session, participants have a clear intention in modifying their involvement when managing pediatric CA (initiation and participation)

The simulation sessions identified moderate and severe LSTs. A serious problem of calling for help in the department was identified.

Conclusion/Perspectives

The educational session consisting of a simulation-based bootcamp followed by an in situ simulation focused on the management of CA led to the intention of changing the behaviors of healthcare professionals in the PDC.

Almost the entire department is now introduced to simulation, and we observe culture change is underway.