Comparative Effectiveness of Hands-on Versus Computer Simulation-Based Training for Contrast Media Reactions and Teamwork Skills

详细信息    查看全文

• 作者：Carolyn L. Wang ; MD^a ; ^{wangcl@uw.edu} ; Sankar Chinnugounder ; MD^b ; Daniel S. Hippe ; MS^a ; Sadaf Zaidi ; MD^a ; Ryan B. O'Malley ; MD^a ; Puneet Bhargava ; MD^a ; William H. Bush ; MD^a
• 关键词：Interprofessional team training ; high-fidelity simulation ; contrast reaction management ; teamwork skills ; computer-based simulation ; contrast media
• 刊名：Journal of the American College of Radiology
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：14
• 期：1
• 页码：103-110.e3
• 全文大小：622 K
• 卷排序：14

文摘

To assess the performance of interprofessional teams of radiologists, technologists, and nurses trained with high-fidelity hands-on (HO) simulation and computer-based (CB) simulation training for contrast reaction management (CR) and teamwork skills (TS).MethodsNurses, technologists, and radiology residents were randomized into 11 teams of three (one of each). Six teams underwent HO training and five underwent CB training for CR and TS. Participants took written tests before and after training and were further tested using a high-fidelity simulation scenario.ResultsHO and CB groups scored similarly on all written tests and each showed improvement after training (P = .002 and P = .018, respectively). During the final scenario test, HO teams tended to receive higher grades than CB teams on CR (95% versus 81%, P = .17) and made fewer errors in epinephrine administration (0/6 versus 2/5, P = .18). HO and CB teams scored similarly on TS (51% versus 52%, P = .66), but overall scores were lower for TS than for CR skills in both the HO (P = .03) and CB teams (P = .06). HO training was more highly rated than CB as an effective educational tool (P = .01) and for effectiveness at teaching CR and team communication skills (P = .02).ConclusionsHigh-fidelity simulation can be used to both train and test interprofessional teams of radiologists, technologists, and nurses for both CR and TS and is more highly rated as an effective educational tool by participants than similar CB training. However, a single session of either type of training may be inadequate for mastering TS.