关键词: 急救医学, 原位模拟, 急救综合能力, 模拟培训, 团队, 能力

Abstract: Objective To compare the efficiency of in situ simulation and conventional simulation training methods on enhancing the comprehensive clinical emergency response capabilities of medical teams. Methods Controlled experiment design was used. Two hundred and forty trainees who participated in comprehensive clinical emergency response training from January to December 2021 were randomly assigned into 60 clinical emergency teams through random number table method, with each consisting of one doctor and three nurses. The teams were then randomly assigned into the in situ simulation group and conventional simulation group equally through random number table method. In situ simulation training and conventional simulation training were provided separately. After training, comprehensive clinical emergency response capability tests were given and scores were compared by t-tests or rank sum tests between groups. Results The total test scores of the comprehensive clinical emergency response capabilities were significantly higher in the in situ simulation group than in the conventional simulation one [(93.9±1.9) vs. (82.85±4.79), P<0.05] with better technical [(68.1±1.3) vs. (64.1±3.0), P<0.05] and non-technical [ (25.8±1.6) vs. (18.8±3.4), P<0.05 ] performance scores. Conclusions In situ simulation training had brought better performance both on technical and non-technical performance capabilities of medical teams in clinical emergency response than conventional simulation training. Thus, in situ simulation training could be considered as an better approach for clinical skill simulation training.

Key words: Emergency medicine, In situ simulation, Comprehensive clinical emergency response capability, Simulated medical education, Team, Capability