Evaluation of the emergency physicians' competency of resuscitation in critical ill patients based on hybrid simulation technology

doi:10.3760/cma.j.cn115259-20210510-00605

Chinese Journal of Medical Education ›› 2022, Vol. 42 ›› Issue (3): 280-284.DOI: 10.3760/cma.j.cn115259-20210510-00605

Evaluation of the emergency physicians' competency of resuscitation in critical ill patients based on hybrid simulation technology

Liu Jihai¹, Chen Zhiqiao², Ji Shengchao³, Wang Gang⁴, Chai Jingjing¹, Shi Di¹, Chen Chi³, Du Tiekuan¹, Liu Anlei¹, Zhu Huadong¹

¹Emergency Department, State Key Laboratory of Complex Severe and Rare Diseases & Peking Union Medical College Hospital & Chinese Academy of Medical Science and Peking Union Medical College, Beijing, 100730, China;
²Emergency Department, Zhongnan Hospital of Wuhan University, Wuhan 430071, China;
³Emergency Department, Oriental Hospital Affiliated to Tongji University, Shanghai 200120, China;
⁴China National Medical Examination Center, Beijing 100097, China

Received:2021-05-10 Online:2022-03-01 Published:2022-02-23
Contact: Zhu Huadong, Email: huadongzhu1970@126.com
About author:Liu Jihai and Chen Zhiqiao are contributed equally to this article
Supported by:
General Subject of Pedagogy in the 14th Five Year Plan of the National Social Science Foundation (BLA210212)

Abstract

Abstract: Objective To evaluate the critical patients' resuscitation competency of emergency physicians based on a hybrid simulation technology carried out by three large-scale first-class hospitals in China. Methods In this study, 95 emergency physicians at different levels from three large-scale and first-class hospitals in China participated in the standardized scenario simulation assessment in 2018. One way ANOVA was used to compare the scores of emergency physicians at different levels and from different hospitals. Results The total score of the 95 emergency physicians was (62.65±18.34), and the passing rate was 60.0%(57/95). The average score of emergency physicians with one year training was (55.07±20.86) and that of emergency physicians with two year training was (68.53±18.13) and those with three years training and above was (64.43±14.91). The results of comparison between groups of emergency physicians with different years of training showed statistical differences (P<0.05). The average score of emergency physicians from Peking Union Medical College Hospital was (61.70±14.00), the average score of emergency physicians from Zhongnan Hospital of Wuhan University was (50.11 ± 17.06), and the average score of emergency physicians from Oriental Hospital Affiliated to Tongji University was (77.08 ± 12.90). The results of emergency physicians from different hospitals showed significant difference (P<0.05). Conclusions Emergency physicians' competency for critically ill patients resuscitation is generally insufficient and the emergency physicians from different hospitals and with different training years show a heterogeneous profile, which suggests the necessity of standardized training in this field.

Key words: Emergency physicians, Hybrid simulation, Assessment, Competency of resuscitation in critical ill patients

CLC Number:

Liu Jihai, Chen Zhiqiao, Ji Shengchao, Wang Gang, Chai Jingjing, Shi Di, Chen Chi, Du Tiekuan, Liu Anlei, Zhu Huadong. Evaluation of the emergency physicians' competency of resuscitation in critical ill patients based on hybrid simulation technology[J]. Chinese Journal of Medical Education, 2022, 42(3): 280-284.

References

[1] Gordon M, Baker P, Catchpole K, et al. Devising a consensus definition and framework for non-technical skills in healthcare to support educational design: a modified Delphi study[J]. Med Teach, 2015,37(6):572-577. DOI: 10.3109/0142159X.2014.959910.
[2]Boet S, Bould MD, Fung L, et al. Transfer of learning and patient outcome in simulated crisis resource management: a systematic review[J]. Can J Anaesth, 2014,61(6):571-582. DOI: 10.1007/s12630-014-0143-8.
[3]Cook DA, Hatala R, Brydges R, et al. Technology-enhanced simulation for health professions education: a systematic review and meta-analysis[J]. JAMA, 2011,306(9):978-988. DOI: 10.1001/jama.2011.1234.
[4]柴晶晶, 刘继海, 朱华栋, 等. 应用混合模拟技术对急诊医师危重症抢救能力的评价[J].基础医学与临床,2019,39(2):293-297. DOI: 10.3969/j.issn.1001-6325.2019.02.032.
[5]Panchal AR, Berg KM, Kudenchuk PJ, et al. 2018 American heart association focused update on advanced cardiovascular life support use of antiarrhythmic drugs during and immediately after cardiac arrest: an update to the American heart association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care[J]. Circulation, 2018,138(23):e740-e749. DOI: 10.1161/CIR.0000000000000613.
[6]Meaney PA, Bobrow BJ, Mancini ME, et al. Cardiopulmonary resuscitation quality: improving cardiac resuscitation outcomes both inside and outside the hospital: a consensus statement from the American Heart Association[J]. Circulation, 2013,128(4):417-435. DOI: 10.1161/CIR.0b013e31829d8654.
[7]Grogan EL, Stiles RA, France DJ, et al. The impact of aviation-based teamwork training on the attitudes of health-care professionals[J]. J Am Coll Surg, 2004,199(6):843-848. DOI: 10.1016/j.jamcollsurg.2004.08.021.
[8] Kohn LT , Corrigan JM , Donaldson MS. To err is human: building a safer health system[M].Washington, DC: National Academies Press, 2000: 178-179.
[9]Onwochei DN, Halpern S, Balki M. Teamwork assessment tools in obstetric emergencies: a systematic review[J]. Simul Healthc, 2017,12(3):165-176. DOI: 10.1097/SIH.0000000000000210.
[10]Draycott TJ, Collins KJ, Crofts JF, et al. Myths and realities of training in obstetric emergencies[J]. Best Pract Res Clin Obstet Gynaecol, 2015,29(8):1067-1076. DOI: 10.1016/j.bpobgyn.2015.07.003.
[11]Bergh AM, Baloyi S, Pattinson RC. What is the impact of multi-professional emergency obstetric and neonatal care training?[J]. Best Pract Res Clin Obstet Gynaecol, 2015,29(8):1028-1043. DOI: 10.1016/j.bpobgyn.2015.03.017.

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Evaluation of the emergency physicians' competency of resuscitation in critical ill patients based on hybrid simulation technology

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