In-Situ Simulation Enhances Emergency Preparedness in Pediatric Care Practices
BACKGROUND: It is not uncommon for emergencies to present at primary care offices. It is necessary for those offices to be prepared to handle at a minimum, the most common types of emergencies. OBJECTIVE: To evaluate the effectiveness of in-situ simulation training in improving emergency preparedness within pediatric primary care settings. METHODS: Simulation training was provided at twenty-two primary care offices in Central Florida. Participants were asked to complete a pre-simulation survey, that utilized a 5-point Likert-type scale, to evaluate the office preparedness and the staff member’s confidence in managing emergency presentations within their settings. Subsequent to the simulation, participants were asked to complete a post-survey to evaluate the effectiveness of simulation training. RESULTS: Primary care office staff members reported enhanced preparedness in managing emergencies post-simulation training (pre-simulation 2.95 vs. post-simulation 4.02, p-value < 0.05). They also reported higher levels of comfort in managing emergency situations after the simulation training (pre-simulation 3.22 vs. post-simulation 4.53, p-value < 0.05). Overall, 98% of participants found the simulation was effective. CONCLUSIONS and IMPLICATIONS: Our data suggests that simulation training improves office preparedness in managing emergencies in pediatric primary care settings. Simulation training has shown to also improve the comfort level of pediatric primary care office staff in handling emergency situations. This study was limited to pediatric primary care settings in the Central Florida region and it is unclear if the findings of this study are generalizable to all primary care practices. Further studies are required to explore whether such training can result in practice change and improve outcomes to patients.
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