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Project CAPE: a high-fidelity, in situ simulation program to increase Critical Access Hospital Emergency Department provider comfort with seriously ill pediatric patients.

Publication ,  Journal Article
Katznelson, JH; Mills, WA; Forsythe, CS; Shaikh, S; Tolleson-Rinehart, S
Published in: Pediatr Emerg Care
June 2014

OBJECTIVES: Variation exists between the qualities of emergency department (ED) care provided to urban versus rural pediatric patients. We implemented a pediatric simulation program in the Critical Access Hospital (CAH) ED setting and evaluated whether this training would increase provider comfort with seriously ill children. METHODS: Five CAH hospitals conducted 6 scenarios for 12 months. Baseline surveys assessed ED staff exposure to and comfort with children. Surveys were repeated after 6 and 12 months. Respondents' answers were matched longitudinally. Changes in responses over time were analyzed using paired t tests for continuous variables. Changes in frequencies and percentages of categorical variables over time were analyzed using χ test. Scenario participants completed an additional survey at the end of each simulation. RESULTS: The baseline survey was completed by 104 of 150 eligible participants, giving a 71% response rate. Fifty-eight percent completed at least 1 additional survey. On survey 1, mean provider comfort score for procedures was 69 (0-100 point scale). Scores increased 6 points from surveys 1 to 2 and a total of 6.5 points from surveys 1 to 3 (P < 0.05).One hundred fifty postscenario surveys were completed. Of the providers, 83.7% believed that scenario participation increased their comfort with children. One hundred percent of the providers in month 12 felt that they would benefit from additional scenarios. CONCLUSIONS: An in situ pediatric simulation program can be implemented effectively in CAH EDs and results in increased comfort with pediatric patients. Such a program could be used as the core feature of a CAH education program aimed at improving the quality of pediatric emergency services provided at these safety net institutions.

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Published In

Pediatr Emerg Care

DOI

EISSN

1535-1815

Publication Date

June 2014

Volume

30

Issue

6

Start / End Page

397 / 402

Location

United States

Related Subject Headings

  • Surveys and Questionnaires
  • Pediatrics
  • Patient Simulation
  • North Carolina
  • Male
  • Infant
  • Humans
  • Health Personnel
  • Health Care Surveys
  • Female
 

Citation

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Katznelson, J. H., Mills, W. A., Forsythe, C. S., Shaikh, S., & Tolleson-Rinehart, S. (2014). Project CAPE: a high-fidelity, in situ simulation program to increase Critical Access Hospital Emergency Department provider comfort with seriously ill pediatric patients. Pediatr Emerg Care, 30(6), 397–402. https://doi.org/10.1097/PEC.0000000000000146
Katznelson, Jessica H., William A. Mills, C Scott Forsythe, Sophie Shaikh, and Sue Tolleson-Rinehart. “Project CAPE: a high-fidelity, in situ simulation program to increase Critical Access Hospital Emergency Department provider comfort with seriously ill pediatric patients.Pediatr Emerg Care 30, no. 6 (June 2014): 397–402. https://doi.org/10.1097/PEC.0000000000000146.
Katznelson JH, Mills WA, Forsythe CS, Shaikh S, Tolleson-Rinehart S. Project CAPE: a high-fidelity, in situ simulation program to increase Critical Access Hospital Emergency Department provider comfort with seriously ill pediatric patients. Pediatr Emerg Care. 2014 Jun;30(6):397–402.
Katznelson, Jessica H., et al. “Project CAPE: a high-fidelity, in situ simulation program to increase Critical Access Hospital Emergency Department provider comfort with seriously ill pediatric patients.Pediatr Emerg Care, vol. 30, no. 6, June 2014, pp. 397–402. Pubmed, doi:10.1097/PEC.0000000000000146.
Katznelson JH, Mills WA, Forsythe CS, Shaikh S, Tolleson-Rinehart S. Project CAPE: a high-fidelity, in situ simulation program to increase Critical Access Hospital Emergency Department provider comfort with seriously ill pediatric patients. Pediatr Emerg Care. 2014 Jun;30(6):397–402.

Published In

Pediatr Emerg Care

DOI

EISSN

1535-1815

Publication Date

June 2014

Volume

30

Issue

6

Start / End Page

397 / 402

Location

United States

Related Subject Headings

  • Surveys and Questionnaires
  • Pediatrics
  • Patient Simulation
  • North Carolina
  • Male
  • Infant
  • Humans
  • Health Personnel
  • Health Care Surveys
  • Female