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Standardized Debriefing Ups Outcomes on CPR Simulation

Improvement in knowledge and team leader behavioral performance with scripted debriefing
MONDAY, April 29 (HealthDay News) -- Use of a standardized debriefing script during resuscitation training programs conducted by novice instructors is associated with improved acquisition of knowledge and team leader behavioral performance in subsequent simulated cardiopulmonary arrests, according to a study published online April 22 in JAMA Pediatrics.
Adam Cheng, M.D., from the University of Calgary in Canada, and colleagues examined the effect of a scripted debriefing by novice instructors and/or simulator physical realism on knowledge and performance in simulated cardiopulmonary arrests at 14 Examining Pediatric Resuscitation Education Using Simulation and Scripted Debriefing network simulation programs. Interprofessional health care teams were randomized to one of four interventions: non-scripted low-realism (23 teams; 97 participants); scripted low-realism (22 teams; 93 participants); non-scripted high-realism (23 teams; 103 participants); and scripted high-realism (22 teams; 94 participants).
The researchers observed significantly greater improvement in knowledge and team leader behavioral performance with scripted debriefing. There was no significant difference in the improvement in clinical performance during simulated cardiopulmonary arrests. The level of physical realism had no independent impact on outcomes.
"Our study has demonstrated that scripted debriefing for simulation-based pediatric resuscitation education improves educational outcomes (knowledge) and behavioral performance of the team leader," the authors write. "Further work is needed to identify the impact of scripted debriefing when used by more experienced instructors, for longer debriefing sessions, and in the context of other types of simulated scenarios."
Several authors disclosed financial ties to the health care industry.
Abstract (http://archpedi.jamanetwork.com/article.aspx?articleid=1678598#Abstract )Full Text (subscription or payment may be required) (http://archpedi.jamanetwork.com/article.aspx?articleid=1678598 )Editorial (subscription or payment may be required) (http://archpedi.jamanetwork.com/article.aspx?articleid=1678600 )
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