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Utilizing simulation technology for competency skills assessment and a comparison of traditional methods of training to simulation-based training.

2007; National Institutes of Health; Volume: 52; Issue: 3 Linguagem: Inglês

Raymond P Tuttle, Mark H. Cohen, Albert J. Augustine, Dana F. Novotny, Edgar Delgado, Thomas Dongilli, John Lutz, Michael A. DeVita,

Airway Management and Intubation Techniques

The respiratory care department of one campus within our health system evaluated simulation-based medical education for training and competency evaluation of the mini bronchoalveolar lavage (mini-BAL) procedure, with an emphasis on patient safety and procedure performance standards.Training and competency evaluation occurred in 4 phases. In phase one, 24 staff respiratory therapists (RTs) were randomly chosen and individually underwent a simulation-based test of their mini-BAL performance, using a patient-simulator mannequin. Their performance on this test reflected the effectiveness of traditional training methods. In phase two, 83 staff RTs were given unlimited access to a Web-based curriculum on mini-BAL, including a video of a mini-BAL. They then took 2 tests: one online Web-based test, then a patient-simulator test. In phase three, the same 83 RTs attended a workshop that used the patient simulator for training and practice, then were re-evaluated with the patient-simulator test. Phase four was another simulator-based re-evaluation, 90 days after phase three, to study skills retention.The mean scores were: phase one 73 +/- 10%, phase two 77 +/- 11%, phase three 95 +/- 5% (p < 0.01), phase four 92 +/- 8%.Our results suggest that employing simulation technology within a comprehensive departmental program can enhance staff training.