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Marc Auerbach, MD, MSci1, David Kessler, MD, Msci6, Barbara Walsh, MD2, Susan Walsh, MD1, Marcie Gawel, RN1, Jessica Katznelson, MD3,
Jaewon Jang, PHD1, Megan Lavoie, MD4, Yen Tay, MD4, Robert Dudas, MD3, Brian Schultz, MD5, Melinda Hamilton, MD5, Sandeep
Gangadharan, MD7 and Linda Brown, MD, MSCE8.
1Yale University, New Haven, CT, United States; 2University of Massachusetts Medical School, Wooster, MA, United States; 3Johns Hopkins
University, Baltimore, MD, United States; 4University of Pennsylvania, Philadelphia, PA, United States; 5University of Pittsburgh, Pittsburgh, PA,
United States; 6Columbia University, New York, NY, United States; 7Hofstra University, New Hyde Park, NY, United States and 8Brown
University, Providence, RI, United States.
INSPIRE @ IMSH 2014: San Francisco, California,USA
International Network for Simulation-based Pediatric Innovation, Research and Education
• Critically ill pediatric patients are rare events– Not feasible for all communities to have pediatric
acute care specialists in ED– Deserve optimal care whenever/wherever it is needed
• Optimal outcomes require safe, timely and effective recognition/diagnosis/treatment
International Network for Simulation-based Pediatric Innovation, Research and Education
Background
• P: Simulated critically ill pediatric patients
• I: PED
• C: GED
• O: Quality of care: structure, process, outcome
International Network for Simulation-based Pediatric Innovation, Research and Education
PICO Question
• Intervention (simulations)1. Foreign Body, 2. Sepsis, 3. Seizure, 4. PEA/Vfib– In-situ, own resources/equipment/space, simulated medications
• 21 departments (8 PED, 13 GED)• 2 inter-professional teams/dept (6-8 providers)• 4 cases/team (168 cases)
• Data capture– EMSC Readiness Instrument, Provider Pre-survey
• Research RN: volume, medication, dose (standard form)• Video: time/process of care (2 cameras, monitor, simulator)
• Data analysis– Safety score (FMEA analysis), benchmarking– STAT tool, Adherence to guidelines
International Network for Simulation-based Pediatric Innovation, Research and Education
Approach / Design
• Grant Proposal- Rbaby 2/1/13 to 1/31/14, planning AHRQ, EMSC
• IRB Submission/Recruitment/Data Collection- 2/1/13- 1/31/14
• Data Analysis- ongoing
• Abstract Presentation- PAS
• Manuscript Preparation- multiples submissions in progress
– Systematic review
– Case specific– Cardiac, Sepsis
– Safety score analysis
International Network for Simulation-based Pediatric Innovation, Research and Education
Timeline
1. How do we balance customization with quality?
2. What is the best model for sustainability? Who
should pay for this? How do we prove value?
3. How do we correlate with real patient outcomes?
International Network for Simulation-based Pediatric Innovation, Research and Education
3 Questions to improve study
Marc Auerbach, Yale University
203-737-7437
http://medicine.yale.edu/lab/impacts/index.aspx
International Network for Simulation-based Pediatric Innovation, Research and Education
Contact Information
