Interprofessional simulation to improve safety in the XXXX monitoring unit.

@entity1 @entity6498 @entity410 @entity302
OBJECTIVE: @entity1 safety is critical for @entity302 monitoring units ( @entity6498 ). Effective training is important for educating all personnel, including residents and nurses who frequently cover these units. We performed a needs assessment and developed a simulation-based team training curriculum employing actual @entity6498 sentinel events to train neurology resident-nurse interprofessional teams to maximize effective responses to high-acuity events. METHODS: A mixed-methods design was used. This included the development of a safe-practice checklist to assess team response to acute events in the @entity6498 using expert review with consensus (a modified Delphi process). All nineteen incoming first-year neurology residents and 2 nurses completed a questionnaire assessing baseline knowledge and attitudes regarding @entity410 management prior to and following a team training program employing simulation and postscenario debriefing. Four resident-nurse teams were recorded while participating in two simulated scenarios. Employing retrospective video review, four trained raters used the newly developed safe-practice checklist to assess team performance. We calculated the interobserver reliability of the checklist for consistency among the raters. We attempted to ascertain whether the training led to improvement in performance in the actual @entity6498 by comparing 10 videos of resident-nurse team responses to @entity410 4-8months into the academic year preceding the curricular training to 10 that included those who received the training within 4-8months of the captured video. RESULTS: Knowledge in @entity410 management was significantly improved following the program, but confidence in @entity410 management was not. Interrater agreement was moderate to high for consistency of raters for the majority of individual checklist items. We were unable to demonstrate that the training led to sustainable improvement in performance in the actual @entity6498 by the method we used. CONCLUSIONS: A simulated team training curriculum using a safe-practice checklist to improve the management of acute events in an @entity6498 may be an effective method of training neurology residents. However, translating the results into sustainable benefits and confidence in management in the @entity6498 requires further study.
