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Table 3 Publications from ImPACTS studies and synopsis of data

From: Community-based in situ simulation: bringing simulation to the masses

AuthorYearTopicResults
Auerbach et al. [13]2018Adherence to Pediatric cardiac arrest guidelinesA total of 101 teams from a spectrum of 50 EDs participated. This study demonstrated variable adherence to pediatric cardiac arrest guidelines across a spectrum of EDs. Overall adherence was not associated with ED pediatric volume. Current approaches optimizing the care of children in cardiac arrest in the ED setting are insufficient.
Gangadharan et al. [54]2018Inter-personal provider’s perceptions on caring for critically ill infants and children188 simulation debriefings were recorded in 24 departments, with 15 teams participating from 8 PEDs and 32 teams from 16 GEDs. 24 of the debriefings were transcribed and coded by a multidisciplinary team. Saturation was reached and 4 themes emerged: (1) GED provider comfort with algorithm-based pediatric care and overall comfort with pediatric care in PED, (2) GED provider reliance on cognitive aids versus experience-based recall by PED providers, (3) GED provider discomfort with locating and determining size or dose of pediatric-specific equipment and medications, and (4) PED provider reliance on larger team size and challenges with multitasking during resuscitation. Emerging themes assist in the understanding of provider perceptions.
Walsh et al. [52]2017Safety threats during pediatric hypoglycemic seizures58 teams from 30 hospitals (22 GEDs, 8 PEDs) were enrolled. Pharmacologic based errors occurred more often in GEDs compared to PEDs (p = 0.043). Non-pharmacologic errors were uncommon in both groups. Errors with incorrect dextrose concentration occurred more frequent in GEDs (60% vs. 88%; p = 0.025), incorrect dose (20% vs. 56%; p = 0.033), and failure to start maintenance dextrose (33% vs. 65%; p = 0.040). Overall, PEDs were more likely to select the appropriate concentration and administer the correct dose of glucose.
Auerbach et al. [51]2016Differences in pediatric resuscitative care across EDs58 teams from 30 hospitals participated (22 GEDs, 8 PEDs). This study noted significant differences in the quality of simulated pediatric resuscitative care across a spectrum of EDs. The composite quality score of overall care was higher in PEDs compared with GEDs. The greatest differences in care between GEDs and PEDs were noted for the sepsisand cardiac arrest cases and the teamwork scores.
Kessler et al. [53]2015Disparities in adherence to pediatric sepsis guidelines47 inter-professional teams from 24 EDs. Overall, 21 of the 47 teams adhered to all studied six sepsis metrics (45%). Using standardized in situ scenarios, there was high variability in adherence to the pediatric sepsis guideline across a spectrum of EDs. PEDs demonstrated greater adherence to the guideline than GEDs; however, only composite team experience level of the providers was associated with improved guideline adherence.