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Utilizing simulation technology for competency skills assessment and a comparison of traditional methods of training to simulation-based training. 2007

Raymond P Tuttle, and Mark H Cohen, and Albert J Augustine, and Dana F Novotny, and Edgar Delgado, and Thomas A Dongilli, and John W Lutz, and Michael A DeVita
Department of Respiratory Care, University of Pittsburgh, Pittsburgh, PA 15213, USA.

BACKGROUND 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. METHODS 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. RESULTS The mean scores were: phase one 73 +/- 10%, phase two 77 +/- 11%, phase three 95 +/- 5% (p < 0.01), phase four 92 +/- 8%. CONCLUSIONS Our results suggest that employing simulation technology within a comprehensive departmental program can enhance staff training.

UI MeSH Term Description Entries
D007318 Inservice Training On the job training programs for personnel carried out within an institution or agency. It includes orientation programs. Employee Orientation Programs,Orientation Programs, Employee,On-the-Job Training,Training, Inservice,Employee Orientation Program,On the Job Training,Orientation Program, Employee,Program, Employee Orientation,Programs, Employee Orientation,Training, On-the-Job
D010414 Pennsylvania State bounded on the north by New York and Lake Erie, on the east by Delaware and New Jersey, on the south by Delaware and Maryland, and on the west by Ohio and West Virginia.
D012124 Respiratory Care Units The hospital unit in which patients with respiratory conditions requiring special attention receive intensive medical care and surveillance. Care Unit, Respiratory,Care Units, Respiratory,Respiratory Care Unit,Unit, Respiratory Care,Units, Respiratory Care
D002983 Clinical Competence The capability to perform acceptably those duties directly related to patient care. Clinical Skills,Competence, Clinical,Clinical Competency,Clinical Skill,Competency, Clinical,Skill, Clinical,Skills, Clinical,Clinical Competencies,Competencies, Clinical
D006282 Health Personnel Men and women working in the provision of health services, whether as individual practitioners or employees of health institutions and programs, whether or not professionally trained, and whether or not subject to public regulation. (From A Discursive Dictionary of Health Care, 1976) Health Care Professionals,Health Care Providers,Healthcare Providers,Healthcare Workers,Health Care Professional,Health Care Provider,Healthcare Provider,Healthcare Worker,Personnel, Health,Professional, Health Care,Provider, Health Care,Provider, Healthcare
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D018893 Bronchoalveolar Lavage Washing out of the lungs with saline or mucolytic agents for diagnostic or therapeutic purposes. It is very useful in the diagnosis of diffuse pulmonary infiltrates in immunosuppressed patients. Bronchial Lavage,Lung Lavage,Bronchioalveolar Lavage,Bronchopulmonary Lavage,Lavage, Bronchopulmonary,Bronchial Lavages,Bronchioalveolar Lavages,Bronchoalveolar Lavages,Bronchopulmonary Lavages,Lavage, Bronchial,Lavage, Bronchioalveolar,Lavage, Bronchoalveolar,Lavage, Lung,Lavages, Bronchial,Lavages, Bronchioalveolar,Lavages, Bronchoalveolar,Lavages, Bronchopulmonary,Lavages, Lung,Lung Lavages

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