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Simulation for Neonatal Care

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Comprehensive Healthcare Simulation: Pediatrics

Abstract

Neonatal staff and trainees benefit from the cognitive, technical, and behavioral skills enhanced via simulation-based training. Simulation-based education can be used for initial training (e.g., nurse orientation, resident boot camp), maintenance of skills, course certification (e.g., neonatal resuscitation program course), development of clinical competence, and improvement of the neonatal workplace environment.

Structured programs with an integrated simulation component, such as the Neonatal Resuscitation Program and Helping Babies Breathe, have well-developed curricula and simulated scenarios and have been a major driving force for the improvement of neonatal outcomes internationally. Neonatal boot camps have allowed collaboration amongst programs and have encouraged the sharing of educational knowledge and resources. Interprofessional team performance can be improved through simulation training and are now routine amongst academic institutions. Neonatal simulations have also driven quality improvement and quality assurance projects to improve current neonatal intensive care unit (NICU) settings and to resolve potential problems prior to building new facilities.

Neonatal providers have been amongst the leaders in the development of simulation. Collaboration across levels of training, professions, and specialty areas (e.g., obstetrics) help break down historical silos. With new technologies, realistic moulage, and innovative ideas neonatology will continue to shape the field of simulation, just as simulation will continue to improve learning and patient outcomes in neonatology.

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References

  1. Halamek LP, Howard SK, Smith BE, Smith BC, Gaba DM. Development of a simulated delivery room for the study of human performance during neonatal resuscitation. Pediatrics. 1997;100:513–4.

    Google Scholar 

  2. Halamek LP, Kaegi DM, Gaba DM, Sowb YA, Smith BC, Smith BE, et al. Time for a new paradigm in pediatric medical education: teaching neonatal resuscitation in a simulated delivery room environment. Pediatrics. 2000;106:45–53.

    Article  Google Scholar 

  3. Kattwinkle J, editor. Textbook of neonatal resuscitation. 6th ed. Elk Grove Village: American Academy of Pediatrics and the American Heart Association; 2011.

    Google Scholar 

  4. The Joint Commission on Accrediation of Healthcare Organizations (JCAHO). Sentinel event alert. 2004. Issue 30. http:www.jcaho.org/about+us/news+letters/sentinel+event+alert/print/sea_30.htm.

  5. Lee HC, Rhee CJ, Sectish TC, Hintz SR. Changes in attendance at deliveries by pediatric residents 2000–2005. Am J Perinatol. 2009;26(2):129–34.

    Article  PubMed  Google Scholar 

  6. Nadel FM, Lavelle JM, Fein JA, Giardino AP, Decker JM, Durbin DR. Assessing pediatric senior resident’ training in resuscitation: fund of knowledge, technical skills and perception of confidence. Pediatr Emerg Care. 2000;16:73–6.

    Article  CAS  PubMed  Google Scholar 

  7. Leone TA, Rich W, Finer NN. Neonatal intubation: success of pediatric trainees. J Pediatr. 2005;146:638–41.

    Article  PubMed  Google Scholar 

  8. Bismilla Z, Finan E, McNamara PJ, LeBlanc V, Jefferies A, Whyte H. Failure of pediatric and neonatal trainees to meet Canadian neonatal resuscitation program standards for neonatal intubation. J Perinatol. 2010;30(3):182–7.

    Article  CAS  PubMed  Google Scholar 

  9. Issenberg SB, McGaghie WC, Petrusa ER, Lee Gordon D, Scalese RJ. Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review. Med Teach. 2005;27(1):10–28.

    Article  PubMed  Google Scholar 

  10. McGaghie WC, Issenberg SB. Simulations in assessment. In: Downing SM, Yudkowsky R, editors. Assessment in health professions education. New York: Routledge; 2009. pp. 245–68.

    Google Scholar 

  11. Wade DR, Leone T, Finer NN. Delivery room interventions. Clin Perinatol. 2010;3791:189–202.

    Google Scholar 

  12. Bender GJ. In situ simulation for systems testing in newly constructed perinatal facilities. Semin Perinatol. 2011;35(2):45–96.

    Article  Google Scholar 

  13. Sawyer T, Sierocka-Castaneda A, Chan D, Berg B, Lustik M, Thompson M. Deliberate practice using simulation improves neonatal resuscitation performance. Simul Healthc. 2011;6(6):327–36.

    Article  PubMed  Google Scholar 

  14. Sawyer T, Laubach VA, Hudak J, Yamamura K, Pocrnich A. Improvements in teamwork during neonatal resuscitation after interprofessional Team STEPPS training. Neonatal Netw. 2013;32(1):26–33.

    Article  PubMed  Google Scholar 

  15. Sawyer T, French H, Soghier, Barry J, Johnston L, Anderson J, Ades A. Educational perspectives: boot camps for neonatal-perinatal medicine fellows. NeoReviews. 2014;15:e46–56.

    Article  Google Scholar 

  16. Bradley P. The history of simulation in medical education and possible future directions. Med Educ. 2006;40(3):254–62.

    Article  PubMed  Google Scholar 

  17. Campbell DM, Barozzino T, Farrugia M, Sgro M. High-fidelity simulation in neonatal resuscitation. Paediatr Child Health. 2009;14(1):19–23.

    PubMed  PubMed Central  Google Scholar 

  18. Finan E, Bismilla Z, Whyte HE, Leblanc V, McNamara PJ. High-fidelity simulator technology may not be superior to traditional low-fidelity equipment for neonatal resuscitation training. J Perinatol. 2012;32(4):287–92.

    Article  CAS  PubMed  Google Scholar 

  19. Patterson MD, Blike GT, Nadkarni VM. In Situ Simulation: challenges and results. In: Henriksen K, Battles JB, Keyes MA, Grady ML, editors. Advances in patient safety: new directions and alternative approaches (Vol 3 Performance and Tools). Rockville: Agency for Healthcare Research and Quality; 2008. pp 1–18.

    Google Scholar 

  20. Rubio-Gurung S, Putet G, Touzet S, Gauthier-Moulinier H, Jordan I, Beissel A, et al. Simulation training for neonatal resuscitation: an RCT. Pediatrics. 2014;134(3):e790–7.

    Article  PubMed  Google Scholar 

  21. Haubner L, Johnston L, Barry J, Soghier L, Tatum P, Kessler D, et al. Neonatal intubation performance: room for improvement in tertiary neonatal intensive care units. Resuscitation. 2013;84(10):1359–64.

    Article  PubMed  Google Scholar 

  22. Falck AJ, Escobedo MB, Baillargeon JG, Villard LG, Gunkel JH. Proficiency of pediatric residents in performing neonatal endotracheal intubation. Pediatrics. 2003;112:1242–7.

    Article  PubMed  Google Scholar 

  23. O’Donnell CP, Kamlin CO, Davis PG, Morley CJ. Endotracheal intubation attempts during neonatal resuscitation: success rates, duration and adverse effects. Pediatrics. 2006;117:e16–21.

    Article  PubMed  Google Scholar 

  24. Mercurio MR. Teaching intubation with cadavers: generosity at a time of loss. Hastings Cent Rep. 2009;39(4):7–8.

    Article  PubMed  Google Scholar 

  25. Schmutz J, Eppich W, Hoffmann F, Heimberg E, Manser T. Five steps to develop checklists for evaluating clinical performance: an integrative approach. Acad Med. 2014;89(7):1–10.

    Article  Google Scholar 

  26. Berg D, Berg K, Riesenberg LA, Weber D, King D, Mealey K, Justice EM, Geffe K, Tinkoff G. The development of a validated checklist for thoracentesis: preliminary results. Am J Med Qual. 2013;28(3):220–6.

    Article  PubMed  Google Scholar 

  27. Berg K, Riesenberg LA, Berg D, Schaeffer A, Davis J, Justice EM, Tinkoff G, Jasper E. The development of a validated checklist for radial arterial line placement: preliminary results. Am J Med Qual. 2013;29(3):242–6.

    Article  PubMed  Google Scholar 

  28. Finan E, Bismilla Z, Campbell C, Leblanc V, Jefferies A, Whyte HE. Improved procedural performance following a simulation training session may not be transferable to the clinical environment. J Perinatol. 2012;32(7):539–44.

    Article  CAS  PubMed  Google Scholar 

  29. Shefrin AE, Khazei A, Hung GR, Odendal LT, Cheng A. The TACTIC: development and validation of the tool for assessing chest tube insertion competency. CJEM. 2014: 1–8.

    Google Scholar 

  30. Ericsson KA. Deliberate practice and the acquisition and maintenance of expert performance in medicine and related domains. Acad Med. 2004;79(10):70–81.

    Article  Google Scholar 

  31. Sawyer T, White M, Zaveri P, Chang T, Ades A, French H, et al. “Learn, See, Practice, Prove, Do Maintain”: An evidence-based pedagogical framework for procedural skill training in medicine. Academic Medicine, accepted for publication pending revisions.

    Google Scholar 

  32. Thomas EJ, Sexton JB, Lasky RE, Helmreich RL, Crandell S, Tyson J. Teamwork and quality during neonatal care in the delivery room. J Perinatol. 2006;26:163–9.

    Article  CAS  PubMed  Google Scholar 

  33. The Joint Commission. Sentinel event alert. Issue 44, January 26 2010. http://www.jointcommission.org/SentinelEvents/SentinelEventAlert/sea_44.htm. Accessed 30 Aug 2014.

  34. Kohn LT, Corrigan JM, Donaldson MS. To err is human: building a safer health care system. Washington, DC: National Academies Press; 2000.

    Google Scholar 

  35. Morey JC, Simon RJ, Jay GD, Wears RL, Salisbury M, Dukes KA, et al. Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams Project. Health Serv Res. 2002;37(6):1553–81.

    Article  PubMed  PubMed Central  Google Scholar 

  36. Morey JC, Simon R, Jay GD, Rice MAA. Transition from aviation crew resource management to hospital emergency departments: the MedTeams story. Proceedings of the 12th International Symposium on Aviation Psychology; 2003 Apr 14; Dayton, OH. Wright State University Press; 2003.

    Google Scholar 

  37. Baker DP, Gustafson S, Beaubien JM, Salas E, Barach P. Medical team training programs in health care. 2005 Feb. AHRQ Publication No. 05-0021-4.

    Google Scholar 

  38. Baker DP, Gustafson S, Beaubien JM, Salas E. Medical teamwork and patient safety: the evidence-based relation. 2005 Apr. AHRQ Publication No. 05-0053.

    Google Scholar 

  39. Baker DB, Beaubien JM, Holtzman AK. DoD medical team training programs: an independent case study analysis. Rockville: Agency for Healthcare Research and Quality; 2006. (Contract No. 282-98-0029).

    Google Scholar 

  40. Pettker CM, Thung SF, Norwitz ER, Norwitz ER, Buhimschi CS, Raab CA, et al. Impact of a comprehensive patient safety strategy on obstetric adverse events. Am J Obstet Gynecol. 2009;200:e1492.e8.

    Article  Google Scholar 

  41. Siassakos D, Hasafa Z, Sibanda T, Fox R, Donald F, Winter C, et al. Retrospective cohort study of diagnosis-delivery interval with umbilical cord prolapse: the effect of team training. Br J Obstet Gynaecol. 2009;116(8):1089–96.

    Article  CAS  Google Scholar 

  42. Merien AE, van de Ven J, Mol BW, Houterman S, Oei SG. Multidisciplinary team training in a simulation setting for acute obstetrical emergencies: a systematic review. Obstet Gynecol. 2010;115(5):1021–31.

    Article  CAS  PubMed  Google Scholar 

  43. Leape LL, Berwick DM. Five years after to err is human: what have we learned? JAMA. 2005;293:2384–90.

    Article  CAS  PubMed  Google Scholar 

  44. Grogan EL, Stiles RA, France DJ, Speroff T, Morris JA Jr, Nixon B, et al. The impact of aviation-based teamwork training on the attitudes of healthcare professionals. J Am Coll Surg. 2004;199(6):843–8.

    Article  PubMed  Google Scholar 

  45. Thomas EJ, Taggart B, Crandell S, Lasky RE, Williams AL, Love LJ, et al. Teaching teamwork during the neonatal resuscitation program: a randomized trial. J Perinatol. 2007;27:409–14.

    Article  CAS  PubMed  Google Scholar 

  46. Thomas EJ, Williams AL, Reichman EF, Lasky RE, Crandell S, Taggart WR. Team training in the neonatal resuscitation program for interns: teamwork and quality of resuscitation. Pediatrics. 2010;125:539–46.

    Article  PubMed  Google Scholar 

  47. Deering S, Johnston LC, Colacchio K. Multidisciplinary teamwork and communication training. Semin Perinatol. 2011;35(2):89–96.

    Article  PubMed  Google Scholar 

  48. Colacchio K, Johnston LC, Zigmont J, Kappus L, Sudikoff SN. An approach to unit-based team training with simulation in a neonatal intensive care unit. JNPM. 2012;5(3):213–9.

    Google Scholar 

  49. Cook DA, Hatala R, Brydges R, Zendejas B, Szostek JH, Wang AT, et al. Technology-enhanced simulation for health professions education: a systematic review and meta-analysis. JAMA. 2011;306:978–88.

    CAS  PubMed  Google Scholar 

  50. Draycott TJ, Crofts JF, Ash JP, Wilson LV, Yard E, Sibanda T, et al. Improving neonatal outcome through practical shoulder dystocia training. Obstet Gynecol. 2008;112(1):14–20.

    Article  PubMed  Google Scholar 

  51. Anderson JM, Murphy AA, Boyle KB, Yaeger KA, LeFlore JL, Halamek LP. Simulating extracorporeal membrane oxygenation (ECMO) emergencies to improve human performance, Part I: methodologic and technologic innovations. Simul Healthc. 2006;1:4.

    Article  Google Scholar 

  52. Anderson JM, Murphy AA, Boyle KB, Yaeger KA, Halamek LP. Simulating extracorporeal membrane oxygenation (ECMO) emergencies to improve human performance, Part II: assessment of technical and behavioral skills. Simul Healthc. 2006;1:4.

    Article  Google Scholar 

  53. Johnston LC, Sudikoff SN. Development of an ECMO, simulation program: experience at Yale New Haven Hospital, Part I: logistics. MEdSim. 2012;1(3):12–5.

    Google Scholar 

  54. Johnston LC, Sudikoff SN. Development of an ECMO, simulation program: experience at Yale New Haven Hospital, Part II: curriculum of initial and ongoing ECMO education. MEdSim. 2012;1:4.

    Google Scholar 

  55. Allan CK, Pigula F, Bacha EA, Emani S, Fynn-Thompson F, Thiagarajan RR, et al. An extracorporeal membrane oxygenation cannulation curriculum featuring a novel integrated skills trainer leads to improved performance among pediatric cardiac surgery trainees. Simul Healthc. 2013;8(4):221–8.

    Article  PubMed  Google Scholar 

  56. Murphy AA, Halamek LP. Simulation-based training in neonatal resuscitation. NeoReviews. 2005;6:e489–e92.

    Article  Google Scholar 

  57. Kaczorowski J, Levitt C, Hammond M, Outerbridge E, Grad R, Rothman A, et al. Retention of neonatal resuscitation skills and knowledge: a randomized controlled trial. Fam Med. 1998;30:705–11.

    CAS  PubMed  Google Scholar 

  58. Kattwinkel J, Perlman JM, Aziz K, Colby, Fairchild K, Gallagher J, et al. Part 15: neonatal resuscitation: 2010 American Heart association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2010;122:S09–19.

    Article  Google Scholar 

  59. Bhanji F, Mancini ME, Sinz E, Rodgers DL, McNeil MA, Hoadley TA, et al. Part 16: education, implementation, and teams: 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2010;122(3):920–33.

    Article  Google Scholar 

  60. Amin H, Aziz K, Halamek LP, Beran TN. Simulation-based learning combined with debriefing: trainers satisfaction with a new approach to training the trainers to teach neonatal resuscitation. BMC Res Notes. 2013;6:251–3.

    Article  PubMed  PubMed Central  Google Scholar 

  61. Karlson K. The S.T.A.B.L.E. Program: post-resuscition/pre-transport stabilization care of sick infants. 6th ed. Salt Lake City: S.T.A.B.L.E., Inc; 2013.

    Google Scholar 

  62. Veronica RM, Gallo LL, Medina DR, Gutiettez MT, Mancilla JLS, Amezcua MM, et al. Safe neonatal transport in the state of Jalisco: impact of the S.T.A.B.L.E. program on morbidity and mortality. Bol Med Hosp Infant Mex. 2011;68(1):31–5.

    Google Scholar 

  63. Solimano A, Littleford J, Ling E, O’Flaherty D. ACoRN: acute care of at-risk newborns. 1st ed. Vancouver: ACoRN Neonatal Society; 2012.

    Google Scholar 

  64. Singhal N, Lockyer J, Fidler H, Aziz K, McMillan D, Qiu X. et at. Acute care of at-risk newborns (ACoRN): quantitative and qualitative educational evaluation of the program in a region of China. BMC Med Educ. 2012;12(1):44–52.

    Article  PubMed  PubMed Central  Google Scholar 

  65. Lawn JE, Lee AC, Kinney M, Sibley L, Carlo W, Paul VK, et al. Two million intrapartum-related stillbirths and neonatal deaths: where, why and what can be done? Int J Gynaecol Obsete. 2009;107(1):5–19.

    Article  Google Scholar 

  66. Lawn JE, Cousens S, Zupan J. 4 million neonatal deaths: when? Where? Why? Lancet. 2005;365(9462):891–900.

    Article  PubMed  Google Scholar 

  67. Msema G, Massawe A, Mmbando D, Rusibamayila N, Manji K, Kidanto HL. et al. Newborn mortality and fresh stillbirth rates in Tanzania after helping babies breathe training. Pediatrics. 2013;131:353–60.

    Article  Google Scholar 

  68. Goudar SS, Somannavar MS, Clark R, Lockyer JM, Revankar AP, Fidler HM, et al. Stillbirth and newborn mortality in India after helping babies breathe training. Pediatrics. 2013;131:344–52.

    Article  Google Scholar 

  69. National Patient Safety Agency—NPSA. Patient safety and simulation: Using learning from national re- view of serious incidents (January 2010). 2012. http://www.nrls.npsa.nhs.uk/resources/type/guidance/?ent ryid45=74297.

  70. Raju TNK, Suresh G, Higgins RD. Patient safety in the context of neonatal intensive care: research and educational opportunities. Pediatr Res. 2011;70(1):109–15.

    Article  PubMed  PubMed Central  Google Scholar 

  71. Zabari M, Suresh G, Tomlinson M, Lavin JP, Larison K, Halamek L, Schriefer JA. Implementation and case-study results of potentially better practices for collaboration between obstetrics and neonatology to achieve improved perinatal outcomes. Pediatrics. 2006;118(Suppl 2):S153–8.

    Article  PubMed  Google Scholar 

  72. Carbine DN, Finer NN, Knodel E, Rich W. Video recording as a means of evaluating neonatal resuscitation perfomance. Pediatrics. 2000;106(4):654–8.

    Article  CAS  PubMed  Google Scholar 

  73. van der Heide PA, van Toledo-Eppinga L, van der Heide M, van der Lee JH. Assessment of neonatal resuscitation skills: a reliable and valid scoring system. Resuscitation. 2006;71(2):212–21.

    Article  PubMed  Google Scholar 

  74. Layouni I, Danan C, Durrmeyer X, Dassieu G, Azcona B, Decobert F. Video recording of newborn resuscitation in the delivery room: technique and advantages. Arch Pediatr. 2011;18(2):72–8.

    Article  Google Scholar 

  75. Gelbart B, Hiscock R, Barfield C. Assessment of neonatal resuscitation performance using video recording in a perinatal centre. J Paediatr Child Health. 2010;46(7–8):378–83.

    Article  PubMed  Google Scholar 

  76. Bender J, Shields R, Kennally K. Transportable enhanced simulation technologies for pre-implementation limited operations testing: neonatal intensive care unit. Simul Healthc. 2011;6(4):204–12.

    Article  PubMed  Google Scholar 

  77. Bould MD, Hayter MA, Campbell DM, Chandra DB, Joo HS, Naik VNA. Cognitive aid for neonatal resuscitation: a prospective single-blinded randomized controlled trial. Br J Anesth. 2009;103(4):570–5.

    Article  CAS  Google Scholar 

  78. Gruden N. The Pittsburg way to efficient healthcare: improving patient care using Toyota based methods. New York: Productivity Press; 2008.

    Google Scholar 

  79. Tsasis P, Bruce-Bennet C. Organizational change through lean thinking. Health Serv Manage Res. 2008 Aug;21(3):192–8.

    Article  PubMed  Google Scholar 

  80. Larsen CR, Soerensen JL, Grantcharov TP. Effect of virtual reality training on laporoscopic surgery: a randomized controlled trial. BMJ. 2009;338:b1802.

    Article  PubMed  PubMed Central  Google Scholar 

  81. Campbell D, Johnston LC. Personal communications/experiences with MySmartSimulation.

    Google Scholar 

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Johnston, L., Campbell, D., Manhas, D. (2016). Simulation for Neonatal Care. In: Grant, V., Cheng, A. (eds) Comprehensive Healthcare Simulation: Pediatrics. Comprehensive Healthcare Simulation. Springer, Cham. https://doi.org/10.1007/978-3-319-24187-6_18

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