Oral Themed Presentation
TITLE: Improving Transitions of Care in Pediatric Emergencies: An Interprofessional Simulation Curriculum
DISCUSSANT: Ingrid Anderson MD* FAAP, Jerri Rose MD FAAP, Peggy Seidman MD FAAP
BACKGROUND: New understanding of the risk of errors innate in patient care hand offs has made it a topic of interest for educators. Within medical communities there are natural teams whose function requires hand off of care. We believe that Pediatric Trauma demands high level teamwork to optimize patient outcomes. We propose to develop specific system-based training utilizing pediatric fellowship learners who will be involved in pediatric trauma care for a year or more.
EDUCATIONAL GOAL: To develop an interdisciplinary curriculum focused on communication, teamwork, and hand off of pediatric trauma patients.
OBJECTIVE: By the end of the simulation training curriculum, participants will:
(1) Successfully complete a series of resuscitations that highlight the challenges of communication and patient hand off
(2) Practice with a hand off tool to improve patient safety as they transition care between ED to OR and PICU
(3) Address self-care and techniques to avoid burn out while caring for traumatized (and potentially traumatizing) patients
PROPOSED APPROACH TO ADDRESSING THE GOAL:
Develop a simulation curriculum for interdisciplinary training of pediatric fellows in emergency medicine, anesthesia and critical care. Integrating these trainees allows for effective use of limited educational resources as well as supplements real life teams at work in hospital setting.
(1) medical management of emergency complex, high acuity patients
(2) communication in patient hand off
(3) demonstrate and support self-care
Initial Case: Traumatic inflicted brain injury in infant
• In ED: focus on acute stabilization in trauma bay
• In OR: focus on anesthesia and medical management of patient with increased ICP (when to normalize CO2, how to assess readiness to put skull back on after craniectomy)
• In PICU: focus on fluid management, post op optimizing ventilation, sedation for intubated child with increased ICP
• Use this case to unpack self – care and burnout avoidance.
QUESTIONS FOR DISCUSSION:
(1) We are looking to develop total of 4 cases – what other thoughts or suggestions do people have on how to further develop this curriculum?
(2) Would you debrief at each phase, at the end or both?
(3) Suggestions on how to assess whether we are effective teaching our goals and objectives?
(4) How do we make this better?
Thank you for your help with our curriculum!