Traditional Poster Round
Background: : Sepsis is the leading cause of death in hospitalized children, killing almost 5,000 children annually in the U.S. As many as 80,000 children are
hospitalized annually for sepsis and 65 percent of those children are treated in children’s hospitals. Sepsis is treatable, deaths are
preventable, and the high costs of advanced treatment are avoidable. Preventing escalation to severe sepsis is key to preventing associated
avoidable long-term health consequences, as well as reducing sepsis mortality. Recognizing early identification of pediatric sepsis is critical to
survival rates, we developed a “Pediatric Septic Shock In-Situ Simulation” to help educate providers on the recognition and treatment of
pediatric sepsis. This study sought to assess if the simulation increased providers confidence for managing pediatric sepsis.
Research Question: : Question: Will in-situ simulation increase provider confidence for responding to pediatric sepsis? We hypothesize that participating in the multidisciplinary in-situ sepsis simulation will increase provider confidence regarding tasks related to early management of sepsis compared to providers who did not participate in the simulation.
Methodology: : A pediatric intensivist and pediatric simulation nurse educator created and provided an in-situ simulation of pediatric septic shock on seven
units at Levine Children’s Hospital. Immediately post-simulation, participants completed a questionnaire measuring their knowledge and
confidence regarding sepsis recognition and management. In addition, six-months post-simulation, a link to an electronic survey measuring
knowledge and confidence for sepsis recognition and treatment will be distributed to all staff at Levine Children’s Hospital. Further, a human
factors specialist and communications specialist collected observational data of teamwork and communication during the simulation
Data from each survey set (post-simulation and six-month follow up) will be compared based on participant self-reports of whether he/she participated in the pediatric sepsis simulation. Data will be analyzed using IBM SPSS software. A 2 (training) x 2 (time) mixed factorial ANOVA will be used to analyze the data. A p-value of less than .05 will be considered statistically significant.
Results: : The six-month follow up survey will be disseminated by the end of November and upon completion of data collection analysis will commence.
Discussion/Conclusions: : We anticipate that the information gained from this study will inform the development and tailoring of future pediatric sepsis education
interventions and curricula. In addition to increasing education, we anticipate simulation will improve the care of septic children cared for at
Levine Children’s Hospital.