Haslam, Miranda

Lipner, Rachel, Do

Mastoris, Katie, DO

Miles, Matthew, DO

Park, Sarah, DO

Rogers, Ryan, DO

Smith, Stacey, MD, FACP

English

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health NetworkLVHN Scholarly WorksDepartment of MedicineRetained Medical Knowledge in CardiopulmonaryResuscitation Affected By Simulated Mock CodeBlue SessionRachel Lipner DoLehigh Valley Health Network, Rachel.Lipner@lvhn.orgKatie Mastoris DOLehigh Valley Health Network, Katie.Mastoris@lvhn.orgMatthew Miles DOLehigh Valley Health Network, Matthew.Miles@lvhn.orgSarah Park DOLehigh Valley Health Network, Sarah.Park@lvhn.orgRyan Rogers DOLehigh Valley Health Network, Ryan.Rogers@lvhn.orgSee next page for additional authorsFollow this and additional works at: https://scholarlyworks.lvhn.org/medicinePart of the Medical Sciences CommonsThis Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by anauthorized administrator. For more information, please contact LibraryServices@lvhn.org.Published In/Presented AtLipner, R., Mastoris, K., Miles, M., Park, S., Rogers, R., Smith, S., Haslam, M. (2015, October 24). Retained Medical Knowledge inCardiopulmonary Resuscitation Affected By Simulated Mock Code Blue Session. Poster presented at: ACP regional meeting, Hershey, PA.AuthorsRachel Lipner Do; Katie Mastoris DO; Matthew Miles DO; Sarah Park DO; Ryan Rogers DO; Stacey SmithMD, FACP; and Miranda HaslamThis poster is available at LVHN Scholarly Works: https://scholarlyworks.lvhn.org/medicine/768Lehigh Valley Health Network, Allentown, PennsylvaniaRachel Lipner, DO; Katie Mastoris, DO; Matthew Miles, DO; Sarah Park, DO; Ryan Rogers, DO; Stacey Smith, MD; Miranda HaslamIntroductionRetained Medical Knowledge in Cardiopulmonary Resuscitation Affected By Simulated Mock Code Blue SessionResultsPrior to simulation, residents answered 72.8% of the ACLS knowledge survey questions correctly. After simulation, residents answered 76.0% of the ACLS knowledge survey questions correctly. The percent of correct responses received increased after simulation for all questions regarding medication selection and dosing, from 67.1% to 87.1%. Additionally, after simulation 100% of residents correctly answered all questions regarding Basic Life Support (BLS) protocol and reading rhythm strips.  © 2015 Lehigh Valley Health NetworkReferences:1.  Hayes, C. W., Rhee, A., Detsky, M. E., Leblanc, V. R., & Wax, R. S. (2007). Residents Feel Unprepared and Unsupervised as Leaders of Cardiac Arrest Teams in Teaching Hospitals: A Survey of Internal Medicine Residents. Critical Care Medicine, 35(7), 1668-1672. 2.  Mickelsen, S., Mcneil, R., Parikh, P., & Persoff, J. (2011). Reduced Resident “Code Blue” Experience in the Era of Quality Improvement: New Challenges in Physician Training. Academic Medicine, 86(6), 726-730.3.  Schaik, S., Kohorn, I., & O’Sullivan, P. (2008). Pediatric Resident Confidence in Resuscitation Skills Relates to Mock Code Experience. Clinical Pediatrics, 47(8), 777-783.4.  Yang, J., & Howell, M. (2011). Commentary: Is the Glass Half Empty? Code Blue Training in the Modern Era. Academic Medicine, 86(6), 680-683.MethodsThis observational quality improvement study utilized a pre-test/post-test design, executed over a one-year duration. Prior to beginning the academic year, 43 internal medicine residents at the LVHN Cedar Crest Campus completed a 20-question survey based on ACLS guidelines that was designed to evaluate clinical knowledge. 14 residents participated in a mock code blue session during their rotation in the Medical ICU. Following the scheduled session, they completed the same clinical knowledge survey. The mean and mode responses to the pre- and post- simulation surveys were analyzed to determine how simulation impacted residents’ clinical knowledge. Conclusion•  Internal medicine residents’ clinical knowledge of ACLS guidelines improved after simulation, indicating that simulation training can be utilized to improve overall adherence to ACLS protocols and ultimately improve patient outcomes during in-hospital cardiopulmonary arrests.•  While scheduling is a common problem with simulation based medical education, as the pressures of clinical duties can often take precedence over simulation sessions (McGaghie et al.), future studies would be strengthened by a greater number of post-simulation survey responses.•  Additionally, the survey administered as part of this study was similar to but shorter than the ACLS certification test taken every three years by physicians, and future studies may benefit from utilizing a longer knowledge survey. •  A key objective of internal medicine residency training is to provide residents with the confidence, exposure, and knowledge to lead a cardiopulmonary resuscitation event (code blue). •  Recent studies have highlighted potential deficiencies in code blue response training, as internal medicine residents have less experience handling cardiopulmonary resuscitation events due to a decreased overall number of in-hospital code blue events (Mickelsol et al.).•  One strategy proposed to combat insufficient experience is simulation training, which has been previously shown effective at yielding improvement in resident code blue responses (Wayne et al.). •  The purpose of this study was to evaluate the impact of mock cardiopulmonary arrest simulation on residents’ knowledge of Advanced Cardiovascular Life Support (ACLS) guidelines for in-hospital cardiopulmonary arrest responses. Figure: Knowledge Survey Results. Descriptive statistics calculated based on participant responses to ACLS clinical knowledge survey questions show an increase in average survey score following simulation. Knowledge Survey Before Simulation After SimulationAverage Score 72.8% 76.0%0102030405060708090100PercentofQuestionsCorrectB efore S im u la tion A fter S im u la tionKnowledge Survey

Retained Medical Knowledge in Cardiopulmonary Resuscitation Affected By Simulated Mock Code Blue Session

https://scholarlyworks.lvhn.org/cgi/viewcontent.cgi?article=1790&context=medicine

Retained Medical Knowledge in Cardiopulmonary Resuscitation Affected By Simulated Mock Code Blue Session

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