Journal article
Improving ATLS performance in simulated pediatric trauma resuscitation using a checklist
Annals of surgery, v 259(4), pp 807-813
Apr 2014
PMID: 24096751
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
To develop a checklist for use during pediatric trauma resuscitation and test its effectiveness during simulated resuscitations.
Checklists have been used to support a wide range of complex medical activities and have effectively reduced errors and improved outcomes in different medical settings. Checklists have not been evaluated in the domain of trauma resuscitation.
A focus group of trauma specialists was organized to develop a checklist for pediatric trauma resuscitation. This checklist was then tested in simulated trauma resuscitations to evaluate its impact on team performance. Resuscitations conducted with and without the checklist were compared using the Advanced Trauma Life Support (ATLS) performance score, designed to measure adherence to ATLS protocol, and surveys of team members' subjective workload.
The focus group generated a checklist with 56 items divided into 5 sections corresponding to different phases of trauma resuscitation. In simulation testing, the total ATLS performance score was 4.9 points higher with a checklist than without (P < 0.001), with most of this difference related to improvement in performance of the secondary survey (+3.3 points, P < 0.001). Overall, workload scores were not affected by the addition of the checklist.
Implementing a checklist during simulated pediatric trauma resuscitation improves adherence to the ATLS protocol without increasing the workload of trauma team members.
Metrics
Details
- Title
- Improving ATLS performance in simulated pediatric trauma resuscitation using a checklist
- Creators
- Samantha E Parsons - Divisions of Trauma and Burn Surgery and †Emergency Medicine, Children's National Medical Center, Washington, DC ‡College of Information Science and Technology, Drexel University, Philadelphia, PA §Human Factors and Applied Cognition, Department of Psychology, George Mason University, Fairfax, VAElizabeth A CarterLauren J WaterhouseJennifer FritzeenDeirdre C KelleherKaren J OʼconnellAleksandra SarcevicKelley M BakerErik NelsonNicole E WernerDeborah A Boehm-DavisRandall S Burd
- Publication Details
- Annals of surgery, v 259(4), pp 807-813
- Publisher
- Lippincott; United States
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Information Science
- Web of Science ID
- WOS:000336247400045
- Scopus ID
- 2-s2.0-84895928329
- Other Identifier
- 991014878248104721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Surgery