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American journal of obstetrics and gynecology v.217 no.6, 2017년, pp.699.e1 - 699.e13   SCI SCIE
본 등재정보는 저널의 등재정보를 참고하여 보여주는 베타서비스로 정확한 논문의 등재여부는 등재기관에 확인하시기 바랍니다.

Emergency in the clinic: a simulation curriculum to improve outpatient safety

Espey, Eve (Department of Obstetrics and Gynecology, University of New Mexico, Albuquerque, NM ) ; Baty, Gillian (Department of Emergency Medicine, University of New Mexico, Albuquerque, NM ) ; Rask, John (Department of Anesthesia, University of New Mexico, Albuquerque, NM ) ; Chungtuyco, Michelle (Department of Family and Community Medicine, University of New Mexico, Albuquerque, NM ) ; Pereda, Brenda (Department of Obstetrics and Gynecology, University of New Mexico, Albuquerque, NM ) ; Leeman, Lawrence (Department of Family and Community Medicine, University of New Mexico, Albuquerque, NM ) ;
  • 초록  

    Background Emergency response skills are essential when events such as seizure, anaphylaxis, or hemorrhage occur in the outpatient setting. As services and procedures increasingly move outside the hospital, training to manage complications may improve outcomes. Objective The objective of this study was to evaluate a simulation-based curriculum in outpatient emergency management skills with the outcome measures of graded objective performance and learner self-efficacy. Study Design This pre- and postcurriculum study enrolled residents and fellows in Obstetrics and Gynecology and Family Medicine in a simulation-based, outpatient emergency management curriculum. Learners completed self-efficacy questionnaires and were videotaped managing 3 medical emergency scenarios (seizure, over-sedation/cardiopulmonary arrest, and hemorrhage) in the simulation laboratory both before and after completion of the curriculum. Evaluators who were blinded to training level scored the simulation performance videotapes using a graded rubric with critical action checklists. Scenario scores were assigned in 5 domains and globally. Paired t -tests were used to determine differences pre- and postcurriculum. Results Thirty residents completed the curriculum and pre- and postcurriculum testing. Subjects’ objective performance scores improved in all 5 domains ( P P = .001) and ability to communicate well in emergency situations ( P Conclusion A simulation-based curriculum improved both self-efficacy and objectively rated performance scores in management of outpatient medical emergencies. Simulation-based curricula should be incorporated into residency education.


  • 주제어

    emergency scenario .   outpatient .   patient safety .   simulation-based training .   women's health.  

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