Implementing Automated Prone Ventilation for Acute Respiratory Distress Syndrome via Simulation-Based Training.

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  • Additional Information
    • Affiliation:
      an assistant professor in the Division of Pulmonary and Critical Care Medicine, Department of Medicine, NYC Health+Hospitals/Metropolitan, New York Medical College, New York, New York. is a professor and is an associate professor in the Division of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York. is senior director, Department of Nursing
    • Subject Terms:
    • Subject Terms:
    • Abstract:
      Background: Prone position ventilation (PPV) is recommended for patients with severe acute respiratory distress syndrome, but it remains underused. Interprofessional simulation-based training for PPV has not been described. Objectives: To evaluate the impact of a novel interprofessional simulation-based training program on providers' perception of and comfort with PPV and the program's ability to help identify unrecognized safety issues ("latent safety threats") before implementation. Methods: A prospective observational quality improvement study was done in the medical intensive care unit of an academic medical center. Registered nurses, physicians, and respiratory therapists were trained via a didactic session, simulations, and structured debriefings during which latent safety threats were identified. Participants completed anonymous surveys before and after training. Results: A total of 73 providers (37 nurses, 18 physicians, 18 respiratory therapists) underwent training and completed surveys. Before training, only 39% of nurses agreed that PPV would be beneficial to patients with severe acute respiratory distress syndrome, compared with 96% of physicians and 70% of respiratory therapists (P <.001). Less than half of both nurses and physicians felt comfortable taking care of prone patients. After training, perceived benefit increased among all providers. Comfort taking care of proned patients and managing cardiac arrest increased significantly among nurses and physicians. Twenty novel latent safety threats were identified. Conclusion: Interprofessional simulation-based training may improve providers' perception of and comfort with PPV and can help identify latent safety threats before implementation.
    • Journal Subset:
      Blind Peer Reviewed; Core Nursing; Expert Peer Reviewed; Nursing; Peer Reviewed; USA
    • ISSN:
      1062-3264
    • MEDLINE Info:
      NLM UID: 9211547
    • Notes:
      For CE go to www.ajcconline.org
    • Publication Date:
      20200504
    • Publication Date:
      20200519
    • DOI:
      http://dx.doi.org/10.4037/ajcc2020992
    • Accession Number:
      142974357
  • Citations
    • ABNT:
      POOR, A. D. et al. Implementing Automated Prone Ventilation for Acute Respiratory Distress Syndrome via Simulation-Based Training. American Journal of Critical Care, [s. l.], v. 29, n. 3, p. e52–e59, 2020. DOI 10.4037/ajcc2020992. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=142974357. Acesso em: 7 ago. 2020.
    • AMA:
      Poor AD, Acquah SO, Wells CM, et al. Implementing Automated Prone Ventilation for Acute Respiratory Distress Syndrome via Simulation-Based Training. American Journal of Critical Care. 2020;29(3):e52-e59. doi:10.4037/ajcc2020992
    • APA:
      Poor, A. D., Acquah, S. O., Wells, C. M., Sevillano, M. V., Strother, C. G., Oldenburg, G. G., & Hsieh, S. J. (2020). Implementing Automated Prone Ventilation for Acute Respiratory Distress Syndrome via Simulation-Based Training. American Journal of Critical Care, 29(3), e52–e59. https://doi.org/10.4037/ajcc2020992
    • Chicago/Turabian: Author-Date:
      Poor, Armeen D., Samuel O. Acquah, Celia M. Wells, Maria V. Sevillano, Christopher G. Strother, Gary G. Oldenburg, and S Jean Hsieh. 2020. “Implementing Automated Prone Ventilation for Acute Respiratory Distress Syndrome via Simulation-Based Training.” American Journal of Critical Care 29 (3): e52–59. doi:10.4037/ajcc2020992.
    • Harvard:
      Poor, A. D. et al. (2020) ‘Implementing Automated Prone Ventilation for Acute Respiratory Distress Syndrome via Simulation-Based Training’, American Journal of Critical Care, 29(3), pp. e52–e59. doi: 10.4037/ajcc2020992.
    • Harvard: Australian:
      Poor, AD, Acquah, SO, Wells, CM, Sevillano, MV, Strother, CG, Oldenburg, GG & Hsieh, SJ 2020, ‘Implementing Automated Prone Ventilation for Acute Respiratory Distress Syndrome via Simulation-Based Training’, American Journal of Critical Care, vol. 29, no. 3, pp. e52–e59, viewed 7 August 2020, .
    • MLA:
      Poor, Armeen D., et al. “Implementing Automated Prone Ventilation for Acute Respiratory Distress Syndrome via Simulation-Based Training.” American Journal of Critical Care, vol. 29, no. 3, May 2020, pp. e52–e59. EBSCOhost, doi:10.4037/ajcc2020992.
    • Chicago/Turabian: Humanities:
      Poor, Armeen D., Samuel O. Acquah, Celia M. Wells, Maria V. Sevillano, Christopher G. Strother, Gary G. Oldenburg, and S Jean Hsieh. “Implementing Automated Prone Ventilation for Acute Respiratory Distress Syndrome via Simulation-Based Training.” American Journal of Critical Care 29, no. 3 (May 2020): e52–59. doi:10.4037/ajcc2020992.
    • Vancouver/ICMJE:
      Poor AD, Acquah SO, Wells CM, Sevillano MV, Strother CG, Oldenburg GG, et al. Implementing Automated Prone Ventilation for Acute Respiratory Distress Syndrome via Simulation-Based Training. American Journal of Critical Care [Internet]. 2020 May [cited 2020 Aug 7];29(3):e52–9. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=142974357