Simulation-based team training improves door-to-needle time for
intravenous thrombolysis

J 2023

Simulation-based team training improves door-to-needle time for intravenous thrombolysis

SVOBODOVA, Veronika, Hana MARSALKOVA, Ekaterina VOLEVACH a Robert MIKULÍK

Základní údaje

Originální název

Simulation-based team training improves door-to-needle time for intravenous thrombolysis

Autoři

SVOBODOVA, Veronika (203 Česká republika), Hana MARSALKOVA (203 Česká republika), Ekaterina VOLEVACH (203 Česká republika) a Robert MIKULÍK (203 Česká republika, garant, domácí)

Vydání

BMJ Open Quality, LONDON, BMJ Publishing Group, 2023, 2399-6641

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30210 Clinical neurology

Stát vydavatele

Velká Británie a Severní Irsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 1.400 v roce 2022

Kód RIV

RIV/00216224:14110/23:00130662

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.1136/bmjoq-2022-002107

UT WoS

000937928100001

Klíčová slova anglicky

Simulation; Team training; Healthcare quality improvement

Štítky

14110127, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 12. 1. 2024 12:27, Mgr. Tereza Miškechová

Anotace

V originále

PurposeThere is a clinical need for shortened door-to-needle time (DNT) for intravenous thrombolysis, but effective training methods are missing. Simulation training improves teamwork and logistics in numerous fields. Still, it is not clear if simulation improves logistics in stroke.MethodsTo evaluate the efficiency of a simulation training programme, the DNT of participating centres was compared with the rest of stroke centres in the Czech Republic. Patients' data were prospectively collected from the nationally used Safe Implementation of Treatments in Stroke Registry. The outcome was an improvement in DNT in 2018 as compared with 2015 (after and before the simulation training). Scenarios were based on real clinical cases, and simulation courses were conducted in a standardly equipped simulation centre.FindingsBetween 2016 and 2017, 10 courses were conducted for stroke teams from 9 of all 45 stroke centres. DNT data were available both in 2015 and 2018 from 41 (91%) stroke centres. The simulation training improved the DNT in 2018 as compared with 2015 by 30 min (95% CI 25.7 to 34.7) and as compared with 20 min (95% CI 15.8 to 24.3) in stroke centres without the simulation training (p=0.01). Any parenchymal haemorrhage occurred in 5.4% and 3.5% of patients treated in centres without and with simulation training (p=0.054), respectively.ConclusionsDNT was considerably shortened nationally. It was feasible to implement simulation as a nationwide training programme. The simulation was associated with improved DNT; however, other studies should confirm that such an association is causal.

Návaznosti

90249, velká výzkumná infrastruktura

Název: CZECRIN IV

Citovat

SVOBODOVA, Veronika, Hana MARSALKOVA, Ekaterina VOLEVACH a Robert MIKULÍK. Simulation-based team training improves door-to-needle time for intravenous thrombolysis. BMJ Open Quality. LONDON: BMJ Publishing Group, 2023, roč. 12, č. 1, s. 1-7. ISSN 2399-6641. Dostupné z: https://dx.doi.org/10.1136/bmjoq-2022-002107.

@article{2278217,
   author = {Svobodova, Veronika and Marsalkova, Hana and Volevach, Ekaterina and Mikulík, Robert},
   article_location = {LONDON},
   article_number = {1},
   doi = {http://dx.doi.org/10.1136/bmjoq-2022-002107},
   keywords = {Simulation; Team training; Healthcare quality improvement},
   language = {eng},
   issn = {2399-6641},
   journal = {BMJ Open Quality},
   title = {Simulation-based team training improves door-to-needle time for intravenous thrombolysis},
   url = {https://bmjopenquality.bmj.com/content/12/1/e002107},
   volume = {12},
   year = {2023}
}

TY  - JOUR
ID  - 2278217
AU  - Svobodova, Veronika - Marsalkova, Hana - Volevach, Ekaterina - Mikulík, Robert
PY  - 2023
TI  - Simulation-based team training improves door-to-needle time for intravenous thrombolysis
JF  - BMJ Open Quality
VL  - 12
IS  - 1
SP  - 1-7
EP  - 1-7
PB  - BMJ Publishing Group
SN  - 23996641
KW  - Simulation
KW  - Team training
KW  - Healthcare quality improvement
UR  - https://bmjopenquality.bmj.com/content/12/1/e002107
N2  - PurposeThere is a clinical need for shortened door-to-needle time (DNT) for intravenous thrombolysis, but effective training methods are missing. Simulation training improves teamwork and logistics in numerous fields. Still, it is not clear if simulation improves logistics in stroke.MethodsTo evaluate the efficiency of a simulation training programme, the DNT of participating centres was compared with the rest of stroke centres in the Czech Republic. Patients' data were prospectively collected from the nationally used Safe Implementation of Treatments in Stroke Registry. The outcome was an improvement in DNT in 2018 as compared with 2015 (after and before the simulation training). Scenarios were based on real clinical cases, and simulation courses were conducted in a standardly equipped simulation centre.FindingsBetween 2016 and 2017, 10 courses were conducted for stroke teams from 9 of all 45 stroke centres. DNT data were available both in 2015 and 2018 from 41 (91%) stroke centres. The simulation training improved the DNT in 2018 as compared with 2015 by 30 min (95% CI 25.7 to 34.7) and as compared with 20 min (95% CI 15.8 to 24.3) in stroke centres without the simulation training (p=0.01). Any parenchymal haemorrhage occurred in 5.4% and 3.5% of patients treated in centres without and with simulation training (p=0.054), respectively.ConclusionsDNT was considerably shortened nationally. It was feasible to implement simulation as a nationwide training programme. The simulation was associated with improved DNT; however, other studies should confirm that such an association is causal.
ER  -

SVOBODOVA, Veronika, Hana MARSALKOVA, Ekaterina VOLEVACH a Robert MIKULÍK. Simulation-based team training improves door-to-needle time for intravenous thrombolysis. \textit{BMJ Open Quality}. LONDON: BMJ Publishing Group, 2023, roč.~12, č.~1, s.~1-7. ISSN~2399-6641. Dostupné z: https://dx.doi.org/10.1136/bmjoq-2022-002107.

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