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 and Robert MIKULÍK

Basic information

Original name

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

Authors

SVOBODOVA, Veronika (203 Czech Republic), Hana MARSALKOVA (203 Czech Republic), Ekaterina VOLEVACH (203 Czech Republic) and Robert MIKULÍK (203 Czech Republic, guarantor, belonging to the institution)

Edition

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

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30210 Clinical neurology

Country of publisher

United Kingdom of Great Britain and Northern Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 1.400 in 2022

RIV identification code

RIV/00216224:14110/23:00130662

Organization unit

Faculty of Medicine

DOI

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

UT WoS

000937928100001

Keywords in English

Simulation; Team training; Healthcare quality improvement

Abstract

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.

Links

90249, large research infrastructures

Name: CZECRIN IV

Citovat

SVOBODOVA, Veronika, Hana MARSALKOVA, Ekaterina VOLEVACH and Robert MIKULÍK. Simulation-based team training improves door-to-needle time for intravenous thrombolysis. BMJ Open Quality. LONDON: BMJ Publishing Group, 2023, vol. 12, No 1, p. 1-7. ISSN 2399-6641. Available from: 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 and Robert MIKULÍK. Simulation-based team training improves door-to-needle time for intravenous thrombolysis. \textit{BMJ Open Quality}. LONDON: BMJ Publishing Group, 2023, vol.~12, No~1, p.~1-7. ISSN~2399-6641. Available from: https://dx.doi.org/10.1136/bmjoq-2022-002107.

Detailed Information on Publication Record