Implementing Best Practice in Critically Ill Organophosphate Poisoned Patient Through Simulation-Based Learning Program.
- Author:
Ji Hwan LEE
1
;
Sung Phil CHUNG
;
Hyun Soo CHUNG
Author Information
- Publication Type:Original Article
- Keywords: Simulation training; Organophosphate poisoning; Toxicology
- MeSH: Critical Illness*; Curriculum; Education; Emergencies; Emergency Service, Hospital; Health Personnel; Hospitals, Teaching; Humans; Korea; Learning*; Organophosphate Poisoning; Practice Guidelines as Topic*; Simulation Training; Toxicology
- From:Journal of The Korean Society of Clinical Toxicology 2017;15(1):31-39
- CountryRepublic of Korea
- Language:English
- Abstract: PURPOSE: Despite the clinical and socio-economic impact of acute poisoned patients, many of the treatments are not standardized in Korea. Moreover, no formal training that is specifically focused on clinical toxicology exists. Rather, training and education are conducted case by case in various institutions. This study was conducted to develop a standardized simulation-based clinical toxicology training curriculum for healthcare providers. This program will focus on specific assessment and treatment of critical toxicology patients, specifically those who have been poisoned with organophosphate. METHODS: The study was performed using a pre- and post-design to determine the effects of implementation of this program. The study was conducted at eight different urban teaching hospitals in a simulated room in the clinical area. The study was targeted to 19 groups composed of emergency residents and nurses. Simulation-based learning was conducted for each group. RESULTS: All 19 groups achieved the minimum passing score of 75%. Implementation of the program led to improved performance rates for overall management and cooperative moods competency (p<0.01). Inter-rater agreement between the two evaluators was excellent. In general, the participants thought the program was realistic and were able to recognize and improve the competencies needed to care for organophosphate poisoned patients. CONCLUSION: Simulation-based learning is an effective educational strategy that can be applied to improving and understanding proper care for rare but critical patients. This program was effective at improving team performance and cooperative moods when managing an organophosphate poisoned patient in the Emergency Department.
