Impact of EHR on Realism, Skills, and Workload in Sepsis Simulation

Abstract

Introduction

Sepsis is one of the leading causes of death for children. Simulation provides a framework for improvement in teamwork and communication, which are essential skills in conditions such as sepsis, where early recognition is crucial.

The purpose of this mixed methods project was to understand the effects of adding sandbox Electronic Health Record (EHR) on realism and team dynamics. This study was conducted during multidisciplinary (pediatric residents and nurses) in-situ sepsis simulations.

Methods

This study was conducted during multidisciplinary (pediatric residents and nurses) in-situ sepsis simulations.

Groups were randomized to receive EHR or paper. Team clinical times were recorded. After completion, participants completed a survey about attitudes and workload, and some completed qualitative interviews.

Results

Participants in both groups wanted to have EHR in future simulations. Differences in workload and clinical times were not significantly different. Themes that emerged were: EHR improved realism allowing for skills practice but could be a distraction. Key elements for the simulated EHR design were identified and aligned with prior literature.

Conclusions

Acute care simulations that utilized EHR were perceived by learners to improve realism and can allow for skills practice.