发展体外生命支持模拟中心对于在 COVID-19 大流行期间提高技能和知识的重要性。

IF 0.6 Q4 SURGERY Kardiochirurgia I Torakochirurgia Polska Pub Date : 2024-03-01 Epub Date: 2024-03-30 DOI:10.5114/kitp.2024.138522
Piotr Ziemak, Marek Dąbrowski, Mateusz Puślecki, Agata Dąbrowska, Marcin Ligowski, Sebastian Stefaniak, Marek Jemielity, Bartłomiej Perek, Ryszard Marciniak
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引用次数: 0

摘要

导言:目的:评估在安全使用体外循环技术为生命垂危的患者提供支持方面,通过模拟技术获得循证知识和提高医生技能的价值:2019年,国家人工生命支持与患者安全教育中心和 "ECMO人工生命支持 "课程框架计划成立。2019-2023 年,我们为 405 名医生组织了 34 次此类课程,这些课程还得到了 ELSO(体外生命支持组织)的认可。课程前后对医生的认知、行为和技术技能进行了评估:参与者的性别非常均衡(54% 为男性,46% 为女性)。他们中的大多数人(主要在 31-40 岁之间)都有 5 年以上的临床经验,主要集中在麻醉学和重症监护领域(63%)。值得注意的是,其中 54% 的人没有使用过 ECMO。课程结束后,在认知、行为、技术评估和知识评分等所有细节方面都有明显改善:模拟教育中心的发展是一项宝贵的成就,它不仅成功地实现了标准化培训,测试了新程序或以前接受的程序,还提高了技术技能,即使是在具有挑战性的 COVID-19 大流行期间也是如此。
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The importance of the development of extracorporeal life support simulation centres for improving skills and knowledge during the COVID-19 pandemic.

Introduction: Despite increasing implementation of sophisticated and logistically challenging techniques to support patients in life-threatening conditions in the last years, there were no devoted education centres, especially in coronavirus pandemic.

Aim: To assess the value of gaining evidence-based knowledge and improving the skills of physicians by means of simulation techniques in the safe use of extracorporeal technologies to support patients in the life-threatening conditions.

Material and methods: In 2019, the National Education Centre for Artificial Life Support and Patient Safety and the frame program of the course of "Artificial Life Support with ECMO". was created. In years 2019-2023, we managed to organise 34 such courses for 405 physicians, which were additionally endorsed by ELSO (Extracorporeal Life Support Organisation). The physicians' cognitive, behavioural, and technical skills were evaluated before and after the courses.

Results: The participants' gender was well balanced (54% men and 46% women). Most of them (mainly at the age between 31-40 years) presented more than 5 years of clinical experience, predominantly in anaesthesiology and intensive care (63%). Of note, 54% of them had no experience with ECMO application. In all detailed aspects of cognitive, behavioural, and technical assessment and knowledge scores, significant improvement was observed after the course.

Conclusions: The development of a simulation-based education centre was found to be an invaluable achievement that enabled not only successful standardised training and testing of novel or previously accepted procedures, but also the upgrading of technical skills, even in the challenging COVID-19 pandemic period.

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来源期刊
CiteScore
0.90
自引率
14.30%
发文量
44
审稿时长
6-12 weeks
期刊介绍: Polish Journal of Thoracic and Cardiovascular Surgery is a quarterly aimed at cardiologists, cardiosurgeons and thoracic surgeons. Includes the original works (experimental, research and development), illustrative and casuistical works about cardiology and cardiosurgery.
期刊最新文献
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