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European Journal of Pediatrics

, Volume 177, Issue 12, pp 1863–1867 | Cite as

Pediatric residents’ simulation-based training in patient safety during sedation

  • Nir Friedman
  • Doron Sagi
  • Amitai Ziv
  • Itai ShavitEmail author
Short Communication

Abstract

In Israeli emergency departments, pediatric residents are allowed to independently perform procedural sedation after training. Preparing the residents to practice unsupervised sedations requires participation in a simulation-based training in patient safety during sedation (STPSDS). The study objective was to evaluate participants’ perception of knowledge and confidence from the STPSDS. We performed a retrospective analysis of participants’ self-reported perception of knowledge acquisition. At the end of each course, participants were requested to rate, anonymously and independently, the training contribution to their knowledge and confidence using a four-point Likert scale. Between January 2010 and December 2017, 321 pediatric residents participated in 67 STPSDS courses; 315 completed the self-assessments. Participants’ median responses of the training contribution were 4 (IQR 3–4) for overall knowledge, 4 (IQR 4–4) for understanding potential complications during sedation, 3 (IQR 3–4) for knowledge in managing adverse events, and 3 (IQR 2–4) for knowledge in practicing safe sedation. Median response for contribution to participants’ confidence in performing sedation was 3 (IQR 3–4).

Conclusion: We found that the STPSDS improved perception of knowledge and confidence among pediatric residents. Our findings suggest that this training has a valuable role in preparing pediatric residents to practice unsupervised sedations in the ED.

What is Known:

In Israel, sedation-trained pediatric residents performed sedations in the Emergency Department

Successful completion of a simulation-based training in patient safety during sedation (STPSDS) is a mandatory requirement to perform unsupervised sedation.

What is New:

The STPSDS improved perception of knowledge and confidence among pediatric residents.

This training may be valuable in preparing pediatric residents to practice unsupervised sedations

Keywords

Sedation Simulation Training Residents 

Abbreviations

ED

Emergency Department

STPSDS

Simulation-based training in patient safety during sedation

ICMS

Israel Center for Medical Simulation

PEM

Pediatric Emergency Medicine

Notes

Authors’ contributions

Nir Friedman collected the data and drafted the manuscript.

Nir Friedman, Doron Sagi, Amitai Ziv, and Itai Shavit analyzed and interpreted the data.

Doron Sagi, Amitai Ziv, and Itai Shavit critically revised the manuscript for important intellectual content.

Itai Shavit designed the study and the analysis plan.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors. This study was approved by the medical ethical committee of the Sheba Medical Center (3641–16-SMC).

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Nir Friedman
    • 1
    • 2
  • Doron Sagi
    • 2
  • Amitai Ziv
    • 2
    • 3
  • Itai Shavit
    • 2
    • 4
    • 5
    • 6
    Email author
  1. 1.Pediatric Emergency DepartmentSheba Medical CenterTel HashomerIsrael
  2. 2.Israel Center for Medical Simulation (MSR)Sheba Medical CenterTel HashomerIsrael
  3. 3.Sackler School of MedicineTel-Aviv UniversityTel AvivIsrael
  4. 4.Pediatric Emergency DepartmentHaifaIsrael
  5. 5.The Ruth and Bruce Rappaport, Faculty of Medicine, Technion – Israel Institute of TechnologyHaifaIsrael
  6. 6.Kibutz Maayan TzviIsrael

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