A National Simulation-Based Study of Pediatric Critical Care Transport Teams Performance

Improving Pediatric Acute Care Through Simulation (ImPACTS)

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives: To assess pediatric critical care transport (CCT) teams’ performance in a simulated environment and to explore the impact of team and center characteristics on performance. Study design: This observational, multicenter, simulation-based study enlisted a national cohort of pediatric transport centers. Teams participated in 3 scenarios: nonaccidental abusive head injury, sepsis, and cardiac arrest. The primary outcome was teams’ simulation performance score. Secondary outcomes were associations between performance, center and team characteristics. Results: We recruited 78 transport teams with 196 members from 12 CCT centers. Scores on performance measures that were developed were 89% (IQR 78-100) for nonaccidental abusive head injury, 63.3% (IQR 45.5-81.8) for sepsis, and 86.6% (IQR 66.6-93.3) for cardiac arrest. In multivariable analysis, overall performance was higher for teams including a respiratory therapist (0.5 points [95% CI: 0.13, 0.86]) or paramedic (0.49 points [95% CI: 0.1, 0.88]) and dedicated pediatric teams (0.37 points [95% 0.06, 0.68]). Each year increase in program age was associated with an increase of 0.04 points (95% CI: 0.02, 0.06). Conclusions: Dedicated pediatric teams, inclusion of respiratory therapists and paramedics, and center age were associated with higher simulation scores for pediatric CCT teams. These insights can guide efforts to enhance the quality of care for children during interfacility transports.

Original languageEnglish (US)
Article number114303
Journaljournal of pediatrics
Volume276
DOIs
StatePublished - Jan 2025

Funding

This project was supported, in part, by Indiana University Health Values Grant: VFE-342 to K.A. and by a grant from the RBaby Foundation (Rbabyfoundation.org) to M.A.A. This project was supported, in part, by Indiana University Health Values Grant: VFE-342 to KA and by a grant from the RBaby Foundation ( Rbabyfoundation.org ) to MAA.

Keywords

  • emergency medicine
  • pediatric critical care transport
  • simulation

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Fingerprint

Dive into the research topics of 'A National Simulation-Based Study of Pediatric Critical Care Transport Teams Performance'. Together they form a unique fingerprint.

Cite this