COVID-19 Critical Care Simulations: An International Cross-Sectional Survey

Temsah, Mohamad-Hani; Alrabiaah, Abdulkarim; Al-Eyadhy, Ayman; Al-Sohime, Fahad; Al Huzaimi, Abdullah; Alamro, Nurah; Alhasan, Khalid; Upadhye, Vaibhavi; Jamal, Amr; Aljamaan, Fadi; Alhaboob, Ali; Arabi, Yaseen M.; Lazarovici, Marc; Somily, Ali M. und Boker, Abdulaziz M. (21. September 2021): COVID-19 Critical Care Simulations: An International Cross-Sectional Survey. In: Frontiers in Public Health, Bd. 9, 700769

Abstract

Objective: To describe the utility and patterns of COVID-19 simulation scenarios across different international healthcare centers.

Methods: This is a cross-sectional, international survey for multiple simulation centers team members, including team-leaders and healthcare workers (HCWs), based on each center's debriefing reports from 30 countries in all WHO regions. The main outcome measures were the COVID-19 simulations characteristics, facilitators, obstacles, and challenges encountered during the simulation sessions.

Results: Invitation was sent to 343 simulation team leaders and multidisciplinary HCWs who responded; 121 completed the survey. The frequency of simulation sessions was monthly (27.1%), weekly (24.8%), twice weekly (19.8%), or daily (21.5%). Regarding the themes of the simulation sessions, they were COVID-19 patient arrival to ER (69.4%), COVID-19 patient intubation due to respiratory failure (66.1%), COVID-19 patient requiring CPR (53.7%), COVID-19 transport inside the hospital (53.7%), COVID-19 elective intubation in OR (37.2%), or Delivery of COVID-19 mother and neonatal care (19%). Among participants, 55.6% reported the team's full engagement in the simulation sessions. The average session length was 30–60 min. The debriefing process was conducted by the ICU facilitator in (51%) of the sessions followed by simulation staff in 41% of the sessions. A total of 80% reported significant improvement in clinical preparedness after simulation sessions, and 70% were satisfied with the COVID-19 sessions. Most perceived issues reported were related to infection control measures, followed by team dynamics, logistics, and patient transport issues.

Conclusion: Simulation centers team leaders and HCWs reported positive feedback on COVID-19 simulation sessions with multidisciplinary personnel involvement. These drills are a valuable tool for rehearsing safe dynamics on the frontline of COVID-19. More research on COVID-19 simulation outcomes is warranted; to explore variable factors for each country and healthcare system.

• Dokumententyp: Zeitschriftenartikel
• Keywords: COVID-19; simulations; healthcare workers; healthcare preparedness; international survey
• Fakultät: Medizin
• Themengebiete: 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin und Gesundheit
• Sprache: Englisch