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Dissertation
Utilizing simulation-based training to ensure code hemorrhage protocol compliance in an ambulatory surgery center
University of Iowa
Doctor of Nursing Practice (DNP), University of Iowa
Spring 2024
Abstract
Background: Hemorrhage during surgery is a major cause of preventable death during surgery. To combat this, massive transfusion protocols (MTPs) have been developed, which have been shown to independently increase patient survival rates. A triggering issue was identified as a lack of preparedness in the event of a hemorrhage emergency in an ambulatory surgery center (ASC). Simply having an MTP is not enough. Simulation-based education, cognitive aids, and new personnel training is needed to ensure protocol effectiveness. Purpose: To improve hemorrhage management in the ASC through simulation-based training, cognitive aids, and new personnel training. Methods: A multidisciplinary team was created and revised an MTP specific to the ASC. A pilot code hemorrhage simulation for perioperative staff was created, tested, and revised. After revision, the simulation was implemented. Data was collected through a retrospective pre- and post-self-survey. Findings: Overall, there was an increase in confidence scores in participants’ knowledge, preparedness, and competence on how to handle a hemorrhage emergency in the ASC. A Wilcoxon Sign-Rank Test indicated mean post-simulation scores for each question on the retrospective self-survey were statistically significantly higher than the pre-simulation scores (n=25; p<0.001). On average, there was a 50% increase in self-perceived staff confidence and competence using the MTP specific to the ASC after simulation participation. Discussion: MTPs have consistently been shown to reduce patient morbidity and mortality in the event of a hemorrhagic emergency (Dargere et al., 2019). Compliance to an MTP is a significant indicator of patient survival (Nunn et al., 2017). Simulation-based training has practical significance in reducing adverse patient outcomes since it has been shown to effectively increase compliance to a protocol (Vortman, 2020). Participants felt the simulation-based training and educational aides adequately prepared them to manage a real-life hemorrhagic emergency.
Details
- Title: Subtitle
- Utilizing simulation-based training to ensure code hemorrhage protocol compliance in an ambulatory surgery center
- Creators
- Anna Marie Henningsen - University of Iowa
- Contributors
- Heather Bair (Chair) - University of Iowa
- Resource Type
- Dissertation
- Project Type
- Poster
- Degree Awarded
- Doctor of Nursing Practice (DNP), University of Iowa
- Degree in
- Nurse Anesthesia
- Date degree season
- Spring 2024
- Publisher
- University of Iowa
- Number of pages
- 1 page
- Copyright
- Copyright © 2024 Anna Marie Henningsen
- Language
- English
- Academic Unit
- College of Nursing; Doctor of Nursing Practice Projects
- Record Identifier
- 9984627351302771
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