Who’s counting? Assessing the effects of a simulation-based training intervention on the accuracy of neonatal heart rate auscultation
Publication Date
2019
Journal Title
J Perinatol
Abstract
© 2019, Springer Nature America, Inc. Objective: To determine if simulation-based medical education could improve pediatric residents’ ability to accurately assess neonatal heart rate via auscultation. Study design: Primary outcomes included heart rate accuracy and Neonatal Resuscitation Program (NRP) group accuracy, defined as whether a heart rate estimation fell in the appropriate NRP algorithm group. Pediatric residents completed a pre-assessment and then participated in a simulation training intervention on high-fidelity manikins. Residents completed a post-assessment 1 month later. Results: Heart rate estimates from 21 pediatric residents showed improved overall heart rate accuracy and NRP group accuracy from 53.6 to 78.7% (p < 0.0001) and 68.3 to 80% (p = 0.0002), respectively. Residents were more likely to overestimate low heart rates and underestimate high heart rates. Conclusion: Heart rate simulation-based training significantly improved residents’ ability to assess heart rate on high-fidelity neonatal manikins. Providers participating in NRP may benefit by receiving heart rate skills assessment-focused training during an NRP provider course.
Volume Number
39
Issue Number
5
Pages
634 - 639
Document Type
Article
Status
Faculty
Facility
School of Medicine
Primary Department
General Pediatrics
PMID
DOI
10.1038/s41372-019-0339-4