Simulation-based training for determination of brain death by pediatric healthcare providers

• DOI: 10.1186/s40064-015-1211-4
• Publication Date: 2015-08-10T20:09:30Z
• Authors: Takashi Araki; Hiroyuki Yokota; Kotaro Ichikawa; Toshio Osamura; Akira Satomi; Tomomitsu Tsuru; Minoru Umehara; Takehiro Niitsu; Tsuyoshi Yamamoto; Kazutaka Nishiyama
• Keywords: 03 medical and health sciences; 0302 clinical medicine; Research; 4. Education; 16. Peace & justice; 3. Good health

Low competency for determination of brain death (BD) and unfamiliarity with Japanese BD (JBD) criteria among pediatricians were highlighted in previous nationwide studies. Because the JBD amended 2010 to allow organ donation from pediatric brain-dead donors, we created a 2-day training course assess knowledge improve skill diagnosis BD.The consisted two modules: multistation round session group discussion session, was bookended by before after 20-question test. In participants rotated between stations staffed expert faculty members. For hands-on development, used Sim Junior 3G™ simulation mannequin (Laerdal Medical, Wappingers Falls, NY, USA) structured simulations. implemented simulation-based role playing practice decision making prepared scenarios complicated clinical situations. We investigated participants' impressions self-scoring questionnaires.Of 147 healthcare providers multiple specialties who participated this course, 145 completed entire process. The evaluated three aspects questionnaires: (1) value (4.58 ± 0.64; range 1-5); (2) time schedule (2.40 0.61; 1-3); (3) difficulty (2.89 0.43; 1-5). Finally, scored program (9.64 1.69; 1-11). Various positive feedbacks obtained total 93 participants. Post-test scores (83.6 %) significantly higher than pre-test (62.9 %).This represents an effective method train determining Japan may baseline