TY - JOUR
T1 - Malignant hyperthermia
T2 - How the lack of regular simulation training threatens patient safety
AU - Sicat, Alyssa
AU - Bennett, Caitlin
AU - Homer, Kendra
AU - Shimi, Sawsan
AU - Spafford, Robert
AU - Han, Gordon
AU - Rollison, Sarah
N1 - Publisher Copyright:
© 2024
PY - 2025/1
Y1 - 2025/1
N2 - Background: Malignant Hyperthermia (MH) is a life-threatening pathology which must be accurately managed by Certified Registered Nurse Anesthetists (CRNAs) (Bin et al., 2022). This pilot project proposes simulation for CRNAs to mitigate skill decay. Sample: Eight CRNAs employed at a large, mid-Atlantic medical center participated in the project. Methods: CRNAs underwent a blind MH crisis simulation and were evaluated using a Key Action Checklist of MH management guidelines. This was followed by a debrief, MH education, and a postsimulation action-ordering exercise. The exercise was repeated at three months. Results: The mean Key Action Checklist score (out of 20) was 13.81. The postsimulation action-ordering exercise had an average score of 6.86 out of 10. At three months, the average score was 6 out of 10. Conclusion: Data comparison shows trends of skill decay. A larger sample size is needed, however this pilot project identified strengths and challenges for simulation implementation.
AB - Background: Malignant Hyperthermia (MH) is a life-threatening pathology which must be accurately managed by Certified Registered Nurse Anesthetists (CRNAs) (Bin et al., 2022). This pilot project proposes simulation for CRNAs to mitigate skill decay. Sample: Eight CRNAs employed at a large, mid-Atlantic medical center participated in the project. Methods: CRNAs underwent a blind MH crisis simulation and were evaluated using a Key Action Checklist of MH management guidelines. This was followed by a debrief, MH education, and a postsimulation action-ordering exercise. The exercise was repeated at three months. Results: The mean Key Action Checklist score (out of 20) was 13.81. The postsimulation action-ordering exercise had an average score of 6.86 out of 10. At three months, the average score was 6 out of 10. Conclusion: Data comparison shows trends of skill decay. A larger sample size is needed, however this pilot project identified strengths and challenges for simulation implementation.
KW - Anesthesiology
KW - Certified registered nurse anesthetist
KW - Malignant hyperthermia
KW - Nursing
KW - Simulation
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U2 - 10.1016/j.ecns.2024.101651
DO - 10.1016/j.ecns.2024.101651
M3 - Article
AN - SCOPUS:85212133881
SN - 1876-1399
VL - 98
JO - Clinical Simulation in Nursing
JF - Clinical Simulation in Nursing
M1 - 101651
ER -