Effect of a Pediatric Mock Code Simulation Program on Resuscitation Skills and Team Performance

Abstract

Background: The timely delivery of high-quality cardiopulmonary resuscitation (CPR) is a key measure of quality life support and patient safety. Code simulation training facilitates the acquisition of resuscitation skills and improves team performance, which significantly improves cardiopulmonary arrest survival rates and improves patient safety. The purpose of this study was to explore the impact of simulation-based training on resuscitation skills and to provide evidence that code simulations can help improve team skills and the quality of team leadership. Method: This was a retrospective descriptive study. All records of the code simulation sessions conducted from July 2016 to June 2019 in the pediatric wards of a hospital were included. The data reviewed and analyzed included a crisis resource management score for the team leader and data related to team members’ performance, such as the CPR initiation time and the overall team performance assessment. Results: A total of 82 sessions were included. Over a series of simulation sessions that were conducted for each pediatric ward with repeated code sessions, the ward nursing staff showed significant improvements in initiating CPR, with a faster CPR initiation time. Conclusions: In situ code simulation is a helpful way to enhance team performance and improve the quality of cardiac resuscitation. The CPR initiation time was greatly improved by continuous code simulation training for the code team.