Jodi Thrasher|Joyce Baker|Kathleen M. Ventre|Sara Martin|Joseph Dawson|Roberta Cox|Heather M. Moore|Sarah Brethouwer|Sharon Sables-Baus|Christopher D. Baker
Hospital to Home: A Quality Improvement Initiative to Implement High-fidelity Simulation Training for Caregivers of Children Requiring Long-term Mechanical Ventilation
Children's Hospital Colorado|University of Colorado Denver|Children's Hospital Colorado|University of Colorado Denver|Baystate Medical Center|Children's Hospital Colorado|University of Colorado Denver|Children's Hospital Colorado|University of Colorado Denver|Children's Hospital Colorado|University of Colorado Denver|Children's Hospital Colorado|University of Colorado Denver|Children's Hospital Colorado|University of Colorado Denver|Children's Hospital Colorado|University of Colorado Denver|Colorado College|Children's Hospital Colorado|University of Colorado Denver
h2abstracth2h3backgroundh3 preparing families children requiring longterm mechanical ventilation ltmv manage medical emergencies home challenging opportunities family caregivers rehearse crisis management controlled setting discharge limited h3objectiveh3 aimed create multimodal discharge preparedness curriculum incorporating highfidelity simulation training prepare family caregivers children complex medical conditions requiring longterm mechanical ventilation sought determine curricular elements helpful whether curriculum impacted rate readmissions within 7 days hospital discharge h3methodsh3 curriculum included instructional videos printed handouts cardiopulmonary resuscitation training two mandatory high fidelity simulation scenarios depicting tracheostomy ventilatorrelated emergencies teams one three family caregivers per patient managed scenario videobased debriefing focused identifying closing performance gaps participants rated perceptions regarding curricular element relative impact preparedness discharge h3resultsh3 87 family caregivers completed curriculum simulationenhanced curriculum wellreceived participants participants reported postsimulation debriefing beneficial component observed trend toward reduced readmissions within 7 days discharge since implementation revised curriculum h3conclusionh3 simulation training incorporated discharge training families children requiring ltmv rehearsal emergency management simulated clinical setting increases caregiver confidence assume care ventilatordependent child