Doing the right thing at the right time: Assessing responses to patient deterioration in electronic simulation scenarios using course-of-action analysis.

Cooper, Simon J.; Cant, Robyn; Bogossian, Fiona; Bucknall, Tracey; Hopmans, Ruben

Title: Doing the right thing at the right time: Assessing responses to patient deterioration in electronic simulation scenarios using course-of-action analysis.
Creator: Cooper, Simon J.; Cant, Robyn; Bogossian, Fiona; Bucknall, Tracey; Hopmans, Ruben
Date: 2015
Type: Text; Journal article
Identifier: http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/97325
Identifier: vital:10208
Identifier: https://doi.org/10.1097/CIN.0000000000000141
Identifier: ISSN:1538-2931
Abstract: International studies indicate that the recognition and management of deteriorating patients in hospitals are poor and that patient assessment is often inadequate. Face-to-face simulation programs have been shown to have an impact on educational and clinical outcomes; however, little is known about performance in contemporary healthcare e-simulation approaches. Using data from an open-access Web-based patient deterioration program (FIRSTACTWeb), the performance of 367 Australian nursing students in identification of treatment priorities and clinical actions was analyzed using a military model of Course of Action Simulation Analysis. Participants' performance in the whole program demonstrated a significant improvement in knowledge and skills (P ≤ .001) with high levels of participant satisfaction. Course of Action Simulation Analysis modeling identified three key participant groupings within which only 18% took the "best course of action" (the right actions and timing), with most (70%) completing the right actions but in the wrong order. The remaining 12% produced incomplete assessments and actions in an incorrect sequence. Contemporary approaches such as e-simulation do enhance educational outcomes. Measurement of performance when combined with Course of Action Simulation Analysis becomes a useful tool in the description of outcomes, an understanding of decision making, and the prediction of future events.
Relation: CIN: Computers, Informatics, Nursing Vol. 33, no. 5 (2015), p. 199-207
Rights: Copyright Wolters Kluwer Health
Rights: This metadata is freely available under a CCO license
Subject: Course-of-action simulation analyses; Education; E-simulation; Patient deterioration; 1110 Nursing; 0807 Library and Information Studies
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