Improved neonatal outcomes by multidisciplinary simulation—a contemporary practice in the demonstration area of China
BackgroundSimulation-based training improves neonatal resuscitation and decreases perinatal mortality in low- and middle-income countries. Interdisciplinary in-situ simulation may promote quality care in neonatal resuscitation. However, there is limited information regarding the effect of multidisci...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-06-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2023.1138633/full |
| _version_ | 1797808954688929792 |
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| author | Chenguang Xu Qianshen Zhang Yin Xue Chun-Bong Chow Chunxiao Dong Qian Xie Po-Yin Cheung Po-Yin Cheung Po-Yin Cheung |
| author_facet | Chenguang Xu Qianshen Zhang Yin Xue Chun-Bong Chow Chunxiao Dong Qian Xie Po-Yin Cheung Po-Yin Cheung Po-Yin Cheung |
| author_sort | Chenguang Xu |
| collection | DOAJ |
| description | BackgroundSimulation-based training improves neonatal resuscitation and decreases perinatal mortality in low- and middle-income countries. Interdisciplinary in-situ simulation may promote quality care in neonatal resuscitation. However, there is limited information regarding the effect of multidisciplinary in-situ simulation training (MIST) on neonatal outcomes. We aimed to investigate the impact of MIST on neonatal resuscitation in reducing the incidence of neonatal asphyxia and related morbidities.MethodsWeekly MIST on neonatal resuscitation has been conducted through neonatal and obstetrical collaboration at the University of Hong Kong-Shenzhen Hospital, China, since 2019. Each simulation was facilitated by two instructors and performed by three health care providers from obstetric and neonatal intensive care units, followed by a debriefing of the participants and several designated observers. The incidence of neonatal asphyxia, severe asphyxia, hypoxic-ischemic encephalopathy (HIE), and meconium aspiration syndrome (MAS) before (2017–2018) and after (2019–2020) the commencement of weekly MIST were analyzed.ResultsThere were 81 simulation cases including the resuscitation of preterm neonates of different gestational ages, perinatal distress, meconium-stained amniotic fluid, and congenital heart disease with 1,503 participant counts (225 active participants). The respective incidence of neonatal asphyxia, severe asphyxia, HIE, and MAS decreased significantly after MIST (0.64%, 0.06%, 0.01%, and 0.09% vs. 0.84%, 0.14%, 0.10%, and 0.19%, respectively, all P < 0.05).ConclusionsWeekly MIST on neonatal resuscitation decreased the incidence of neonatal asphyxia, severe asphyxia, HIE, and MAS. Implementation of regular resuscitation simulation training is feasible and may improve the quality of neonatal resuscitation with better neonatal outcomes in low- and middle-income countries. |
| first_indexed | 2024-03-13T06:45:46Z |
| format | Article |
| id | doaj.art-68a5646ab96c4e99a90f7803c2639c30 |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-03-13T06:45:46Z |
| publishDate | 2023-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-68a5646ab96c4e99a90f7803c2639c302023-06-08T06:20:07ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602023-06-011110.3389/fped.2023.11386331138633Improved neonatal outcomes by multidisciplinary simulation—a contemporary practice in the demonstration area of ChinaChenguang Xu0Qianshen Zhang1Yin Xue2Chun-Bong Chow3Chunxiao Dong4Qian Xie5Po-Yin Cheung6Po-Yin Cheung7Po-Yin Cheung8NICU, University of Hong Kong-Shenzhen Hospital, Shenzhen, ChinaNICU, University of Hong Kong-Shenzhen Hospital, Shenzhen, ChinaNICU, University of Hong Kong-Shenzhen Hospital, Shenzhen, ChinaNICU, University of Hong Kong-Shenzhen Hospital, Shenzhen, ChinaChild Health Department, Longhua District Maternal & Child Healthcare Hospital, Shenzhen, ChinaDepartment of Obstetrics, The University of Hong Kong-Shenzhen Hospital, Shenzhen, ChinaNICU, University of Hong Kong-Shenzhen Hospital, Shenzhen, ChinaCentre for the Studies of Asphyxia and Resuscitation, Neonatal Research Unit, Royal Alexandra Hospital, University of Alberta, Edmonton, AB, CanadaNICU, University of Alberta, Edmonton, AB, CanadaBackgroundSimulation-based training improves neonatal resuscitation and decreases perinatal mortality in low- and middle-income countries. Interdisciplinary in-situ simulation may promote quality care in neonatal resuscitation. However, there is limited information regarding the effect of multidisciplinary in-situ simulation training (MIST) on neonatal outcomes. We aimed to investigate the impact of MIST on neonatal resuscitation in reducing the incidence of neonatal asphyxia and related morbidities.MethodsWeekly MIST on neonatal resuscitation has been conducted through neonatal and obstetrical collaboration at the University of Hong Kong-Shenzhen Hospital, China, since 2019. Each simulation was facilitated by two instructors and performed by three health care providers from obstetric and neonatal intensive care units, followed by a debriefing of the participants and several designated observers. The incidence of neonatal asphyxia, severe asphyxia, hypoxic-ischemic encephalopathy (HIE), and meconium aspiration syndrome (MAS) before (2017–2018) and after (2019–2020) the commencement of weekly MIST were analyzed.ResultsThere were 81 simulation cases including the resuscitation of preterm neonates of different gestational ages, perinatal distress, meconium-stained amniotic fluid, and congenital heart disease with 1,503 participant counts (225 active participants). The respective incidence of neonatal asphyxia, severe asphyxia, HIE, and MAS decreased significantly after MIST (0.64%, 0.06%, 0.01%, and 0.09% vs. 0.84%, 0.14%, 0.10%, and 0.19%, respectively, all P < 0.05).ConclusionsWeekly MIST on neonatal resuscitation decreased the incidence of neonatal asphyxia, severe asphyxia, HIE, and MAS. Implementation of regular resuscitation simulation training is feasible and may improve the quality of neonatal resuscitation with better neonatal outcomes in low- and middle-income countries.https://www.frontiersin.org/articles/10.3389/fped.2023.1138633/fullneonatal resuscitationin-situ simulation trainingmultidisciplinaryneonatal outcomesasphyxia |
| spellingShingle | Chenguang Xu Qianshen Zhang Yin Xue Chun-Bong Chow Chunxiao Dong Qian Xie Po-Yin Cheung Po-Yin Cheung Po-Yin Cheung Improved neonatal outcomes by multidisciplinary simulation—a contemporary practice in the demonstration area of China Frontiers in Pediatrics neonatal resuscitation in-situ simulation training multidisciplinary neonatal outcomes asphyxia |
| title | Improved neonatal outcomes by multidisciplinary simulation—a contemporary practice in the demonstration area of China |
| title_full | Improved neonatal outcomes by multidisciplinary simulation—a contemporary practice in the demonstration area of China |
| title_fullStr | Improved neonatal outcomes by multidisciplinary simulation—a contemporary practice in the demonstration area of China |
| title_full_unstemmed | Improved neonatal outcomes by multidisciplinary simulation—a contemporary practice in the demonstration area of China |
| title_short | Improved neonatal outcomes by multidisciplinary simulation—a contemporary practice in the demonstration area of China |
| title_sort | improved neonatal outcomes by multidisciplinary simulation a contemporary practice in the demonstration area of china |
| topic | neonatal resuscitation in-situ simulation training multidisciplinary neonatal outcomes asphyxia |
| url | https://www.frontiersin.org/articles/10.3389/fped.2023.1138633/full |
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