In 18% (3/16) of included simulation studies, positive clinical trends did not reach statistical significance¶

Claim · All claims
Evidence · 1 study · quant-synthesis r2 · q2
Currency · newest study 2026 · not yet checked against its sources · not reviewed by a person

Subclaims¶

q2 i? Three of 16 included studies observed positive patient-outcome trends that failed to reach statistical significance. → Zanin A 2026

Evidence¶

Zanin A 2026¶

Zanin A, Poletto E, Mencia S, Gawronski O, Jourdain G. (2026). Evaluating the impact of simulation on patient outcomes in pediatric and neonatal critical care: a systematic review and critical appraisal of the evidence. European Journal of Pediatrics 185(5):302. https://doi.org/10.1007/s00431-026-06925-3

q2 · i? · quant-synthesis · r2

Narrative synthesis across the 16 included studies in the review's results section. The review reports that positive trends without statistical significance occurred in 18% (3/16) of studies, for example survival increases that did not reach significance.

"In 18% of the studies (3/16), positive trends were observed without reaching statistical significance."

Discussion¶

Related Claims¶

• Simulation Based Education Improves Outcomes — a broader claim this one bears on
• Simulation Based Education With Deliberate Practice Improves Clinical Outcomes — a broader claim this one bears on
• Simulation-based education studies in pediatric and neonatal critical care more consistently report system-level process improvements (Level 4a) than significant direct patient-level outcome improvements (Level 4b) — related
• Single-center simulation studies were more likely to demonstrate significant patient-outcome improvements than multicenter studies — related
• Evidence on transfer to clinical behavior and patient outcomes is scarce: only 2 studies reached Kirkpatrick level 3 and 1 reached level 4 — related