Simulation-based CRM training may translate to improved patient outcomes, including decreased mortality, based on a small number of studies¶
Claim · All claims
Evidence · 1 study · quant-synthesisr2·q3
Currency · newest study 2014 · not yet checked against its sources · not reviewed by a person
Subclaims¶
Reading the evidence codes
q is the design tier, i the impact, n the sample, and the kind with its r
the rigour judged within that kind: what each code means.
This claim: no standardized effect is recorded in observations/ for it yet, so no benchmark reading is possible.
q3 i? All five studies measuring patient outcomes (Kirkpatrick Level 4) found at least some improved patient outcomes after simulation CRM training, but only one found a clearly significant impact on patient mortality. → Boet Sylvain 2014
Evidence¶
Boet Sylvain 2014¶
Boet Sylvain, Bould M. Dylan, Fung Lillia, Qosa Haytham, Perrier Laure, Tavares Walter, Reeves Scott, Tricco Andrea C. (2014). Transfer of learning and patient outcome in simulated crisis resource management: a systematic review. Canadian Journal of Anaesthesia. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4028539/
q3 · i? · quant-synthesis · r2
Systematic review synthesis of five studies measuring patient outcomes (Kirkpatrick Level 4), reporting that "Only one of these studies found that simulation-based CRM training made a clearly significant impact on patient mortality." Surrogate measures were grouped into efficiency of patient care, complications, length of stay, and survival/mortality.
"Five studies measured patient outcomes (Kirkpatrick Level 4). Only one of these studies found that simulation-based CRM training made a clearly significant impact on patient mortality."
Discussion¶
Related Claims¶
- The review suggests current observational evidence may overestimate simulation's impact, since more rigorous cluster-RCTs showed only time-limited mortality reductions or nonsignificant results — related
- Frequent brief on-site Helping Babies Breathe simulation training was associated with a significant decrease in 24-hour neonatal mortality in a Tanzanian before–after study — related
- Simulation-based CRM training transfers to the workplace: three of four studies found simulation-enhanced CRM training significantly more effective than no intervention or didactic teaching — related
- Helping Babies Breathe simulation training was associated with reduced neonatal mortality in LMIC facilities, but skills decayed within 4–6 months without maintenance — related
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