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The Impact of a Displayed Checklist on Simulated Pediatric Trauma Resuscitations.
Erin Hulfish, MD, Glenn Stryjewski, MD, MPH, Maria Carmen G. Diaz, MD, FAAP, FACEP, Heather Sobolewski, MSN, RN-BC, Heather Kulp, MPH, BSN and Megan Feick, Alfred duPont Hospital for Children, Wilmington DE

Abstract:
The Advanced Trauma Life Support (ATLS) protocol has helped to standardize a trauma patient evaluation in a time efficient manner. However, the protocol is not always well-followed, which can lead to missed steps of the exam with subsequent delays in care. Checklists have been shown to improve communication between team members and reduce error. The primary purpose of this study is to determine if a displayed checklist improves the time to completion of tasks. The secondary purpose of this study is to determine if a displayed checklist improves the absolute completion of tasks. Scenarios were created following ATLS core competencies. The study was broken into three arms: no checklist; a paper checklist; checklist displayed on a monitor. Each scenario was recorded then evaluated for time to completion and absolute completion of tasks. Currently there has been no significant difference demonstrated between the groups, there is a decrease in absolute time to completion of tasks. There is also a decrease in the omissions in tasks with checklist utilization. The use of a checklist during trauma resuscitation has been shown to improve adherence to ATLS protocols. With the ability to have all members of the resuscitation team able to see a list, there has been an absolute reduction in both the time to completion of the secondary survey as well as a decrease of omission of tasks. This will encourage improved team communication as well as performance during resuscitation.
Objective:
At the end of this activity the learner will be able to demonstrate that a displayed checklist of the primary and secondary survey components will improve pediatric resuscitations.
Objective Content: The learner will be able to evaluate the pediatric trauma checklist along with its implementation for simulated pediatric trauma resuscitations.


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