Status Quo in Pediatric and Neonatal Simulation in Four Central European Regions: The DACHS Survey

Simul Healthc. 2018 Aug;13(4):247-252. doi: 10.1097/SIH.0000000000000296.

Abstract

Introduction: Simulation has acquired wide acceptance as an important component of education in health care and as a key tool to increase patient safety. This study aimed at identifying to what extent and how pediatric and neonatal simulation-based training (SBT) was being carried out in four Central European regions.

Methods: We surveyed all pediatric and neonatal health care institutions in Germany, Austria, Switzerland, and South Tyrol on their current state of SBT using an online questionnaire.

Results: We dispatched 440 questionnaires with a 45.9% response rate. Sixty-one percent (61.4%) of institutions performed SBT (algorithm training, 87.4%; skill training, 62.2%; high-fidelity SBT, 56.8%). Training was conducted interprofessionally at 88.9% of surveyed institutions. Physicians and nurses most often received SBT once per year. Lack of financial (62.2%) and personnel (54.1%) resources were the most frequent impediments to establish SBT.

Conclusions: Although delivered heterogeneously, widespread use of pediatric simulation and a considerable number of already existing SBT programs are the key findings of this survey. These data are encouraging enough to promote more effective networking in simulation-based research, education, training, and quality improvement, as we aim to ultimately increase patient safety for neonates, infants, and children.

MeSH terms

  • Adolescent
  • Child
  • Child, Preschool
  • Clinical Competence
  • Emergencies*
  • Hospitals, Pediatric / organization & administration*
  • Hospitals, Pediatric / standards
  • Humans
  • Infant
  • Infant, Newborn
  • Interprofessional Relations
  • Simulation Training / organization & administration*
  • Simulation Training / statistics & numerical data*