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Papers of the Week

2021 Dec 27

Simul Healthc

Quality Improvement Initiative Using Blended In Situ Simulation Training on Procedural Sedation and Analgesia in a Pediatric Emergency Department: Better Patient Care at Lower Costs.


Nucci A, Sforzi I, Morley-Fletcher A, Saffirio C, Bussolin L, Masi S, Weinstock P, De Luca M
Simul Healthc. 2021 Dec 27.
PMID: 34966127.


There is evidence in the literature for high-fidelity in situ simulation training programs being an effective modality for physicians training. This quality initiative focused on implementation of the procedural sedation and analgesia (PSA) in our pediatric emergency department (PED). The primary outcomes of this study were to evaluate the impact of blended in situ simulation training (BST) program on PSA for closed forearm fracture reduction in the PED and to assess its cost-effectiveness. The secondary outcomes were to estimate this change on PSA's clinical efficacy and safety.