title: [Training intervention studies with mini-tests to improve emergency medical care in a health center].
abstract: OBJECTIVE
  Test effectiveness and acceptability of interventions short essay-type training in health emergency management (EM).
  
  
  METHODS
  Combined case series and controlled study before and after training sessions.
  
  
  METHODS
  Health Center (HC).
  
  
  METHODS
  Team on duty, two monitors-facilitators, and a mannequin.
  
  
  METHODS
  
  
  
  METHODS
  response times, staff performance, resource usage and opinion. Structure: scenarios and key messages. Instrument development: 1. Initial/final questionnaire and events. 2. Essential/non-essential times; 3. Post-test opinion questionnaire. Performance of six consecutive 15 min tests fortnightly (including corrections) and poll after each test. A month later, repeat in random order and under similar conditions.
  
  
  METHODS
  repeated measures.
  
  
  RESULTS
  A total of 93 (2/3) workers completed the initial survey, and 74 the final, with 46 participants (25 doctors, 7 nurses, 21 non-health completed 95 direct interventions. Matching participants > 80% between series. A reduction was seen in the "detection of collapse to first defibrillation" interval (10 to 4 min). EM events improved 2-3 fold and "sense of security during a real EM" increased from 23% to 71% among participants. The vast majority of participants said "useful corrections made by the facilitator." The proportions of those who "would like to see tests introduced" and those who said "re-training was needed in EM" were moderately increased (67.4% vs 85% in health care workers). The "would like to attempt basic life support" was unchanged.
  
  
  CONCLUSIONS
  Despite being reduced in number and duration, this model of intervention has shown positive trends in terms of use and acceptability for implementation in the HC.
authors.affiliation: Medicina de Familia, Centro de Atención Primaria Drassanes-Equipo de Atención Primaria Raval Sud, SAP Litoral-Institut Català de la Salut, Barcelona, España. bcasabella.bcn.ics@gencat.cat
authors.forename: Bartomeu
authors.initials: B
authors.lastname: Casabella Abril
authors.forename: Marta
authors.initials: M
authors.lastname: Trenchs Rodríguez
authors.forename: Sara
authors.initials: S
authors.lastname: Delgado Girón
authors.forename: Susana
authors.initials: S
authors.lastname: Muñoz Gómez
authors.forename: Fernando
authors.initials: F
authors.lastname: González García
authors.forename: M Dolores
authors.initials: MD
authors.lastname: García Ortega
mesh_terms: D004635:Emergency Medicine / Q000193:education*; D004638:Emergency Treatment / Q000592:standards*; D006801:Humans; D008137:Longitudinal Studies; D010865:Pilot Projects; D058996:Quality Improvement; D011795:Surveys and Questionnaires