title: In situ simulation training for neonatal resuscitation: an RCT.
abstract: OBJECTIVE
  High-fidelity simulation is an effective tool in teaching neonatal resuscitation skills to professionals. We aimed to determine whether in situ simulation training (for ∼80% of the delivery room staff) improved neonatal resuscitation performed by the staff at maternities.
  
  
  METHODS
  A baseline evaluation of 12 maternities was performed: a random sample of 10 professionals in each unit was presented with 2 standardized scenarios played on a neonatal high-fidelity simulator. The medical procedures were video recorded for later assessments. The 12 maternities were then randomly assigned to receive the intervention (a 4-hour simulation training session delivered in situ for multidisciplinary groups of 6 professionals) or not receive it. All maternities were evaluated again at 3 months after the intervention. The videos were assessed by 2 neonatologists blinded to the pre-/postintervention as well as to the intervention/control groups. The performance was assessed using a technical score and a team score.
  
  
  RESULTS
  After intervention, the median technical score was significantly higher for scenarios 1 and 2 for the intervention group compared with the control group (P = .01 and 0.004, respectively), the median team score was significantly higher (P < .001) for both scenarios. In the intervention group, the frequency of achieving a heart rate >90 per minute at 3 minutes improved significantly (P = .003), and the number of hazardous events decreased significantly (P < .001).
  
  
  CONCLUSIONS
  In situ simulation training with multidisciplinary teams can effectively improve technical skills and teamwork in neonatal resuscitation.
authors.affiliation: Gyneco-Obstetrical Unit, Croix-Rousse University Hospital, NICU, Croix-Rousse University Hospital, and sophie.rubio-gurung@chu-lyon.fr.
authors.forename: Sophie
authors.initials: S
authors.lastname: Rubio-Gurung
authors.affiliation: NICU, Croix-Rousse University Hospital, and Centre Lyonnais d'Enseignement par la Simulation en Santé, Claude Bernard Lyon1 University.
authors.forename: Guy
authors.initials: G
authors.lastname: Putet
authors.affiliation: Medical Information, Evaluation and Research Unit, Lyon University Hospital, Hospices Civils de Lyon, Lyon, France; and.
authors.forename: Sandrine
authors.initials: S
authors.lastname: Touzet
authors.affiliation: NICU, HFME University Hospital, Hospices Civils de Lyon, Bron, France and.
authors.forename: Hélène
authors.initials: H
authors.lastname: Gauthier-Moulinier
authors.affiliation: NICU, Croix-Rousse University Hospital, and.
authors.forename: Isabelle
authors.initials: I
authors.lastname: Jordan
authors.affiliation: NICU, HFME University Hospital, Hospices Civils de Lyon, Bron, France and.
authors.forename: Anne
authors.initials: A
authors.lastname: Beissel
authors.affiliation: NICU, Croix-Rousse University Hospital, and.
authors.forename: Jean-Marc
authors.initials: JM
authors.lastname: Labaune
authors.affiliation: NICU, HFME University Hospital, Hospices Civils de Lyon, Bron, France and.
authors.forename: Sébastien
authors.initials: S
authors.lastname: Blanc
authors.affiliation: Medical Information, Evaluation and Research Unit, Lyon University Hospital, Hospices Civils de Lyon, Lyon, France; and.
authors.forename: Nassira
authors.initials: N
authors.lastname: Amamra
authors.affiliation: Gyneco-Obstetrical Unit, Croix-Rousse University Hospital.
authors.forename: Catherine
authors.initials: C
authors.lastname: Balandras
authors.affiliation: Gyneco-Obstetrical Unit, Croix-Rousse University Hospital.
authors.forename: René-Charles
authors.initials: RC
authors.lastname: Rudigoz
authors.affiliation: Medical Information, Evaluation and Research Unit, Lyon University Hospital, Hospices Civils de Lyon, Lyon, France; and.
authors.forename: Cyrille
authors.initials: C
authors.lastname: Colin
authors.affiliation: NICU, Croix-Rousse University Hospital, and.
authors.forename: Jean-Charles
authors.initials: JC
authors.lastname: Picaud
mesh_terms: D002983:Clinical Competence / Q000592:standards; D006801:Humans; D007231:Infant, Newborn; D008348:Manikins; D008880:Midwifery / Q000193:education* / Q000592:standards; D010820:Physicians / Q000592:standards; D012151:Resuscitation / Q000193:education* / Q000379:methods* / Q000592:standards
keywords: continuing education; delivery room; educational assessment; neonate; patient simulation; video recording