Doing the right thing at the right time: assessing responses to patient deterioration in electronic simulation scenarios using Course-of-Action Analysis

Cooper, Simon, Cant, Robyn P., Bogossian, Fiona, Bucknall, Tracey and Hopmans, Ruben (2015) Doing the right thing at the right time: assessing responses to patient deterioration in electronic simulation scenarios using Course-of-Action Analysis. Computers, Informatics, Nursing, 33 5: 199-207. doi:10.1097/CIN.0000000000000141


Author Cooper, Simon
Cant, Robyn P.
Bogossian, Fiona
Bucknall, Tracey
Hopmans, Ruben
Title Doing the right thing at the right time: assessing responses to patient deterioration in electronic simulation scenarios using Course-of-Action Analysis
Journal name Computers, Informatics, Nursing   Check publisher's open access policy
ISSN 1538-2931
Publication date 2015-05-01
Year available 2015
Sub-type Article (original research)
DOI 10.1097/CIN.0000000000000141
Open Access Status Not Open Access
Volume 33
Issue 5
Start page 199
End page 207
Total pages 9
Place of publication Philadelphia, PA, United States
Publisher Lippincott Williams & Wilkins
Language eng
Abstract International studies indicate that the recognition and management of deteriorating patients in hospitals are poor and that patient assessment is often inadequate. Face-to-face simulation programs have been shown to have an impact on educational and clinical outcomes; however, little is known about performance in contemporary healthcare e-simulation approaches. Using data from an open-access Web-based patient deterioration program (FIRSTACTWeb), the performance of 367 Australian nursing students in identification of treatment priorities and clinical actions was analyzed using a military model of Course of Action Simulation Analysis. Participants' performance in the whole program demonstrated a significant improvement in knowledge and skills (P ≤ .001) with high levels of participant satisfaction. Course of Action Simulation Analysis modeling identified three key participant groupings within which only 18% took the "best course of action" (the right actions and timing), with most (70%) completing the right actions but in the wrong order. The remaining 12% produced incomplete assessments and actions in an incorrect sequence. Contemporary approaches such as e-simulation do enhance educational outcomes. Measurement of performance when combined with Course of Action Simulation Analysis becomes a useful tool in the description of outcomes, an understanding of decision making, and the prediction of future events.
Keyword Computer Science, Interdisciplinary Applications
Medical Informatics
Nursing
Computer Science
Medical Informatics
Nursing
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Nursing, Midwifery and Social Work Publications
 
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Created: Fri, 13 Feb 2015, 18:43:37 EST by Dr Fiona Bogossian on behalf of School of Nursing, Midwifery and Social Work