(4) Pulse Check: Enhancing Pediatric Critical Care Team Performance through High-Impact CPR Coach Rapid Cycle Deliberate Practice Simulations

Abstract : INTRODUCTION
In-hospital cardiac arrest outcomes vary significantly, with survival rates impacted by inconsistent resuscitation quality. To address this, Johns Hopkins developed the CPR Coach role, designating a team member to provide performance feedback and coordinate resuscitation. Integrating CPR Coach simulation training aims to enhance care delivery, particularly in the Pediatric ICU, where high-quality resuscitation is critical.

METHODS
Rapid Cycle Deliberate Practice (RCDP) methodology provided the ability to hardwire the integration of the CPR Coach role into PICU resuscitation ergonomics. A tiered RCDP simulation, increasing in skill complexity, aided in incrementally refining participant performance and CPR coaching. Simulation objectives focused on CPR initiation, rhythm identification, and coordination of interventions to optimize patient outcomes. Participants completed pre-course work prior to attending this three-hour RCDP training session.

RESULTS
Seventy-six multidisciplinary clinicians were trained in the CPR Coach role. Code event data in the PICU was collected both before and after the role’s implementation. Results indicated a 76% improvement in overall CPR performance, with increases in depth compliance (17.24%), compression fraction (9%), and rate compliance (29%). Among the surveyed participants, self-reported confidence rose by 28%, and post-survey knowledge scores averaged 82%. Six-month survey highlights indicated that 75% of CPR Coaches ensured proper pad and backboard placement “every time” or “almost every time,” while 88% utilized Zoll feedback effectively during resuscitations.

CONCLUSION
Tiered RCDP simulation-based training for critical care clinicians effectively enabled rapid acquisition of skills and mastery in the new CPR Coach role, improving performance metrics and enhancing patient care during high-risk, high-stake events.

Please include a short summary of your presentation that highlights why an attendee would want to participate in your session.: To address variability in cardiac arrest outcomes, the CPR Coach role was integrated into Pediatric ICU resuscitation practices. Multidisciplinary clinicians underwent tiered Rapid Cycle Deliberate Practice (RCDP) simulation training. This structured approach aimed to enhance the quality of care during pediatric resuscitations. Discover how simulation-based training can transform resuscitation practices and elevate patient care.