Effectiveness of Simulation-based Training on Emergency Response Knowledge Among Inter-Professional Staff Involved in Gastrointestinal Endoscopic Practice.

OBJECTIVE

To evaluate the effectiveness of simulation-based training in improving emergency response capabilities during endoscopic practice.

METHODS

Physicians, nurses, laboratory technologists, and clinical engineers working in the endoscopy department were enrolled. The simulation-based training program employed simulation models and was conducted under the guidance of a certified emergency nurse using predefined scenarios. Knowledge tests were administered before, immediately after, and 1 month after the training. Test scores were compared across time points and among professional groups.

RESULTS

Twenty-two participants (14 physicians, seven nurses, and one laboratory technologist) were included. The accuracy rates improved across all items immediately after the training compared with the pre-training outcomes: correct chest compression (p < 0.01), drugs for cardiac arrest (p < 0.01), drugs for anaphylaxis (p = 0.13), indications for defibrillation (p < 0.01), automated external defibrillator (AED) location (p = 0.01), and Code Blue contact number (p < 0.01). However, at 1 month after the training, most items returned to pre-training levels, except for the indications for defibrillation and Code Blue contact number. In the subgroup analysis by profession, when the accuracy rates immediately before and immediately after the training were compared, physicians showed significant improvements in AED location (p = 0.03) and Code Blue contact number (p < 0.01), whereas nurses showed a significant improvement in drugs for cardiac arrest (p = 0.02).

CONCLUSIONS

Simulation-based training is effective in improving emergency response knowledge in gastrointestinal endoscopy. However, repeated or continuous training may be necessary to sustain these gains. Trial Registration: N/A.