1. Simulation-based education to improve management of refractory anaphylaxis in an allergy clinic.
- Author
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Copaescu, Ana M., Graham, Francois, Nadon, Nathalie, Gagnon, Rémi, Robitaille, Arnaud, Badawy, Mohamed, Claveau, David, Roches, Anne Des, Paradis, Jean, Vincent, Matthieu, and Bégin, Philippe
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ANAPHYLAXIS , *SCHOOL administration , *ALLERGIES , *MEDICAL simulation , *MEDICAL education , *MANAGEMENT education , *SIMULATED patients - Abstract
Background: High-fidelity simulations based on real-life clinical scenarios have frequently been used to improve patient care, knowledge and teamwork in the acute care setting. Still, they are seldom included in the allergy-immunology curriculum or continuous medical education. Our main goal was to assess if critical care simulations in allergy improved performance in the clinical setting. Methods: Advanced anaphylaxis scenarios were designed by a panel of emergency, intensive care unit, anesthesiology and allergy-immunology specialists and then adapted for the adult allergy clinic setting. This simulation activity included a first part in the high-fidelity simulation-training laboratory and a second at the adult allergy clinic involving actors and a high-fidelity mannequin. Participants filled out a questionnaire, and qualitative interviews were performed with staff after they had managed cases of refractory anaphylaxis. Results: Four nurses, seven allergy-immunology fellows and six allergy/immunologists underwent the simulation. Questionnaires showed a perceived improvement in aspects of crisis and anaphylaxis management. The in-situ simulation revealed gaps in the process, which were subsequently resolved. Qualitative interviews with participants revealed a more rapid and orderly response and improved confidence in their abilities and that of their colleagues to manage anaphylaxis. Conclusion: High-fidelity simulations can improve the management of anaphylaxis in the allergy clinic and team confidence. This activity was instrumental in reducing staff reluctance to perform high-risk challenges in the ambulatory setting, thus lifting a critical barrier for implementing oral immunotherapy at our adult center. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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