Decay in Blood Loss Estimation Skills After Web-Based Didactic Training

作者:Toledo Paloma*; Eosakul Stanley T; Goetz Kristopher; Wong Cynthia A; Grobman William A
来源:Simulation in Healthcare, 2012, 7(1): 18-21.
DOI:10.1097/SIH.0b013e318230604f

摘要

Introduction: Accuracy in blood loss estimation has been shown to improve immediately after didactic training. The objective of this study was to evaluate retention of blood loss estimation skills 9 months after a didactic web-based training.
Methods: Forty-four participants were recruited from a cohort that had undergone web-based training and testing in blood loss estimation. The web-based posttraining test, consisting of pictures of simulated blood loss, was repeated 9 months after the initial training and testing. The primary outcome was the difference in accuracy of estimated blood loss (percent error) at 9 months compared with immediately posttraining.
Results: At the 9-month follow-up, the median error in estimation worsened to -34.6%. Although better than the pretraining error of -47.8% (P = 0.003), the 9-month error was significantly less accurate than the immediate posttraining error of -13.5% (P = 0.01).
Conclusion: Decay in blood loss estimation skills occurs by 9 months after didactic training. (Sim Healthcare 7:18-21, 2012)