Initiation of a Pediatric Mock Code Program at a Children's Hospital

Med Teach. 2009 Jun;31(6):e241-7. doi: 10.1080/01421590802637974.

Abstract

Background: Pediatric cardiopulmonary arrests are rare. Mock codes were instituted to bridge the gap between opportunity and reality.

Aim: The goal was to improve medical caregivers' skills in pediatric resuscitation.

Methods: All pediatric and internal medicine/pediatric (med/peds) residents were anonymously surveyed pre- and post-intervention about confidence level about codes and code skills. Twenty mock codes were conducted during the 1 year intervention period. Statistical comparisons were made between each resident pre- and post-survey, graduating third-year residents (PGY3s) prior to intervention versus PGY3s with mock codes and pediatric versus med/peds residents.

Results: All residents significantly improved in their perception of overall skill level during the study (p < 0.0001). PGY3s were significantly more confident in their skills than PGY2s or PGY1s and PGY2s were significantly more confident than PGY1s both pre- and post-mock codes (p < 0.0001). Med/peds residents were significantly more confident in their skills than pediatric residents both pre- (p = 0.041) and post-intervention (p = 0.016). The two skills with the lowest score post-intervention were the ability to place an interosseous line and the ability to manage cardiac dysrhythmias.

Conclusions: Pediatric mock codes can improve resident confidence and self-assessment of their resuscitation skills. Data from surveys such as this can be used to design future skill-based educational initiatives.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Cardiopulmonary Resuscitation / education*
  • Child
  • Child, Preschool
  • Clinical Competence*
  • Data Collection
  • Educational Status
  • Female
  • Heart Arrest / prevention & control
  • Heart Arrest / therapy*
  • Hospitals, Pediatric
  • Humans
  • Infant
  • Infant, Newborn
  • Internal Medicine / education
  • Internship and Residency* / methods
  • Male
  • Models, Educational
  • Patient Care Team
  • Pediatrics / education
  • Program Development*
  • Respiratory Insufficiency / complications
  • Respiratory Insufficiency / therapy*
  • Self-Assessment