R Baby 2022-2023 Grant Updates

Yale School of Medicine ImPACTS: Pediatric Training in ERs to Raise Preparedness For Children Simulation Training

Led by the Yale School of Medicine, R Baby continues to support ImPACTS year over year because of their proven results in improving pediatric emergency care. ImPACTS provides cycles of pediatric simulation-based assessment and training to community ERs where most children are seen. The ImPACTS team initially assesses an ER’s pediatric equipment and supplies and then provides critical pediatric emergency training where it’s most needed. The ERs then receive post-training assessment to identify areas of improvement, assess improvements, and provide additional areas of support.

Components for intervention after simulations include:

• increased frequency of interactions between children’s hospitals and community ERs.

• increased opportunity for interactions between community ERs.

• more specific latest guidance on resources for pediatric care including supplies, equipment and best practices.

• more ongoing simulation-based training enhanced leadership support at community hospitals.
  
  Columbia Presbyterian-INSPIRE Network: The Latest Pediatric Educational Training Shared Globally

  Sponsored by R Baby since its inception as POISE, this collaborative medical education research network develops and shares novel educational training modules, webinars and other resources that result in measurable improvements in the health outcomes of acutely ill infants and children. While the advent of COVID-19 resulted in uncertainty for many organizations, INSPIRE continued to grow and thrive even under these adverse conditions. INSPIRE grew to 1,220 community members, 364 sites in 66 countries and produced almost a 100 peer-reviewed publications. In addition, they have continued to invest in the IPSS-INSPIRE fellowship by supporting four fellows for the class of 2022.
  
  

  Examples of 2022 INSPIRE Funded Projects Include:

  • The development of a virtual simulation curriculum to improve emergency department neonatal resuscitation care among interprofessional teams.

  • The use of Augmented Reality Coaching to improve Pediatric Cardiopulmonary Resuscitation Performance in Community Hospitals Pediatric Emergency Departments.

  • A novel Hybrid Tele-Simulation Septic Shock recognition and treatment program for Resuscitation, Emergency, and Acute Care Education.

  • Using simulation to evaluate seizure cases and management in Community Emergency Departments.

  • Using simulation to Improving Neonatal Resuscitation in Rural Community Hospitals.

  Johns Hopkins: Pediatric Simulation Training for Community ERs

  At three hospitals in Maryland, training is provided using high-fidelity mannequins with content expertise. Participating staff were surveyed at the end of the year at each site and found 99% of those surveyed reported increased comfort with pediatric patients from having participated in the scenarios,94% hoped their departments would continue the simulation sessions in the future and 96% reported seeing positive changes in their emergency department’s preparedness for children as a result of participation in the project. Additionally, all 100% felt in situ simulation was a valuable teaching modality.

  Survey data from participants shows they uniformly felt more comfortable with pediatric emergencies after participating in the program.

  University of Mississippi Medical Center Training Through the Pediatric Advance Resuscitation Training and Emergency (PARTNER) Program: Resuscitation Education and Training in Rural Hospitals in Mississippi

  The Pediatric Advanced Resuscitation Training and Emergency Readiness (PARTNER) program provides resuscitation education and training to providers in rural hospitals across Mississippi and can serve as a model for other rural hospitals across the country.

  Many small community-based emergency providers do not have the resources necessary to provide optimum clinical stabilization for young patients who present with life-threatening medical emergencies. This gap can be a result of an infrequency of pediatric encounters, the lack of specialized equipment, the funding available to pay for training or even inadequate staffing levels.

  The University of Mississippi Medical Center’s Pediatric and Neonatal Transport Teams created the PARTNER program and are implementing it across the state. This four hour course includes information, hands-on simulation training and a leave-behind ‘kit’ with neonatal and pediatric resuscitation supplies that might be needed while managing a pediatric emergency. The training is designed to help reduce the high mortality rate of our youngest and most vulnerable citizens by improving the management of pediatric emergencies. The vision is to provide children in Mississippi’s most rural communities the greatest chance of survival when a serious illness or injury occurs.

  Life-saving training was delivered to rural hospital facilities throughout Mississippi. This training
  has given them a better understanding, and the equipment necessary, to help resuscitate pediatric and infant patients facing medical emergencies.

  Goryeb Children’s Hospital: Pediatric Sepsis Research and Training

  Thanks to the continued support of the R Baby Foundation, Goryeb Children’s Hospital has made significant progress in developing and implementing a dedicated pediatric sepsis program. Despite the pandemic, they’ve made excellent progress in sepsis data collection with over 40 variables per patient to reduce the time from diagnosis to intervention. In addition, they were able to reduce the time from recognition of potentially septic patients to administration of IV antibiotics from 154 minutes to 113 minutes and reduce the number of days patients remain on antibiotics from 18 days to 9 days.

  Goryeb Children’s Hospital has been collecting and submitting data to a national collaborative called Improving Pediatric Sepsis Outcomes (IPSO) since 2017. IPSO is focused on 5 key processes proven to decrease mortality and improve outcomes in pediatric sepsis:

  • sepsis trigger activation
  • sepsis huddle activation
  • sepsis order set utilization • time to first fluid bolus
  • time to first antibiotic

  2020 Grants

  2019 Grants

  2017 Grants