Skip to main content

Table 3 Number of participants who successfully completed each sub-item on simulation scenario OSCE checklist pre- and post-intervention (n = 24)

From: Implementation and evaluation of a shock curriculum using simulation in Manila, Philippines: a prospective cohort study

Sub-item Pre-Interventiona
n (%)
Post-Interventiona n (%) Mean Difference
(95% CI)
p Value†
Checks VS 24 (100) 24 (100) 0 (− 0.04 to 0.04) 1
Includes BP, RR, SPO2, HR 7 (29) 7 (29) 0 (− 0.2 to 0.2) 1
Assesses for malnutrition 4 (17) 18 (75) −0.58 (− 0.85 to − 0.31) < 0.01
Assesses airway 12 (50) 20 (83) − 0.33 (− 0.65 to − 0.02) 0.06
Assesses breathing 7 (29) 8 (33) − 0.04 (− 0.22 to 0.14) 1
Places O2 11 (46) 23 (96) −0.5 (− 0.77 to − 0.23) < 0.01
Administers O2 correctly 11 (46) 23 (96) −0.5 (− 0.77 to − 0.23) < 0.01
Checks pulse 17 (71) 12 (50) 0.21 (− 0.03 to 0.45) 0.13
Pulse central 1 (4) 0 (0) 0.04 (−0.08 to 0.16) 1
Checks capillary refill 8 (33) 20 (83) −0.08 (− 0.35 to 0.19) 0.73
Initiates fluids within 5 min 24 (100) 24 (100) 0 (−0.04 to 0.04) 1
Correct fluid choice 0 (0) 13 (54) −0.58 (− 0.82 to − 0.34) < 0.01
Attempts IO needle placement 24 (100) 24 (100) 0 (−0.04 to 0.04) 1
Places IO correctly 8 (33) 23 (96) −0.63 (− 0.86 to − 0.39) < 0.01
Rechecks VS 24 (100) 22 (92) 0.08 (−0.07 to 0.24) 0.5
Includes BP, RR, SPO2, HR 6 (25) 5 (21) 0.04 (−0.14 to 0.22) 1
Reassesses patient 17 (71) 21 (88) −0.17 (− 0.4 to 0.06) 0.22
Includes lung auscultation and palpation of liver edge in reassessment 0 (0) 11 (46) −0.46 (− 0.7 to − 0.22) < 0.01
Checks glucose 11 (46) 23 (96) −0.5 (− 0.74 to − 0.26) < 0.01
Administers dextrose 11 (46) 21 (88) − 0.42 (− 0.66 to − 0.18) < 0.01
Correct dextrose dose 10 (42) 21 (88) −0.46 (− 0.7 to − 0.22) < 0.01
  1. Abbreviations: BP Blood pressure; CI Confidence interval; HR Heart rate; IO Intraosseous; O2 Oxygen; RR Respiratory rate; SPO2 Oxygen saturation by pulse oximetry; VS Vital signs
  2. an = 24 both pre- and post-intervention
  3. †Comparisons were made by McNemar’s paired proportions. Bold font indicates statistical significance