• Sophie Rubio-Gurung, Guy Putet, Sandrine Touzet, Hélène Gauthier-Moulinier, Isabelle Jordan, Anne Beissel, Jean-Marc Labaune, Sébastien Blanc, Nassira Amamra, Catherine Balandras, René-Charles Rudigoz, Cyrille Colin, and Jean-Charles Picaud.
• Gyneco-Obstetrical Unit, Croix-Rousse University Hospital, NICU, Croix-Rousse University Hospital, and sophie.rubio-gurung@chu-lyon.fr.
• Pediatrics. 2014 Sep 1;134(3):e790-7.

ObjectivesHigh-fidelity simulation is an effective tool in teaching neonatal resuscitation skills to professionals. We aimed to determine whether in situ simulation training (for ∼80% of the delivery room staff) improved neonatal resuscitation performed by the staff at maternities.MethodsA baseline evaluation of 12 maternities was performed: a random sample of 10 professionals in each unit was presented with 2 standardized scenarios played on a neonatal high-fidelity simulator. The medical procedures were video recorded for later assessments. The 12 maternities were then randomly assigned to receive the intervention (a 4-hour simulation training session delivered in situ for multidisciplinary groups of 6 professionals) or not receive it. All maternities were evaluated again at 3 months after the intervention. The videos were assessed by 2 neonatologists blinded to the pre-/postintervention as well as to the intervention/control groups. The performance was assessed using a technical score and a team score.ResultsAfter intervention, the median technical score was significantly higher for scenarios 1 and 2 for the intervention group compared with the control group (P = .01 and 0.004, respectively), the median team score was significantly higher (P < .001) for both scenarios. In the intervention group, the frequency of achieving a heart rate >90 per minute at 3 minutes improved significantly (P = .003), and the number of hazardous events decreased significantly (P < .001).ConclusionsIn situ simulation training with multidisciplinary teams can effectively improve technical skills and teamwork in neonatal resuscitation.Copyright © 2014 by the American Academy of Pediatrics.

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