Costs of hospital trauma team simulation training: a prospective cohort study

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Rosqvist , E , Ylönen , M , Torkki , P , Repo , J P & Paloneva , J 2021 , ' Costs of hospital trauma team simulation training: a prospective cohort study ' , BMJ Open , vol. 11 , no. 6 , 046845 .

Title: Costs of hospital trauma team simulation training: a prospective cohort study
Author: Rosqvist, Eerika; Ylönen, Marika; Torkki, Paulus; Repo, Jussi P; Paloneva, Juha
Other contributor: University of Helsinki, Department of Public Health
University of Helsinki, HUS Musculoskeletal and Plastic Surgery

Date: 2021-06-01
Language: eng
Number of pages: 7
Belongs to series: BMJ Open
ISSN: 2044-6055
Abstract: Objectives This study investigated the costs of 2-hour multiprofessional in situ hospital trauma team simulation training and its effects on teams’ non-technical skills using the T-NOTECHS instrument.Background Simulation is a feasible and effective teaching and learning method. Calculating the costs of simulated trauma team training in medical emergency situations can yield valuable information for improving its overall cost-effectiveness.Design A prospective cohort study.Setting Trauma resuscitation room in Central Finland Hospital, Finland.Participants 475 medical professionals in 81 consecutive, simulated trauma teams.Primary and secondary outcome measures Team simulation training costs in 2017 and 2018 were analysed in the following two phases: (1) start-up costs and (2) costs of education. Primary outcome measures were training costs per participant and training costs per team. Secondary outcome measures were non-technical skills, which were measured on a 5–25-point scale using the T-NOTECHS instrument.Results The annual mean total costs of trauma team simulation training were €58 000 for 40 training sessions and 238 professionals. Mean cost per participant was €203. Mean cost per team was €1220. The annual costs of simulation training markedly decreased when at least 70–80 teams participated in the training. Mean change in T-NOTECHS score after simulation training was +2.86 points (95% CI 1.97 to 3.75;+14.5%).Conclusions The greater the number of teams trained per year, the lower the costs per trauma team. In this study, we developed an activity-based costing method to calculate the costs of trauma team simulation training to help stakeholders make decisions about whether to initiate or increase existing trauma team simulation training or to obtain these services elsewhere.Data are available upon reasonable request. Technical appendix and statistical code and data set available from the corresponding author at
Subject: CARE
health economics
medical education & training
trauma management
3121 General medicine, internal medicine and other clinical medicine
3142 Public health care science, environmental and occupational health

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