INSPIRE Network 2015-2016 Annual Report

INSPIRE Network
Annual Report
2015-2016

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International Network for Simulation-based Pediatric Innovation, Research and Education

INSPIRE NETWORK REPORT
2015-2016
Mission & Vision
Mission: To improve the delivery of medical care to acutely ill
children and ultimately improve survival from acute illness in
the pediatric population.
Vision: To bring together all individuals working in pediatric
simulation-based research to shape and mold the future of
pediatric simulation research by answering important
questions pertaining to resuscitation, technical skills,
behavioral skills, debriefing and simulation-based education.

History
The INSPIRE Network is the International Network for Simulation-based Pediatric Innovation, Research,
and Education. INSPIRE was formed in 2011 from a large group of pediatric simulation-based researchers
from a variety of disciplines and specialties looking to improve collaboration, mentorship, and
productivity. We merged two large-scale existing pediatric simulation research networks, EXPRESS and
POISE, into INSPIRE in 2011.

Organizational Structure
This process has brought down the walls between institutions through shared resources and a mutual
understanding of each other’s work towards a common goal. Our work has helped synergize ongoing
projects in overlapping domains. We are not a formal academic society; rather, we are a bottom-up,
grassroots organization that has formed to meet the needs of the rapidly changing landscape of pediatric
simulation research. The network has been extremely productive in advancing and guiding simulation-
based research activities. We provide a structure and process of mentorship to junior investigators.
Resources to our members include an online database of ongoing studies and investigators, access to a
research coordinator, librarian and statistician, online data sharing infrastructure (video, survey, database
management) and a manuscript oversight committee for pre-publication review.
INSPIRE is led by a diverse and inter-professional executive
committee from institutions across the globe:
Co-chairs
Adam Cheng MD, Alberta Children’s Hospital, Canada
Marc Auerbach MD, MSc, Yale University, USA
Research chair
David Kessler MD, MSc, Columbia University, USA

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International chair
Ralph Mackinnon MD, Royal Manchester Children’s Hospital, UK
Technology chairs
Todd Chang MD, Children’s Hospital of LA, USA
Jordan Duval-Arnould, Johns Hopkins University, USA
Manuscript Oversight Committee chair
Vinay Nadkarni MD, Children’s Hospital of Philadelphia, USA
Senior co-chairs
Elizabeth Hunt MD, PhD, Johns Hopkins University, USA
Martin Pusic MD, PhD, New York University School of Medicine, USA

L to R: Adam Cheng, Ralph MacKinnon, Nicola Peiris, Betsy Hunt, Vinay Nadkarni, Marc Auerbach, David
Kessler, Jordan Duval-Arnould, Todd P Chang. Missing: Martin Pusic
Research Committee
David Kessler (Chair), MD, Columbia University; Jonathan Duff, MD, Stollery Children’s Hospital; Nancy
Tofil MD, Children’s Hospital Alabama; Aaron Calhoun, MD, Kosair Children’s Hospital; Akira Nishisaki,
MD, Children’s Hospital of Philadelphia; Frank Overly, MD, Hasbro Children’s Hospital; Linda Brown, MD,
Hasbro Children’s Hospital; Mark Adler, MD, Lurie Children’s Hospital

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Spotlight on Success!
Look for the ‘Spotlight On Success Boxes’ to see some of INSPIRE’s recent accomplishments

INSPIRE Network Membership

Members 650
Sites 230
Countries 40
Spotlight On Success

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Research Process and Network Support Structure
Investigators are encouraged to begin their work by (1) submitting an ALERT presentation that is a brief
description of their idea. Next, (2) the investigator is paired with a mentor and provided the “lay of the
land” of ongoing research in that area to promote collaboration across projects. The investigator then
conducts a (3) systematic review of the literature and plans an initial pilot study. The (4) pilot study
methods are reviewed by the INSPIRE executive and shared with the network to recruit collaborators for
a subsequent collaborative study. (5) The executive helps to facilitate multicenter studies with IRB
templates, scope of work templates, data use agreements, collaborative oversight and clear expectations
from the start. INSPIRE can also provide specialty consultation with leading experts in biostatistics,
educational research, technology and psychometrics. When the team has completed their work, (6) the
manuscript oversight committee provides a pre-review of the work product and guidance on submission
for publication. Additionally, (7) for selected projects the executive helps to provide letters of support for
grant submission. In exchange for this support the INSPIRE investigator provides acknowledgement of
INSPIRE in any presentation/publication and support for the INSPIRE administration on grants. See Figure
for details.
Figure: INSPIRE Research Process and Network Support Structure

Young
Invesggator
with Research
Idea
• Online Research Series
• Senior INSPIRE mentor (via online mentor match) to help with establishing research goals and development of 1 page
“specific aims” page

Systemagc
Review or
Needs
Assessment
• INSPIRE Research Coordinator to assist with methodology for systemagc review
• INSPIRE Librarian to assist with literature search

Pilot Study
• Review and revise study protocol with INSPIRE mentor
• Review study protocol with INSPIRE technology director to discuss possible tech-assisted outcome measures
• Review with INSPIRE stagsgcal consultant to solidify analysis plan, feasibility, and power analysis

Mulgcenter
Study
• INSPIRE sciengfic commijee to review protocol and grant proposal
• INSPIRE website to assist in finding collaborators and recruitment sites
• INSPIRE research portal for data collecgon
• Data analysis and submission to Manuscript Oversight Commijee (MOC)

Knowledge
Translagon
• INSPIRE research assistant and graphic designer to assist with poster preparagon
• INSPIRE wrigng group and sciengfic commijee to assist with review of manuscripts and miggagon of authorship issues
and byline
• Submission of manuscript for peer review, amend with mentor and wrigng group, publish

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INSPIRE Research Themes
INSPIRE has conducted a series of consensus conferences to identify themes of inquiry within pediatric
simulation. This framework will guide our network’s focus over the next five years.
Training and Assessment
Debriefing Develop/assess/implement effective techniques for debriefing real/sim events
IPE, Teamwork,
Communication
Develop/assess/implement effective techniques for team training
Procedural,
Psychomotor Skills
Develop/assess/implement effective techniques for skills development retention

Innovation and Technology
Technology
Develop/assess/implement novel technologies to improve processes of care and
pediatric outcomes
Acute Care and
Resuscitation
Develop/assess/implement novel techniques for improving care of pediatric
patients
Human Factors Assess the roles of human factors when providing care to pediatric patients
Patient Safety
Explore the key variables that influence patient safety and assess strategies to
mitigate

Spotlight On Success:
INSPIRE investigators
published Reporting
Guidelines for Simulation
Research – the first ever
paper jointly published by all
4 healthcare simulation
journals

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New INSPIRE Projects Presented in 2016
Project Lead
Investigator
Lead
Institution
Description Current Status
Team Leadership During
Neonatal Resuscitation
Noorjahan
(Nora) Ali
University of
Colorado –
Children’s
Hospital of
Colorado
Over 12 months we aim to improve
identification of team leader during
actual resuscitation in CHCO NICU
from 51% to 80% through the use
of educational methods that focus
on key elements of team
leadership.
In development
Impact of Physical Presence
vs. Telepresence of Team
Leader on Teamwork and
Communication in
Simulated Pediatric
Emergency Cases: An RCT
Lucas Butler Yale School
of Medicine
To determine if physical presence
is better than telepresence on
Teamwork and communication in
pediatric emergency cases.
In development
In situ Simulation Education
For Families of Chronically Ill
Survivors of Critical Illness
Sandeep
Gangadharan
Cohen
Children’s
Center
To provide education to caregivers
to improve quality of life for
children who are chronically ill.
In development
In situ Simulation to Detect
Latent Safety Threats in
Process of Critical Care
Transport
Sandeep
Gangadharan
Cohen
Children’s
Centre
To develop a safe transport system
for critical care transport.
In development
Rapid Cycle Deliberate
Practice as a Method to
Improve Airways
Management Skills in
Pediatric Residents.
Isabel T Gross University of
South
Florida
Methods need to be identified to
optimize instructional simulation
design to achieve goals of the
simulation learner. RCDP as a
method of simulation debriefing
has been show to improve
pediatric resident resuscitation
skills. Micro-debrief with reflection-
on-action “pause and
discuss/rewind” as a form of post-
event debriefing may be
differentiated from micro-
debriefing with the event with
reflection-in-action.
Study
Completed.
Improving Success Rates of
Neonatal Lumbar Punctures
Through Positioning
Scott
Herskovitz
Inova
Children’s
Hospital
Recent studies with ultrasound
demonstrate that the greatest
interspinous space achieved was in
seated position with flexion of hips.
Decreased o2 saturations most
notable in the lateral decubitus
In development

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position with knees to chest.
Success amongst novices range
from 35 – 50%.
PALS on Demand in Skill
Training
Hye-Young
Jang
The Center
for
Simulation,
Advanced
Education
and
Innovation
at the
Children’s
Hospital of
Philadelphia
“PALS deconstructed” study
showed on the job/in situ training
program was not inferior to
conventional PALS recertification.
Heartcode can cover cognitive
knowledge skills education and
testing. Resuscitation Quality
Improvement (RQI) care is
developed to frequently provide
PALS psychomotor skills. On the
job/in situ simulation and post-
event debriefing can cover
communication/teamwork skills.
In development
A Prospective Study
Investigation the
Measurement of Biometric
Parameters of Critical Care
Practitioners in Various
Clinical Scenarios Using the
Wearable Performance
Tracking Device Known as
Hexoskin.
Nicholas
Slamon
Nemous/duP
ont Hospital
for Children
The measurement of biometric
parameters in critical care
physicians in various work
scenarios has never before been
reported. This study hopes to first
describe the biometrics of critical
care practitioners in simulated
stressful environments and explore
if biofeedback can alter those
parameters
In development
Teaching Infant CPR in the
Pediatric Emergency
Department
Joo Lee Song Children’s
Hospital Los
Angeles
No prior study has been conducted
that looks at VSI (video self-
instruction) infant CPR training
completed in a pediatric
emergency department setting.
Laypersons may learn BLS is 24
minutes vs. 6 hour course.
Recruitment
Factors Associated With
High Quality Pediatric Care
by Paramedics Using In-situ
Simulation
Barbara M
Walsh
Cohens/Hofs
tra, UMASS
Paramedic protocols differ from
state to state. EMS groups vary
widely in composition and
experience. Exposure to critical
events is low frequency/high
stakes. Pediatric training is limited
but highly desired.
In development
Improving Pediatric Acute
Care in Community EDs
Through Collaborative
Simulation
Travis Whitfill Yale
University
This project provides elucidated
areas for improvement at both
provider and systems level. This
proposal is to leverage these
findings to serve as a needs
In development

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assessment to inform the
development of an effective low
cost pediatric resuscitation
improvement program (PRIP)
compared to PECC alone.

INSPIRE Projects Presented in 2015
Project
Lead
Investigator
Lead
Institution
The use of Leaderboards &
Competition to improve
self-initiated CPR training
T. Chang Children’s
Hospital Los
Angeles
International, multi-institutional
randomized control-crossover
study examining the effect of a
competitive leaderboard on usage
frequency and performance on
simulated CPR skills.
Grant funding
obtained.
Recruitment.
Resuscitating Teamwork and
Safety Using
Acute Event Debriefing
M. Moga Ann &
Robert H.
Lurie
Children’s
Hospital of
Chicago
Nurse-led, acute event debriefing
for patients suffering cardiac arrest
in the ICU.
In development.
The effect of summative
feedback on the accuracy of
provider perceptions and
the quality of CPR during a
simulated pediatric cardiac
arrest
L. Brown University/
Hasbro
Children’s
Hospital
CPR certified healthcare providers;
1) summative feedback re: quality
of CPR; 2) HCP with no summative
feedback. Test improved quality of
CPR and improved accuracy of HCP
perceptions.
In development.
The use of Leaderboards &
Competition to improve
High School CPR training
R. MacKinnon Royal
Manchester
Children’s
Hospital
Examining the effect of a
competitive leaderboard on usage
frequency and performance on
simulated CPR skills in highschools.
Recruiting sites.
Integrating Cognitive Aids
(INCA)
D. Bould Children’s
Hospital of
Eastern
Ontario,
University of
Ottawa
Use of knowledge-based cognitive
aids in interprofessional teams.
PSI funding
received.
Recruitment.
Pediatric Simulation in Rural
India: PedSRI Study
S.
Thyagarajan
PediSTARS
India

Develop a structured Simulation
training program to address
recognition, stabilization and
transfer to a higher centre & study
In development.

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the impact on patient outcomes.
NRP eSimulation A. Ades Children’s
Hospital of
Philadelphia
Comparison of eSim to video
review to no training after initial
NRP course for enhancing
retention at 6 months.
Finalizing study
population &
intervention
arm.
Measurement of Stress
Levels in Simulation and the
Impact of Stress on
Performance: Announced
Versus Unannounced
Simulation Based Training
S. Lyons Bristol
Medical
Simulation
Centre
Measuring Impacts of stress on
performance, and physiological and
biochemical changes associated
with the stress response using
announced versus unannounced
simulation based training.
In development.
Development of a Pediatric
Simulation Curriculum and
Database Collaborative
T. Stavroudis

Children’s
Hospital Los
Angeles

To form a pediatric simulation
curriculum collaborative to
establish a core group of educators
and simulationists to build a
credentialed, centralized pediatric
simulation scenario platform and
database that utilizes the ABP
Board Content Specifications and
ACGME Core Competencies and
Developmental Milestones as the
core principles of the curriculum.
Establishing
infrastructure
and identifying
grant sources.
Script Assisted Feedback to
Educate (SAFE Tool)

E. Sigalet Sidra
Research
and Medical
Center
Testing the SAFE tool to support
debriefers in using a structured
approach with all forms of
feedback to optimize learning.
Research design
in development.
Improving the quality of
team training and
performance during
interprofessional in situ
mock code blue simulations:
A randomized controlled
mixed-methods study
C. Walsh Hospital for
Sick Children

Comparing just in time training to
no training for interprofessional
teams in mock in-situ code blue
simulations.

IRB Complete.
Funded. Starting
recruitment
phase.

Five papers have been published
from the ImPACTS study!
Biggest impact was published in
JAMA Pediatrics in September
(2000 views to date)

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INSPIRE Projects Presented In 2014 (Ongoing / Completed)
Project
Lead
Investigator
Lead
Institution
Improving Basic Life Support
and Outcomes from Cardiac
Arrest: Implementation and
Evaluation of the American
Heart Association’s
Resuscitation Quality
Indicator (RQI) CPR Training
Program
A. Cheng Alberta
Children’s
Hospital
The objective of this study is to
evaluate the effectiveness of the
AHA’s RQI program when
compared with traditional annual
BLS recertification (for pediatric
healthcare providers).
Grant funding
received.
Recruitment.
Development of simulation-
based assessment tools for
the general pediatrics
milestones
L. Mallory Maine
Medical
Center
Will use a modified Delphi method
with group of pediatric simulation
experts and program directors to
identify priority areas for
simulation-based assessment
aligned with the ACGME Next
Accreditation System Pediatric
Specialty Milestones.
Survey phase
complete.
Developing
assessment
tools in 3
prioritized
areas.
Manuscript
preparation.
Use of Simulation in Limited
Resource Countries. How
can it be done?

D. Moro-
Sutherland
Texas
Children’s
Hospital
Two projects have come out of the
original presentation during the
INSPIRE meeting at IMSH 2014.
1. Education through low-cost
simulation in the global health
arena
2. Use of Simulation in Limited
Resource Countries: How can it be
done?
1. Low cost sim
repository
housed b/w
Open Pediatrics
& IPSS.
2. Low cost sim
cases written.
Pilot in Feb
2016.
Incorporate sim
into curriculum
by summer
2016.
Handheld High Fidelity
Simulation Training For IV
Catheterization

D. Weiner
M.
Ottensmeyer
Boston
Children’s
Hospital/Har
vard Medical
School
Build/use handheld high fidelity
haptic simulation training device to
teach PIV catheterization
anywhere, anytime independent of
infrastructure. Plan to compare to
traditional methods of learning i.e.
IV arm, instructor.
INSPIRE
multicenter
study in
planning stage.
The effect of random leader
role assignment on task and
team performance during
S. Ambati Cohen
Children’s
Medical
The main aim of this project is to
show pre-designated leader role
will improve team performance
Recruitment in
progress.

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CPR

Center of
NY, NSLIJ
and to see whether physician or
the nurse in the leader role will
make a difference. Intervention-
groups that has pre-designated
leader role. Control – No leader
role.
A Virtual Pediatric Simulator
(VPS) For Emergency
Scenario Training of Military
Medical Personnel

J. Gerard Saint Louis
University

Project funded by the ONR to
develop a game-based virtual
reality simulator for training on
high-stakes pediatric emergency
medicine scenarios.
Scenarios in
development.
User testing and
validation study
in summer
2015.
Resuscitation Review to
Guide Educational
Interventions

A. Ruscica
D. Kessler
Morgan
Stanley
Children’s
Hospital,
Columbia
University,
New York
Pediatric Emergency medicine
practitioners will identify a variety
of key points learned or reviewed
during resuscitations they have
been involved in. These key points
identified during resuscitations will
be areas that the rest of the
pediatric emergency staff would
like more education on and identify
as low self-efficacy topics.
Final phase of
data collection.
Improving realism of PALS-
courses with smart
simulation tools & children
W. Burkhard
et al
PSRCS
Pediatric
Simulation
Research
Collab.
Southtyrol

Currently only use BLS and ALS
mannequins during PALS courses.
Introduce tablet patient monitors
an all PALS stations. Use of real
sound sequences on 2 of 3 practical
stations comparing learning
outcomes of students in differently
equipped teaching stations.
Integration of real children. Change
of skin color.
Research
protocol in
development.
Simulation using the
PECARN Head Trauma Rule
to Reduce CT Imaging

K. Ching New York
Presbyterian
Hospital -
Weill Cornell
Medical
Center,
Mount Sinai
Hospital
Limiting unnecessary CT scans for
children with head trauma.
PECARN clinical prediction rule
helps identify children with very
low risk for TBI( Traumatic Brain
Injury). Objective of this trial is to
develop a pediatric simulation
exercise illustrating the use of the
PECARN clinical prediction rule.
Second year of
pilot study is
complete. Now
enrolling
subjects for
multi-center
prospective
randomized
control
educational
intervention
study involving
6 sites.

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Research Project Funding for INSPIRE Network Members from 2015-2016
Year Project and Funding Agency
2016-2021 Simulation-based Pediatric Research Collaborative (SPARC) Network for Trauma
With: Dr. Vinay Nadkarni, Dr. Nancy Kassam-Adams, Children’s Hospital of Philadelphia
*Applied for Funding to: National Institutes of Health, Child Health and Development Branch
$3,750,000 USD
2016-2019 Advancing Family Centered Care and Quality Self-Assessment for Pediatric Resuscitation Readiness
With: Dr. Travis Whitfill (Co-I)
Funded By: Health Resources and Services Administration in the United States
$250,000
2016-2019 Implementing Simulation Based Education in Managing Maternal Newborn and Child Health Emergencies
in a Resource-Constrained Setting: A Global Health Initiative to Save Lives in East Africa (SIM for Life)
With: Dr. Adam Cheng (Senior Investigator), Alberta Children’s Hospital and University of Calgary
Funded By: ELMA Philanthropies Foundation
$1,089,602 CAD
2016-2019 Implementing Simulation Based Education in Managing Maternal Newborn and Child Health Emergencies
in a Resource-Constrained Setting: A Global Health Initiative to Save Lives in East Africa (SIM for Life)
With: Dr. Adam Cheng (Senior Investigator), Alberta Children’s Hospital and University of Calgary
Funded By: Laerdal Foundation for Acute Medicine
$630,00 CAD
2016-2019 Improving Rural Pediatric Emergency Care Through Tele-Simulation
With: Dr. Jessica Katznelson (PI), Johns Hopkins University
Funded BY: AHRQ
$250,000 USD (costs per year)
2016-2017 Simulation-based regional training of pre-hospital first responders on infant delivery and stabilization
With: Dr. Rita Dadiz and Dr. Melissa Carmen (PIs), University of Rochester Medical Center
Funded by: American Academy of Pediatrics District Education Grant
$4,000.00
2016-2017 Global development of CPR as a Life Skill for High School Leavers
With: Dr. Ralph MacKinnon (PI), Royal Manchester Children’s Hospital, Central Manchester University
Hospitals NHS Foundation Trust
Funded by: Laerdal Foundation
£12,000 GBP
2016-2017 Project Title: Improving Cardiac Arrest Outcomes with Resuscitation Research (iCORE)
With: Adam Cheng (PI), University of Calgary
Funded By: Office of the Associate Dean of Research, Enhanced Bridge Funding Program, Cumming School
of Medicine
$25,000 CAD
2016-2017 Optimal Serial Training Frequency for Attainment and Maintenance of High-Quality CPR using Real-Time
Automated Performance Feedback Combined with Verbal Feedback from a CPR Instructor
With: Rob Anderson (PI), Northern Ontario School of Medicine, Adam Cheng, Alberta Children’s Hospital
Funded By: Northern Ontario Academic Medicine Association, Clinical Innovation Opportunities Grant
$50,000 CAD

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2016-2017 Enhancing Medicosurgical Manual Skill Learning with Transcranial Direct Current Stimulation
With: Adam Cheng (PI), Alberta Children’s Hospital
Funded By: Health Science and Medical Education Research and Innovation Grant, Office of Health and
Medical Education Scholarship, University of Calgary
$9,915 CAD
2016-2017 A Simulation-based Intervention Teaching Illness Management Skills to Caregivers of Children with Adrenal
Insufficiency: a Randomized Controlled Study
With: Vincent Grant and Adam Cheng, Alberta Children’s Hospital
Funded By: Department of Pediatrics Innovation Grant
$24,260 CAD
2016 Development of Simulation-Based Tools for the Assessment of Interprofessional Teamwork in Pediatric
Residents
With: Leah Mallory (PI), Barabara Bush Children’s Hospital, Zia Bismilla, SickKids, Pavan Zaveri, Children's
National Health System, Tehnaz Boyle, Boston Medical Center, Wendy Van Ittersum, Akron Children’s
Hospital, Marjorie Lee White, Children’s Hospital Alabama, Karen Mangold, Northwestern University
Funded By: 2016 Maine Medical Center Educational Innovations Grant
$20,000 USD
2016 Connecticut Emergency Medical Services State Partnership Grant
With: Dr. Marc Auerbach (PI), Pina Violano (PI), Marcie Gawel RN (PI), Dr. Mark Cicero (PI), Yale University
Funded BY: HRSA: MCHB: EMSC SP Grant
2016 Disaster Preparedness and Response, CT Statewide Pediatric Disaster Coalition
With: Dr. Mark Cicero, Pina Violano, Marc Auerbach, James Parker, Yale University
Funded By: American Academy of Pediatrics and Center for Disease Control
$5000 USD(costs per year)
2015-2018 Consolidating tools for outcomes in resuscitation (CONTOUR)
With: Dr. Dylan Bould (PI), Dr. Sylvain Boet, University of Ottawa, Dr. Farhan Bhanjji, Montreal Children’s
Hospital, Dr. Adam Cheng, Alberta Children’s Hospital and University of Calgary, Dr. Marc Auerbach, Yale
University, Dr. Linda Brown, Hasbro
Funded By: Physicians’ Services Incorporated Foundation
$248,500 CAD
2015-2017 In-hospital QCPR Competition: An International Leaderboard Study
With: Dr. Todd Chang (Collaborator), Children’s Hospital Los Angeles
Funded By: American Heart Association
2015-2017 North West School’s development of a global CPR life skill’s initiative
Prof. Ralph MacKinnon (PI), Royal Manchester Children’s Hospital, Central Manchester University Hospitals
NHS Foundation Trust
Funded by: Enhancing Learning Environments for the support of NHS funded Healthcare education /
Training programmes, Forerunner Fund, Health Education North West
£75,000 GBP
2015-2017 Improving paediatric trauma care through targeted onsite simulation and crisis checklist implementation –
“a child and hospital centred Paediatric Trauma Program”
With: Ralph MacKinnon (PI), Royal Manchester Children’s Hospital, Central Manchester University
Hospitals NHS Foundation Trust
Funded by: Enhancing Learning Environments for the support of NHS funded Healthcare education /
Training programmes, Forerunner Fund, Health Education North West

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£75,000 GBP
2015-2017 The Effect of a New Training Program on CPR Quality of Paediatric Healthcare Providers: A Randomized
Trial with Economic Evaluation
With: Dr. Adam Cheng (PI), Alberta Children’s Hospital and University of Calgary
Funded By: The Royal College of Physicians and Surgeons of Canada, Medical Education on Research Grant
$50,000 CAD
2015-2017 Teaching and Assessing Cost- and Time-effective Patient Care using Serious Gaming Strategies
With: Dr. Todd Chang (PI), Children’s Hospital Los Angeles
Funded by: Stemmler Fund, National Resident Matching Program
$150,000 USD
2015-2017 Using leaderboards to improve CPR simulation practice among healthcare professionals
With: Dr. Todd Chang (PI), Children’s Hospital Los Angeles
Funded by: American Heart Association Western States Affiliates Grant-in-Aid
$140,000 USD
2015-2017 Leaderboards for Improving CPR Training in Schools
With: Dr. Ralph MacKinnon, Royal Manchester Children’s Hospital
Funded By: Health England Research Grant
$100,000 USD
2015-2016 Neonatal Intubation Competency Assessment Tool (NICAT): Development and Validation Study
With: Drs. Zia Bimsilla, Emer Fian, Catharine Walsh, University of Toronto
Funded By: Canadian Pediatric Society Neonatal Resuscitation Program Grant
$25,000
2015-2016 Improving paediatric trauma care through targeted onsite simulation and crisis checklist implementation –
a child and hospital centred Paediatric Trauma Program
Prof. Ralph MacKinnon (PI), Royal Manchester Children’s Hospital, Central Manchester University Hospitals
NHS Foundation Trust
Funded by: Royal Manchester Children’s Hospital
£10,000 GBP
2015-2016 Optimizing Integration of CPR Feedback Technology with CPR Coaching for Cardiac Arrest
Funded By: Heart and Stroke Foundation of Alberta Seed Grant
$45,000 CAD
2015-2016 Improving CPR Quality of Pediatric Healthcare Providers with Longitudinal Training and Real-Time CPR
Feedback: A Randomized Trial with Economic Evaluation
$24,932 CAD
2015-2016 Pilot Evaluation of a Novel CPR Feedback Device in PICU: Can We Improve the Quality of CPR we Deliver to
Patients?
$23,020 CAD
2015-2016 INSPIRE Network Training for Pediatric Emergency Care
With: Dr. David Kessler (PI), Columbia University College of Physicians & Surgeons
Funded by: RBaby Foundation
$55,318 USD

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2014-2018 Assessing Simulation in Pediatrics: Improving Resuscitation Events: KidSIM-ASPIRE Simulation Research
Program Infrastructure Grant
With: Dr. Adam Cheng (PI), Alberta Children’s Hospital and Dr. Vincent Grant, University of Calgary
Funded by: Alberta Children’s Hospital Research Institute, Alberta Children’s Hospital Foundation and
Department of Pediatrics Research Grant
$150,000 CAD
2014-2017 Computer-based simulation Pediatric disaster Triage Training for Emergency Medical Services Providers
With: Dr. Mark Cicero ( Content expert on simulation-based instructional design)
Funded By: AHRQ
$750,000 USD
2014-2015 Improving CPR Quality and Cost Effectiveness with the American Heart Association’s Resuscitation Quality
Improvement Program
With: Dr. Jeffrey Lin (PI, PhD Candidate), Dr. Tyrone Donnon, Dr. Gillian Currie, University of Calgary, Dr.
Vinay Nadkarni, Children’s Hospital of Philadelphia, Dr. Adam Cheng, Alberta Children’s Hospital
Funded by: Laerdal Foundation for Acute Medicine
$25,000 USD
2014-2015 ImPACTS: Improving Pediatric Acute Care Through Simulation
With: Dr. Marc Auerbach (PI), Yale University. Site PIs include: Dr. Vinay Nadkarni (CHOP), Katz-Nelson
(Hopkins), Mindy Fedlor-Hamilton (Pitt), Dr. David Kessler (Columbia), Dr. Linda Brown (Hasbro), Dr. Walsh
(Umass), Dr. Gangadharan (Cohen’s/Hofstra)
Funded by: RBaby Foundation
$150,000 USD
2014-2015 Trauma Team and Leadership Simulation
With: Dr. Todd Chang (Co-I), Children's Hospital Los Angeles
Funded by: Children's Hospital Los Angeles Barbara Korsch Educational Grant
$10,000 USD

The teams from INSPIRE and
OPENPediatrics are working on
knowledge translation and the
dissemination of the neonatal
intubation training materials to the
largest audience possible, around the
world, free of charge.

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INSPIRE Success Stories
In-hospital QCPR Leaderboard Study
Todd Chang and QCPR Leaderboard Collaborators

On our first month of the In-hospital QCPR leaderboard study, we had 3 staff members who practiced
and scored high on the simulator. They then went on to resuscitate an unfortunate adolescent septic
shock patient who lost her pulses in our ED. All 3 of them remarked how the simulator practice benefited
their CPR technique. The adolescent patient went home completely neurologically intact 2 weeks later.

The in-hospital QCPR leaderboard study has been a challenge to manage but have over 1,500
documented QCPR files from around the world in just 12 months, and still counting. We are likely to hit
2,000 by end of February 2017, which is the projected date of completion for this study.

The experience and network for INSPIRE has been instrumental and a leverage point for a collaboration
between CHLA and Oculus from FaceBook on VR simulation and healthcare education through their VR
for Good campaign.

Procedural Skills Checklist
Taylor Sawyer, Marc Auerbach, Marjorie L. White, Traci Wolbrink, Lindsay Johnston

INSPIRE has partnered with OPENPediatrics to develop a training video and procedural skills checklist for
use during neonatal intubation training. This work builds on the highly-acclaimed ‘Learn-See-Practice-
Prove-Do-Maintain’ procedural skills training paradigm created by the INSPIRE procedural skills team in
2015, and published in Academic Medicine. The neonatal intubation ‘training kit’ is the first of several
planned collaborative projects between INSPIRE and OPENPediatrics.

This burgeoning partnership opens new avenues for INSPIRE researchers, educators, and clinicians
interested in collaborating across the globe to improve the care delivered to all neonates, infants, and
children, using simulation, and also supports OPENPediatric’s mission to leverage technology to promote
worldwide sharing and exchange of knowledge about the care of sick children.

PediSTARS India
Sujatha Thyagarajan, Rakshay Shetty, Geethanjali Ramachandra

PediSTARS India continues to expand its footprint in pediatric simulation across India. The society is over
3 years old and has so far conducted 3 Training of Trainers workshop in liaison with IPSS and INSPIRE
Network and trained about 130 pediatricians across the 4 zones of the country. 2 national conferences -
SIMULUS focusing on simulation and innovations in resuscitation - Resusci-con have been successfully
conducted.

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PediSTARS have launched various structured training workshops for emergency doctors, intensivists and
neonatologists across the country and have trained nearly 1000 doctors and 220 nurses. In a bid to
spread simulation to point of care, PediSTARS launched National Simulation, the first of its kind in the
world, on World Trauma Day - October 17th
2016. 20 centers across the four zones of the country
conducted pediatric trauma simulation scenarios and training at point of care, which had a huge impact
on raising awareness, and spreading the message of simulation based training for trauma. All training of
trainers’ attendees led the simulation locally.
PediSTARS India is continuing to liaise with various national and international organizations to develop
structured curriculum for fellowship in simulation for nurses and doctors and spread simulation as a
method of training for various national health training programs initiated by Government of India.
PediSTARS Simulation Video

ImPACTS
Marc Auerbach and ImPACTS collaborators

In the US over 90% of children are cared for in community hospitals. Improving Pediatric Acute Care
Through Simulation (ImPACTS) is a project aiming to ensure that acutely ill and injured children receive
the highest quality of care whenever and wherever it is needed.

Over the past two years we have described, measured and compared the quality of care provided to
infants and children with life threatening conditions across over 90 US Emergency Department teams.
We are now using these data to create targeted interventions to improve outcomes.
The program has been disseminated to over 10 states and is administered by some of the countries
leading academic medical centers partnering with community sites on clinical care, quality improvement
and training.

Each site has a multidisciplinary team of Pediatric Emergency Medicine-trained physicians and nurses
conducting simulation training interventions in community emergency departments, with the ultimate
goal of improving pediatric patient outcomes.

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Abstracts (Poster, Oral), Workshops, Presentations
1. Aitken D, Shah K, Chang T, Stenfors-Hayes T, MacKinnon R. Frequently, Temporal, And Spatial
Analysis Of CPR Training In Healthcare Professionals. Poster: Association for Simulated Practice in
Healthcare Annual Conference, Bristol, UK, November 2016.
2. Bismilla Z. To sim or not to sim – Choosing Wisely for procedural skills training. Royal College’s
International Conference on Residency Education. Niagara Falls, Ontario. Sept.30, 2016. Oral
Presentation
3. Aitken D, Chang T, Stenfors-Hayes T, MacKinnon R. Self-motivated Learning with Gamification
Improves CPR Performance: Deeper into the Randomised Trial. Poster: Society in Europe for
Simulation Applied to Medicine, Lisbon, Portugal, June 2016.
4. Winter L, Zinkan JL, Tofil NM. Rapid Cycle Deliberate Practice in Neonatal Resuscitation: A Team
Based Training Approach. 8th
International Pediatric Simulation
Symposium and Workshops, Glasgow, UK, May 2016.
5. Winter L, Tofil NM. Enhancing Residents’ Neonatal Needle
Thoracentesis Competency Through a Novel, Low Cost Model. 8th

International Pediatric Simulation Symposium and Workshops,
Glasgow, UK, May 2016.
6. Tofil N, Brown L, Lin Y, Zhong J, Peterson DT, White ML, Grant V,
Grant D, Gottesman R, Sudikoff S, Adler M, Marohn K, Davidson J,
Doan Q, Cheng A. Workload of Team Leaders and Team Members

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During a Simulated Sepsis Scenario. 8th
International Pediatric Simulation Symposium and
Workshops, Glasgow, UK, May 2016.
7. Brown AM, Tofil NM, Rutledge C. Improving Residents’ Knowledge of Code Cart Items and
Locations Using Simulation. 8th
International Pediatric Simulation Symposium and Workshops,
Glasgow, UK, May 2016.
8. Rutledge C, Youngblood A, Zinkan L, Tofil NM. Improving Care of the Deteriorating Patient
Through Interprofessional Simulation. 8th
International Pediatric Simulation Symposium and
Workshops, Glasgow, UK, May 2016.
9. Johnston E, King C, Cox J, Youngblood AQ, Zinkan JL, Tofil NM. Pediatric Anaphylaxis in the
Operating Room for Anesthesia Residents: A Simulation Study. 8th
International Pediatric
Simulation Symposium and Workshops, Glasgow, UK, May 2016.
10. Zinkan JL, Youngblood AQ, Wise K, Whitfield A, Hicks J, Tofil NM, Rutledge C. Nursing Vigilance:
Simulation to Decrease Codes Outside the ICU. 8th
International Pediatric Simulation Symposium
and Workshops, Glasgow, UK, May 2016.
11. Cheng A, Kessler D, MacKinnon R, Chang T, Nadkarni V, Hunt EA, Duval-Arnould J, Lin Y, Cook DA,
Pusic M, Hui J, Moher D, Auerbach M for the INSPIRE Network Reporting Guidelines Working
Group. Reporting Guidelines for Health Care Simulation Research: Extensions for the CONSORT
and STROBE Statements. International Pediatric Simulation Symposium and Workshops.
Glasgow, Scotland. May 10, 2016
12. Kessler D, Peterson D, Lin Y, Bragg A, Cheng A for the INSPIRE CPR Investigators. Causes for
Pauses: An Analysis of Simulated Cardiac Arrest. International Pediatric Simulation Symposium
and Workshops. Glasgow, Scotland. May 10, 2016
13. Tofil N, Brown L, Lin Y, Zhong J, Peterson D, White LM, Grant V, Grant D, Gottesman R, Sudikoff S,
Adler M, Marohn K, Davidson J, Doan Q, Cheng A, for the INSPIRE CPR Investigators. Workload of
Team Leaders and Team Members during a Simulated Sepsis Scenario. International Pediatric
Simulation Symposium and Workshops. Glasgow, Scotland. May 10, 2016
14. Cheng A, Lin Y, Nadkarni V, Duff J, Brown L, Bhanji F, Kessler D, Tofil N, Hecker K, Hunt E for the
INSPIRE CPR Investigators. Impact of Stepstool Use and Provider Height on Quality of Chest
Compressions: A Multicenter Study. International Pediatric Simulation Symposium and
Workshops. Glasgow, Scotland. May 10, 2016
15. Aitken D, Chang T, Stenfors-Hayes T, MacKinnon R. Self-motivated Learning with Gamification
Improves CPR Performance: Deeper into the Randomised Trial. Poster: International Pediatric
Simulation Symposia and Workshop, Glasgow, UK, May 2016.
16. Applegate R, Aitken D, Chang T, MacKinnon R. The Implementation of CPR Using Mobile Uploads,
Gamification and Direct Feedback Manikins. Poster International Pediatric Simulation Symposia
and Workshop, Glasgow, UK, May 2016.
17. Wagner M, Heimberg E, Mileder LP, Staffler A, Berger A, Löllgen RM; Status quo in pediatric and
neonatal simulationin the European German-speaking countries: The DACHI survey; IPSSW,
Glasgow, 2016

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18. T Whitfill, M Auerbach. Improving Pediatric Acute Care through Simulation (ImPACTS): update
and European site recruitment. INSPIRE Meeting. Glasgow, UK. 2016.
19. T Whitfill, M Gawel, D Kessler, B Walsh, L Butler, S Gangadharan, M Hamilton, B Schultz, A
Nishisaki, V Nadkarni, K-Y Tay, M Lavoie, J Katznelson, J Baird, L Brown, M Auerbach. The quality
of pediatric resuscitative care in United States Emergency Departments. Poster presentation.
International Pediatric Simulation Society Workshop 2016. Glasgow, UK. 2016.
20. B Walsh, M Gawel, D Kessler, S Gangadharan, M Hamilton, T Whitfill, J Katz-Nelson. Mobile in situ
simulation connecting academic centers and community hospitals: bridging gaps in care.
Workshop. International Pediatric Simulation Society Workshop 2016. Glasgow, UK. 2016.
21. L Johnston, M Auerbach, T Whitfill, T Sawyer, A Nishisaki. Simulation-based testing to assess for
validity evidence of checklist for neonatal intubation. Oral presentation. International Pediatric
Simulation Society Workshop 2016. Glasgow, UK. 2016.
22. Winter L, Rutledge C, Zinkan JL, Tofil NM. Rapid Cycle Deliberate Practice: Bringing it Home to
your Institution. 8th
International Pediatric Simulation Symposium and Workshops, Glasgow, UK,
May 2016.
23. Ariel Frey-Vogel, Leah Mallory, Kevin Ching. Simulation-Based Assessment of Learners’ Ability to
Recognize Ambiguity and Deal with Uncertainty. Association of Pediatric Program Director’s
Research and Scholarship Task Force “Works in Progress” mini-poster peer mentorship
symposium at the national APPD meeting, March 31, 2016, New Orleans, LA.
24. Duerring SA, White ML, Tofil NM, Nafziger SM, Pruitt CM, Shah MI, Doughty CB, Baker MD.
Application of Pediatric Simulation Training for emergency prehospital providers. Accepted for
an Oral Presentation for Southern Society for Pediatric Research February 2016, First author
awarded Trainee Travel Grant.
and STROBE Statements. International Meeting for Simulation in Healthcare. San Diego, USA.
January 18, 2016.
26. Adler M, Overly F, Nadkarni V, Davidson J, Gottesman R, Bank I, Marohn K, Sudikoff S, Grant V,
Cheng A for the INSPIRE CPR Investigators. An Approach to Confederate Training within the
Context of Simulation-based Research. International
Meeting for Simulation in Healthcare. San Diego, USA.
January 18, 2016.
27. Brown L, Tofil N, Lin Y, Cheng A. Impact of a CPR
Feedback Device on Healthcare Provider Workload
during Simulated Pediatric Cardiac Arrest. International
Meeting for Simulation in Healthcare. San Diego, USA.
January 18, 2016.
28. Lin Y, Jones A, Hecker K, Grant V, Currie G, Cheng A.
Sensitivity and specificity of detecting CPR errors by
Over 70 INSPIRE members
were authors in the new
textbook Comprehensive
Healthcare Simulation:
Pediatrics

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visual assessment. International Meeting for Simulation in Healthcare. San Diego, USA. January
18, 2016.
29. Brown L, Tofil NM, Overly F, Lin Y, Duff J, Bhanji F, Nadkarni V, Hunt E, Charnovich A, Kessler D,
Bank I, Cheng A. Impact of a CPR feedback device on healthcare provider workload during
simulated cardiac arrest. 16th Annual Meeting on Simulation in Healthcare. San Diego, CA,
January 2016.
Cheng A for the International Network for Simulation-based Pediatric Innovation, Research,
Education (INSPIRE) CPR Investigators. Approach to confederate training within the context of
simulation-based research. 16th Annual Meeting on Simulation in Healthcare. San Diego, CA,
January 2016. First Place - Program Innovation.
31. Dadiz R, Arnold C, Weinschreider J. Fighting, biting, crying: keeping your debriefing on track.
International Meeting of Simulation in Healthcare, San Diego, CA, 2016.
32. Dadiz R, Arnold C, Weinschreider J. The difficult team debriefing: strategies for the facilitator.
Annual Meeting of the Pediatric Academic Societies, Baltimore, MD, 2016.
33. Denney-Koelsch E, Dadiz R, Spear M. Teaching the art of difficult family conversations. Annual
Meeting of the Pediatric Academic Societies, Baltimore, MD, 2016.
34. T Whitfill, M Gawel, D Kessler, B Walsh, L Butler, S Gangadharan, M Hamilton, B Schultz, A
Nishisaki, V Nadkarni, K-Y Tay, M Lavoie, J Katznelson, J Baird, L Brown, M Auerbach. The quality
of pediatric resuscitative care in United States Emergency Departments. Poster presentation.
Pediatric Academic Society. Baltimore, MD. 2016.
35. Bender J, Dadiz R, Robin B. Simulation to identify latent safety threats in healthcare
environments. Annual Meeting of the Pediatric Academic Societies, Baltimore, MD, 2016.
36. K Zoltowski, T Whitfill, P Aronson. What Parents Want: An analysis of parental expectations and
satisfaction in the pediatric emergency room. Pediatric Academic Society Annual Meeting. San
Diego, CA. 2015.
37. M Auerbach, T Whitfill, M Gawel, D Kessler, B Schultz, M Hamilton, S Gangadharan, Y Tay, M
Lavoie, R Dudas, J Katznelson, B Walsh, and L Brown. Comparing the Quality of Pediatric Acute
Resuscitation Care Across a Spectrum of Emergency Departments: a Multicenter, Prospective
Cohort Study. Pediatric Academic Society Annual Meeting. San Diego, CA. 2015.
38. S Bhargava, T Whitfill, Y Ben-avie, D Streat, M Gawel, M Auerbach. Infant CPR Quality in Pediatric
Emergency Department: Adherence To 2010 AHA Guidelines. Poster presentation, Pediatric
Academic Society Annual Meeting. San Diego, CA. 2015.
Emergency Department: Adherence To 2010 AHA Guidelines. Poster Presentation, Eastern
Society for Pediatric Research Annual Meeting, Philadelphia, PA. 2015.

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40. M Cicero, B Walsh, Y Solad, T Whitfill, G Paesano, K Kim, C Braum, D Cone. Do You See What I
see? Insights from Using Google Glass for Disaster Telemedicine Triage. Poster presentation,
National Association of EMS Physicians Annual Meeting. New Orleans, LA. 2015.
41. T Whitfill. Using simulation and technology to improve pediatric acute care. Keynote Address.
Herb Robbins Research Symposium, Dallas Baptist University; Dallas, TX. 2015.
42. M Auerbach, T Whitfill, M Gawel, R MacKinnon, B Hunt, A Cheng, V Nadkarni, J Duval-Arnould, T
Chang. Designing and Conducting Pediatric Simulation-based Research. Workshop. International
Pediatric Simulation Society Workshop 2015. Vancouver, BC, Canada. 2015.
Emergency Department: Adherence to 2010 AHA Guidelines. Poster presentation, International
Pediatric Simulation Symposia and Workshops. Vancouver, BC, Canada. 2015.
44. Bender J, Dadiz R, Robin B. Enhanced simulation to identify latent safety hazards in the NICU.
Vermont Oxford Network Annual Quality Congress, Chicago, IL, 2015.
45. Volz S, Stevens TP, Dadiz R. A randomized controlled trial: does guidance using video
laryngoscopy improve residents’ success in neonatal intubations? E-PAS2016:2620.5.
46. MacKinnon R. Self-motivated learning with gamification improves and maintains CPR
performance, a randomised controlled trial. Oral Presentation: Association for Simulated
Practice in Healthcare Annual Conference, Brighton, UK, November 2015.
47. MacKinnon R. Development of a Field Assessment Conditioning Tool (FACT) - an exploration of
the role of healthcare advocacy. Oral Presentation: Association for Simulated Practice in
Healthcare Annual Conference, Brighton, UK, November 2015.
48. Applegate R, Aitken D, Chang T, MacKinnon R. The Implementation of CPR Using Mobile Uploads,
Gamification and Direct Feedback Manikins. Oral Presentation: International Conference on
Interactive Mobile Communication, Technologies and Learning, Thessaloniki, Greece, November
2015.
49. Tyner T, Schaefer S, Powell J, Walker K, Troxler B, Tarn V, Tofil NM, Walley SC. Smoking Cessation
Counseling: A Simulation Enhanced Curriculum to Improve Communication Skills in Pediatric
Residents. Oral presentation at Southern Society for Pediatric Research meeting, New Orleans, LA
(2016).

INSPIRE members have
developed
www.debrief2learn.org , a
free open access resource
for simulation educators

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Peer Reviewed Publications 2015-2016
1. Cheng A, Nadkarni V, Chang T, Auerbach M. Highlighting Instructional Design
Features in Reporting Guidelines for Health Care Simulation Research.
Simulation in Healthcare. 2016; 11:363-364.
2. Burstein B, Fauteux-Lamarre, Cheng A, Chalut D, Bretholz A. Simulation and
Web-based Learning Increases Utilization of Bier Block for Forearm Fracture
Reduction in a Pediatric Emergency Department. Canadian Journal of Emergency
Medicine. Published online Nov 21, 2016; DOI:
https://doi.org/10.1017/cem.2016.392
3. Gilfoyle E, Koot DA, Annear JC, Bhanji F, Cheng A, Duff JP, Grant VJ, St. George-Hyslop CE,
Delaloye NJ, Kotsakis A, McCoy CD, Ramsay CE, Weiss MJ, Gottesman RD for the Teams4Kids
Investigators and the Canadian Critical Care Trials Group. Improved Clinical Performance and
Teamwork of Pediatric Interprofessional Resuscitation Teams with a Simulation-based
Educational Intervention. Pediatric Critical Care Medicine, In Press.
4. Fauteux-Lamarre E, Burstein B, Cheng A, Bretholz A. Reduced Length of Stay Using Bier Block for
Forearm Fracture Reduction in the Pediatric Emergency Department. Pediatric Emergency Care,
published online December 5, 2016. doi: 10.1097/PEC.0000000000000963.
5. Bhanji F, Praestgaard A, Meaney P, Cheng A, Peberdy MA, Hunt EA, Berg R, Nadkarni V. Survival
from Pediatric In-Hospital Cardiac Arrest is worse at Night Compared with Days and Evenings: A
Report from the AHA Get with the Guidelines-Resuscitation (GWTG-R) Registry. JAMA Pediatrics,
Published online November 7, 2016. doi:10.1001/jamapediatrics.2016.2535.
6. Brown A, Tat, S, Auerbach M, Kessler DO, Alletag M, Grover P, Schnadower D, Macias C, Chang
TP. PEMNetwork: Barriers and Enablers to Collaboration and Multimedia Education in the Digital
Age. Pediatric Emergency Care, In Press.
and STROBE Statements. Simulation in Healthcare, 2016; 11(4):238-248.
and STROBE Statements. BMJ STEL, 2016; 2:51-60.
and STROBE Statements. Clinical Simulation in Nursing, 2016; 12(8): iii-xiii.

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and STROBE Statements. Advances in Simulation, 2016; 1:25. DOI: 10.1186/s41077-016-0025-y.
11. Sims AN, Feig DI,
Dietiker KL, Peterson DT, Zinkan JL, Youngblood AQ, Tofil NM. A novel teaching
mechanism in nephrology on the dangers of hypocalcemia in chronic renal failure. Journal of
Clinical Pediatric Nephrology. In Press.
12. Gangadharan S, Tiyyagura G, Gawel M, Walsh B, Brown L, Lavoie M, Tay K, Auerbach M. A
Grounded Theory Qualitative Analysis of Inter-professional Providers’ Perceptions on Caring for
Critically Ill Infants and Children in Pediatric and General Emergency Departments. Pediatric
Emergency Care In Press.
13. Auerbach M, Cole J, Violano P, Roney L, Doherty C, Shepherd M, MacKinnon. An international
inter-professional study of mental models and factors delaying neuroimaging of critically head
injured children presenting to emergency departments. Pediatric Emergency Care. In Press 2016
14. Campbell DM, Dadiz R. Simulation in neonatal transport medicine. Sem Perinatol. [in press]
15. Alphonso A, Auerbach M, Bechtel K, Bilodeau K, Whitfill T, Gawel M, Koziel J, Tiyyagura
G. Development of a Child Abuse Checklist to Evaluate Prehospital Provider
Performance. Prehosp Emerg Care, In Press.
16. M Cicero, T Whitfill, F Overlay, J Baird, B Walsh, J Yarzebski, A Riera, K adelgais, G Meckler, D
Cone, C Baum, M Auerbach. Pediatric Disaster Triage: A Multiple Simulation Curriculum Improves
Prehospital Care Providers’ Assessment Skills. Prehospital Emergency Care (In press). 2016.
17. M Auerbach, T Whitfill, M Gawel, D Kessler, B Walsh, S Gangadharan, M Hamilton, B Schultz, A
Nishisaki, V Nadkarni, K-Y Tay, M Lavoie, J Katznelson, J Baird, L Brown. Differences in the Quality
of Pediatric Resuscitative Care Across a Spectrum of Emergency Departments JAMA Pediatrics.
2016
18. D Kessler, T Chang, M Auerbach, D Fein, M Lavoie, J Trainor, M Lee, J Gerard, C Glennon, D
Grossman, T Whitfill, M Pusic, M Auerbach. Impact of a Just-in-time Simulation-based
Competency Assessment of Intern Readiness on Success with Infant Lumbar Punctures. Academic
Emergency Medicine. (In Press).
19. M Auerbach, D Fein, T Chang, J Gerard, P Zaveri, D Grossman, W Van Ittersum, J Rocker, T
Whitfill, M Pusic, D Kessler, ImPACTS/INSPIRE collaborative. The correlation of workplace
simulation-based assessments with interns' infant lumbar puncture success: a prospective, multi-
center, observational study. Simulation in Healthcare 11(2):126-33. 2016. doi:
10.1097/SIH.0000000000000135
Cheng A for the International Network for Simulation-based Pediatric Innovation, Research,
Education (INSPIRE) CPR Investigators. Approach to confederate training within the context of
simulation-based research. Simulation in Healthcare. 2016; 11(5):357-362.
21. Eppich W, Brett-Fleegler M, Mullan P, Cheng A. Let’s Talk About it: Healthcare Debriefing as a
Bridge from Simulation to Clinical Practice in Pediatric Emergency Medicine. Clinical Pediatric
Emergency Medicine. 2016; 17(3):200-211. DOI: 10.1016/j.cpem.2016.07.001

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22. Cheng A. Simulation Applied to Pediatric Emergency Medicine: From Luxury to Necessity.
Clinical Pediatric Emergency Medicine. 2016; 17(3):157-158. DOI:
http://dx.doi.org/10.1016/j.cpem.2016.05.003.
23. Donoghue A, Lin Y, Duff J, Cheng A. Application of Simulation-based Research for Pediatric
Emergency Medicine. Clinical Pediatric Emergency Medicine. 2016; 17(3):231-237. DOI:
http://dx.doi.org/10.1016/j.cpem.2016.05.004.
24. Cheng A, Grant VJ, Robinson T, Catena H, Lachapelle K, Kim J, Adler M, Eppich W. Applying the
Promoting Excellence in Reflective Learning in Simulation (PEARLS) Blended Approach to
Healthcare Debriefing: A Faculty Development Guide for Simulation Programs. Clinical
Simulation in Nursing. 2016; 12(10):419-428.
25. Cheng A, Kessler D, Mackinnon R, Auerbach M. Reporting guidelines for health care simulation
research: Extensions to the CONSORT and STROBE statements. Advances in Simulation. Jul 25
2016. doi: 10.1186/s41077-016-0025-y
26. Frallicciardi A, Vora S, Bentley S, Nadir NA, Cassara M, Hart D, Cheng A, Aghera A, Park C, Doiesz
V. Development of an Emergency Medicine Simulation Fellowship Consensus Curriculum:
Initiative of the Society of Academic Emergency Medicine Simulation Academy. Academic
Emergency Medicine. 2016; 23(9):1054-60.
27. Sawyer T, Eppich W, Brett-Fleegler M, Grant V, Cheng A.
More Than One Way to Debrief: A Review of Healthcare
Simulation Debriefing Methods. Simulation in
Healthcare. 2016; 11(3):209-217.
28. Craven M., Benner K., Beall J., Worthington M, Denson
B., Youngblood A., Zinkan J.L., Tofil N.M. Knowledge of
pharmacy students and pharmacists at a pediatric
hospital comparing simulation and written module
intervention. Journal of Pediatric Pharmacology and
Therapeutics. 2016
29. Larson-Williams L.M., Youngblood A., Peterson D.T., Zinkan J.L., White M.L., Abdul-Latif H.,
Matalka L., Epps S., Tofil N.M.. Interprofessional, multiple step simulation course improves
pediatric resident and nursing staff management of pediatric patients with diabetic ketoacidosis.
World Journal of Critical Care Medicine. 2016
30. Chime NO, Pusic MV, Auerbach MA, Mehta R, Van Ittersum W, McAninch B, Fein DM, Seelbach E,
Zaveri P, Jackson J, Kessler DO, Chang TP. Script Concordance Testing to Determine Infant
Lumbar Puncture Practice Variation. Pediatric Emergency Care. 2016 September PMID:
27668921
31. Auerbach M, Whitfill T, Gawel M, Kessler D, Walsh B, GangadharanS, Fiedor M, Schultz B,
Nishisaki A, Khoon-Yen T, Lavoie M, Katznelson J, Dudas R, Baird J, Nadkarni V, Brown
L. Differences in the Quality of Pediatric Resuscitative Care across a spectrum of Emergency
Departments. JAMA Pediatrics. Accepted May 2016
INSPIRE QCPR Investigators
have published 5 papers
from the CPRCARES project.
The main publication in
JAMA Peds has had >3500
views

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32. Hunt, EA, Duval J, Chime, NO, Auerbach M, Kessler DO, Duff JP, Shilkofski N, Brett-Fleegler M,
Nadkarni V, Cheng A. Building consensus for the future of paediatric simulation: a novel ‘KJ
Reverse-Merlin’ methodology BMJ STEL doi:10.1136/bmjstel-2015-000072. Published online
April 12, 2016
33. Abraham G, Fehr J, Ahmad F, Jeffe D, Copper T, Yu F, White A, Auerbach M, Schnadower
D. Emergency Information Forms for Children with Medical Complexity: A Simulation
Study. Pediatrics. Accepted May 2016
34. Pasternack J, Dadiz, R, McBeth R, Gerard J, Scherzer D, Tiyyagura G, Zaveri P, Chang T, Auerbach
M, Kessler D. Qualitative study exploring implementation of a point-of-care competency-based
lumbar puncture program across institutions. Academic Pediatrics. Accepted April 2016.
35. Walley S, Schaefer S, Tyner T, Walker K, Powell J, Tofil NM Smoking Cessation Counseling: A
Simulation Enhanced Curriculum to Improve Communication Skills in Pediatrics. J of Investigative
Medicine. 2016 64
36. Duerring SA, White ML, Tofil NM, Nafziger SM, Pruitt CM, Shah MI, Doughty CB, Baker MD.
Application of Pediatric Simulation Training for emergency prehospital providers. J of
Investigative Medicine. 2016 64
37. Kessler D. Qualitative study exploring implementation of a point-of-care competency-based
lumbar puncture program across institutions. Acad Ped 2016;16:621-9.
38. Melanie G. Martin, RN, MS*, Leah A. Keller, RN, BSN, Terri L. Long, RN, MSN, Nancy A. Ryan-
Wenger, PhD, RN, CPNP, FAAN. High Fidelity Simulation Effect on Nurses’ Identification of
Deteriorating Pediatric Patients. Clinical Simulation in Nursing (2016) 12, 228-239
39. Bateman LB, White ML, Tofil NM, Clair JM, Needham BL. A Qualitative Examination of Physician
Gender and Parental Status in Pediatric End-of-Life Communication. Health
Communication February 2016, In Press
40. Braga MS, Tyler MD, Rhoads JM, Cacchio MP, Auerbach M, Nishisaki A, Larson RJ. The Effect of
Just-in-Time Simulation Training on Provider Performance and Patient Outcomes for Clinical
Procedures: A Systematic Review. BMJ STEL
41. Auerbach M, Kessler DO, Patterson MD. The Use of In-Situ Simulation to Detect Latent Safety
Threats in Pediatrics: A Cross-Sectional Survey. BMJ STEL
42. Reed DJ, Sharma J. Delivering difficult news and improving family communication: simulation for
neonatal-perinatal fellows. MedEdPORTAL Publications. 2016;12:10467.
43. Emerson B, Shepherd M, Auerbach MA. Technology Enhanced Simulation Training for Pediatric
Intubation. Clinical Pediatric Emergency Medicine: Pediatric Airway Emergencies and
Management Edition. Vol 16(3) 203-212
44. Braun C, Kessler DO, Auerbach MA, Mehta R, Scalzo AJ, Gerard, JM. Can Residents Assess Other
Providers' Infant Lumbar Puncture Skills? Validity Evidence for a Global Rating Scale and
Subcomponent Skills Checklist. Pediatric Emergency Care. In Press 2015

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45. Johnston L, Chen R, Whitfill T, Bruno C, Levit O, Auerbach MA. Do You See What I see? A
Randomized Pilot Study to Evaluate the Effectiveness and Efficiency of Simulation-Based Training
with Videolaryngocsopy for Neonatal Intubation. BMJ Simulation and Technology Enhanced
Learning. In Press 2015.
46. Chime N, Katznelson J, Gangadharan S, Walsh B, Lobner K, Brown L, Gawel M, Auerbach MA.
Comparing Practice Patterns between Pediatric and General Emergency Medicine Physicians: A
Scoping Review. Pediatric Emergency Care. In Press 2015
47. Auerbach MA, White ML, Bhargava S, Zaveri P, Seelbach E, Burns R, Mehta R, McAninch B, Fein
DM, Chang TD, Kessler DO. Are graduating pediatric residents prepared to perform infant lumbar
punctures? A multi-institutional descriptive study. Pediatric Emergency Care. In Press 2015
48. Mallory L, Calaman S, White ML, Doughty C, Mangold K, Lopreiato J, Auerbach MA, Chang
TP. Targeting simulation-based assessment for the pediatric milestones- a survey of simulation
experts and program directors. Academic Pediatrics. In Press 2015
49. Bismilla Z, Amin H, Dubrowski A: Procedural Skills in Pediatric Residency: Re-evaluating the
Competencies. BMC Res Notes. 2015 Oct 9;8:550. doi: 10.1186/s13104-015-1499-8.
50. Kessler DO, Walsh B, Whitfill T, Gangaharan S, Gawel M, Brown L, Auerbach MA. Disparities in
Adherence to Pediatric Sepsis Guidelines across a Spectrum of Emergency Departments: a
multicenter, cross sectional observational in-situ simulation study. Journal of Emergency
Medicine. E-publication September 2015.
51. Sawyer T, White ML, Zaveri P, Chang T, Ades A, French H, Anderson J, Auerbach MA, Johnston L,
Kessler, DO“Learn, See, Practice, Prove, Do, Maintain”: An Evidence-based Pedagogical
Framework for Procedural Skill Training in Medicine. Academic Medicine. Acad Med. 2015
Aug;90(8):1025-33.PMID: 25881645
52. Doughty C, Kessler D, Zuckerbraun N, Stone K, Reid J, Kennedy C, Nypaver M, Auerbach
MA. Simulation in Pediatric Emergency Medicine Fellowships. Pediatrics 136(1) July 2015
53. Agarwal A, Leviter J, Mannarino C, Levit O, Johnston LJ, Auerbach MA. Is a Haptic-Based
Simulation Interface More Effective Than Computer Mouse-Based Interface for Neonatal
Intubation Skills-Training? BMJ Simulation and Technology Enhanced Learning. Published online
May 7, 2015.
54. Cheng A, Grant V, Auerbach MA. Dawn of a New Era: Using Simulation to Improve Patient Safety.
JAMA Pediatrics. Published online March 9, 2015 PMID: 25751767
55. Roland D, Wilson H, Holme N, Sykes K, Shaw B, MacKinnon, R. Developing a coordinated research
strategy for child health-related simulation in the UK: phase 1. BMJ Simulation and Technology
Enhanced Learning. Feb 18 2015. doi:10.1136/bmjstel-2014-000010
56. MacKinnon R, Kennedy C, Doherty C, Shepherd M, Cole J, Stenfors-Hayes T, and INSPIRE Trauma
Outreach Research Group. Fitness for purpose study of the Field Assessment Conditioning Tool
(FACT): a research protocol. BMJ open. April 13 2015. doi:10.1136/bmjopen-2014-006386

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57. MacKinnon R, Stoeter R, Doherty C, Fullwood C, Cheng A, Nadkarni V, Stenfors-Hayes T, Chang T.
Self-motivated learning with gamification improves infant CPR performance, a randomised
controlled trial. BMJ Simulation and Technology Enhanced Learning. October 6 2015
doi:10.1136/bmjstel-2015-000061
58. MacKinnon R, Kennedy C, Fleming R, Stenfors-Hayes T. Development of a field assessment
conditioning tool (FACT) – an exploration of the role of healthcare advocacy. BMJ Simulation and
Technology Enhanced Learning. Nov 2015. doi:10.1136/bmjstel-2015-000075.59
59. MacKinnon R, Aitken D, Humphries C. Exploring Mechanisms for Effective Technology-Enhanced
Simulation-based Education in Wilderness Medicine: A Systematic Review. Cureus, published Dec
16, 2015. doi: 10.7759/cureus.412
60. Applegate R, Aitken D, Chang T, MacKinnon R. The Implementation of Cardiopulmonary
Resuscitation Training Using Mobile Uploads, Gamification and Direct Feedback Manikins: A
Study in Sixth Form Students. Interactive Mobile Communication Technologies and Learning
(IMCL), 2015 International Conference on, IEEE . Dec 17 2015. doi: 10.1109/IMCTL.2015.7359587
61. D Kessler, B Walsh, T Whitfill, S Gangadharan, M Gawel, L Brown, M Auerbach. Disparities in
Adherence to Pediatric Sepsis Guidelines across a Spectrum of Emergency Departments: a
Multicenter, Cross-sectional Observational Study. J Emerg Med 50(3):403-415.e3. 2016 doi:
10.1016/j.jemermed.2015.08.004.
62. D Kessler, M Pusic, T Chang, D Fein, D Grossman, R Mehta, M White, J Jang, T Whitfill, M
Auerbach and the ImPACTS/INSIPRE collaborative. Impact of Workplace Simulation Trainings on
Intern Success with Infant Lumbar Punctures. Pediatrics 135(5):e1237-46. 2015. doi:
10.1542/peds.2014-1911.
63. M Cicero, B Walsh, Y Solad, T Whitfill, G Paesano, K Kim, C Braum, D Cone. Do you see what I see?
Insights from using Google Glass for disaster telemedicine triage. Prehospital and Disaster
Medicine 30(1):4-8. 2015. doi: 10.1017/S1049023X1400140X.
64. L Johnston, R Chen, T Whitfill, C Bruno, O Levit, M Auerbach. Do you see what I see? A
randomized trial of simulation-based master training with videolaryngoscopy for neonatal
intubation BMJ STEL. 2015. doi:10.1136/bmjstel-2015-000031
65. M Schumacher, N Chinnam, B Cuthbert, N Thonthat, and T Whitfill. Structures of regulatory
machinery reveal novel molecular mechanisms controlling B. subtilis nitrogen homeostasis.
Genes Dev. 2015;29(4):451-64. Doi:10.1101/gad.254714.114.
66. Butler-O’Hara M, Marasco M, Dadiz R. Simulation to standardize patient care and maintain
procedural competency. Neonatal Netw 2015;34:18-30.
67. Boutis K, Cano S, Pecaric M, Welch-Horan B, Lampl B, Ruzal-Shapiro C, Pusic M. Interpretation
Difficulty of Normal versus Abnormal Radiographs Using a Pediatric Example. Canadian Medical
Education Journal. 2016 Mar 31;7(1):e68-77.
68. Pusic M, Best R. Mutnick A. Exploring Medical Student Learning Needs in the Pediatric
Emergency Department: "What Do You Want to Learn Right Now?” Pediatric Emergency Care.
2016 Apr;32(4):217-21.

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69. Beckstead JW, Boutis K, Pecaric M, Pusic MV. Sequential dependencies in categorical judgments
of radiographic images. Adv Health Sci Educ Theory Pract. 2016 Jun 8. Epub ahead of Print.
70. Thayer, E., Rathkey, D., Fuqua Miller, M., Palmer, R., Mejicano, G., Pusic, M., Kalet, A., Gillespie,
C., & Carney, P. (2016). Applying the institutional review board data repository approach to
manage ethical considerations in evaluating and studying medical education. Medical Education
Online, 21. doi:http://dx.doi.org/10.3402/meo.v21.32021
71. Pusic M, Boutis K, Pecaric M, Savenkov O, Beckstead J, Jaber M. A Primer on the Statistical
Modelling of Learning Curves in Health Professions Education. Advances in Health Sciences
Education. Accepted for Publication.

Other Publications:
1. Cheng A, Auerbach MA. Research Networks Chapter: Defining Excellence in Simulation
Programs, 1
st
edition. Lipincott. C. Palaganas, Juli Maxworthy, Chad Epps, and Beth Mancini.
ISBN-13: 978-1451188790 ISBN-10: 145118879X
2. Auerbach MA, Stone K, Patterson M. The Role of Simulation in Improving Pediatric Patient Safety.
In Pediatric Simulation 1
st
Edition.
3. Kessler DO, Auerbach MA, Chang T, Lin J, Cheng T. Simulation Research. In Pediatric Simulation
1
st
Edition.
4. Calhoun A, Sigalet E, Burns R, Auerbach MA. Simulation Along the Pediatric Healthcare Education
Continuum. In Pediatric Simulation 1
st
Edition.
5. Society for Simulation in Healthcare. "Defining Excellence in Simulation Programs, Chapter on
Simulation Alliances, Networks, and Collaboratives—expert corner author
6. OPEN Pediatrics: Procedures Video: Neonatal Intubation
7. VJ. Grant, J Huffman, A. Cheng G McNeil, Z Bismilla, A Lai (Eds): “Scenario Design” In:
Comprehensive Healthcare Simulation PEDIATRICS Edition, Springer Publishers 1st
ed 2016, I,
1117 p. 160 illus, 11 illus in color. March 2016.
Several INSPIRE members
helped to co-author
various articles in the 2015
American Heart
Association Resuscitation
Guidelines

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INSPIR
INSPIR
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INSPIR
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2015-2016

Several INSPIRE members
helped to co-author
various articles in the 2015
American Heart
Association Resuscitation
Guidelines

INSPIRE Network 2015-2016 Annual Report

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INSPIRE Network 2015-2016 Annual Report