Safety, quality & education

Comparing Modified Peer-Assisted and Traditional Instructor-Led Approaches in Defibrillation Training

J Cardiothorac Vasc AnesthPublished Randomised controlled trial

Authors' conclusion

The findings suggest that the modified Peyton 4-step approach enhances residents' proficiency in defibrillation and improves their learning experience

Study context

Population
Surgical residents in AHA basic cardiac life support training, simulation centre of a university-affiliated tertiary hospital, 2019–2023
Participants
84 residents
Comparison
Experimental vs Control
  • Experimentaln = 42
  • Controln = 42reference
Primary endpoint
Training effectiveness: theoretical knowledge test, skills assessment and questionnaire scores
Methodological detailssingle-blind
  • Single-blind

Primary result

As reported in the abstract

Theoretical knowledge test score

Experimental

99.3

± 2.6

Control

98.3

± 4.4

P = 0.229

Further findings

Correct recognition of shockable rhythms

P < 0.05

Appropriate administration of resuscitation drugs

P < 0.05

Median

OutcomeExperimentalControlP value
Deviations from the standard algorithm during defibrillation0.0 (IQR 0.0–1.0)1.0 (IQR 0.8–2.0)P < 0.05
Teaching satisfaction (questionnaire)5 (IQR 5–5)4 (IQR 4–5)P < 0.05
Learning interest (questionnaire)5 (IQR 5–5)4 (IQR 4–5)P < 0.05
Willingness to perform defibrillation promptly (questionnaire)5 (IQR 5–5)4 (IQR 4–5)P < 0.05

Original publication

Comparing Modified Peer-Assisted and Traditional Instructor-Led Approaches in Defibrillation Training. J Cardiothorac Vasc Anesth. Published 11 February 2026. doi:10.1053/j.jvca.2026.02.010

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