ArticleCureus2026
Enhancing Emergency Trauma Management Skills Through Simulation: A Quality Improvement Initiative in Ghana.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed.
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction In Ghana, persistent gaps in emergency and trauma care are linked to limited training opportunities and uneven workforce distribution. This pilot program evaluated the feasibility and outcomes of a regional, simulation-based quality improvement initiative for emergency trauma care in the Central Region of Ghana. Methods A pre- and post-test pilot was conducted as part of a regional quality improvement effort among multidisciplinary clinicians of various facilities. Two simulation-based continuous professional development (CPD) modules, Basic Emergency and Trauma Management and Suture Techniques & Wound Care, were delivered. Quantitative data were analyzed using chi-square tests (p<0.05), and open-ended responses were analyzed thematically. Results The majority of participants were nurses (51.1%, n=24) and from district hospitals (61.7%, n=29). Additionally, 53.2% (n=25) of facilities reported functional resuscitation areas, and 27.7% (n=13) had access to blood transfusion services. Knowledge scores improved significantly across all domains, from a mean of 52.6% pre-training to 85.9% post-training (p<0.001). The largest gains were in spinal precautions, focused abdominal sonography in trauma (FAST) interpretation, and bite wound management. All participants expressed high satisfaction, citing the realism and interactivity of the simulation as major strengths, and recommended integrating simulation into regular CPD. Key challenges reported included limited trauma equipment (76.6%, n=36), staffing shortages (66.0%, n=31), and weak referral systems (51.1%, n=24). Conclusion This pilot demonstrated that simulation-based training is both feasible and effective for building emergency and trauma care competence in resource-limited settings. Embedding simulation-based CPD within regional quality improvement frameworks offers a scalable strategy for workforce development and health system strengthening in Ghana.
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Registered trials
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