Decay in Blood Loss Estimation Skills After Web-Based Didactic Training

Introduction Accuracy in blood loss estimation has been shown to improve immediately after didactic training. The objective of this study was to evaluate retention of blood loss estimation skills 9 months after a didactic web-based training. Methods Forty-four participants were recruited from a cohort that had undergone web-based training and testing in blood loss estimation. The web-based posttraining test, consisting of pictures of simulated blood loss, was repeated 9 months after the initial training and testing. The primary outcome was the difference in accuracy of estimated blood loss (percent error) at 9 months compared with immediately posttraining. Results At the 9-month follow-up, the median error in estimation worsened to −34.6%. Although better than the pretraining error of −47.8% (P = 0.003), the 9-month error was significantly less accurate than the immediate posttraining error of −13.5% (P = 0.01). Conclusion Decay in blood loss estimation skills occurs by 9 months after didactic training.

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