Abstract Number: Esoc2026a2369 Does Stroke Simulations Have a Continual Impact in Improving and Sustainingconfidence in Management of Acute Stroke in a Hyper Acute Stroke Centre?

Abstract Background and aims Simulation-based training have been proven to improve clinical outcomes and patient safety. With Darent Valley Hospital in Dartford, England transforming into a Hyper Acute Stroke Unit as of September 2024 and widening its catchment area, the increase in influx of stroke patients unveiled a lack of confidence and training in management of acute stroke amongst both nursing and resident doctors. Here we showcase a set of data that signifies direct positive effect on the confidence in management of acute stroke as a result of stroke simulation even at six months. Methods Scenarios based on common stroke presentations was designed and as in real life delivered in the simulation suite to help improve confidence in following the stroke pathway and managing acute strokes. Data pre, immediate post and at 6months was gathered in the form of anonymous questionnaires for a total of five simulation courses. Results Comparing pre simulation, post simulation and post 6 months showed more than 50% rise in confidence in managing and more that 40% in following the stroke pathway for ischaemic strokes and haemorrhagic strokes respectively and the confidence levels remained sustained at 6months. Similar levels were also achieved in managing patients as a multidisciplinary team. Conclusions Stroke simulations have demonstrated a substantial and sustained positive impact on candidate’s confidence in managing time-critical stroke and enhanced multidisciplinary collaboration. These data supports continuous integration of simulation-based education as an effective tool in preparing healthcare professional for high-pressure clinical environments, especially in acute stroke presentations. Conflict of interest Prasanna Aghoram: nothing to disclose