IJCS | Volume 32, Nº2, May/June 2019

233 Table 4 - Prescription of medications within 24 hours after admission and at discharge in the second phase Within 24 hours after admission Baseline Post-implementation (period where trainings occurred) After the end of the project Jun/13 to Mar/14 (n = 208) Sep/14 to May/15 (n = 143) Jun/15 to Jan/16 (n = 164) Aspirin 94.2% 100% 91.5% P2Y12 inhibitor 87.5% 100% 92.0% Heparin 74.5% 95.1% 78.7% At discharge Baseline Post-implementation (period where trainings occurred) After the end of the project Jun/13 to Mar/14 (n = 169)* Sep/14 to May/15 phase (n = 122)* Jun/15 to Jan/16 (n = 132)* Aspirin 96.4% 100% 93.9% P2Y12 inhibitor 75.7% 94.3% 81.1% Statin 90.5% 100% 84.8% * After excluding patients who died. †p-value was < 0.05 for all medications from the first to the second period, and from the second to the third period. Table 3 - Comparative analysis of the number of right answers per question for physicians (n = 75) and nurses (n = 167) in the second phase Pre-test n (%) Post-test n (%) p-value Pre-test n (%) Post-test n (%) p-value Physicians Nurses 1 71 (94.7) 75 (100.0) n/a 146 (87.4) 158 (94.6) < 0.001 2 30 (40.0) 48 (64.0) < 0.001 72 (43.1) 149 (89.2) < 0.001 3 72 (96.0) 75 (100.0) n/a 91 (54.5) 111 (66.5) < 0.001 4 39 (52.0) 44 (58.7) 0.608 73 (43.7) 123 (73.7) < 0.001 5 59 (78.7) 63 (84.0) 0.424 100 (59.9) 164 (98.2) < 0.001 6 45 (60.0) 71 (94.7) < 0.001 142 (85.0) 163 (97.6) < 0.001 7 57 (76.0) 53 (70.7) 0.424 91 (54.5) 119 (71.3) < 0.001 8 38 (50.7) 40 (53.3) 0.167 60 (35.9) 88 (52.7) < 0.001 9 38 (50.7) 50 (66.7) 0.029 86 (51.5) 153 (91.6) < 0.001 10 52 (69.3) 60 (80.0) 0.077 74 (44.3) 156 (93.4) < 0.001 *n/a: not available. Souza-Silva et al. Simulation training for myocardial infarction Int J Cardiovasc Sci. 2019;32(3)227-237 Original Article measured by pre- and post-test assessments in two different scenarios of AMI care system implementation. It provided evidence of an increase in physicians’ confidence to perform thrombolysis in STEMI patients, and an improvement in medication prescription within the first 24 hours after admission and at discharge.