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Simulation in Healthcare: Journal of the Society for Simulation in Healthcare

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https://www.readbyqxmd.com/read/29659413/a-smartphone-application-to-reduce-the-time-to-automated-external-defibrillator-delivery-after-a-witnessed-out-of-hospital-cardiac-arrest-a-randomized-simulation-based-study
#1
Toshihiro Hatakeyama, Chika Nishiyama, Tomonari Shimamoto, Kosuke Kiyohara, Takeyuki Kiguchi, Izumi Chida, Junichi Izawa, Tasuku Matsuyama, Tetsuhisa Kitamura, Takashi Kawamura, Taku Iwami
INTRODUCTION: We developed a new smartphone application to deliver an automated external defibrillator (AED) to out-of-hospital cardiac arrest scene. The aim of this study was to evaluate whether an AED could be delivered earlier with or without an application in a simulated randomized controlled trial. METHODS: Participants, who were asked to work as bystanders, were randomly assigned to either an application group or control group and were asked to bring an AED in both groups...
April 13, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29621037/-no-go-considerations-for-in-situ-simulation-safety
#2
Komal Bajaj, Anjoinette Minors, Katie Walker, Michael Meguerdichian, Mary Patterson
In situ simulation is the practice of simulation in the actual clinical environment and has demonstrated utility in the assessment of system processes, identification of latent safety threats, and improvement in teamwork and communication. Nonetheless, performing simulated events in a real patient care setting poses potential risks to patient and staff safety. One integral aspect of a comprehensive approach to ensure the safety of in situ simulation includes the identification and establishment of "no-go considerations," that is, key decision-making considerations under which in situ simulations should be canceled, postponed, moved to another area, or rescheduled...
April 4, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29620705/building-ultrasound-phantoms-with-modified-polyvinyl-chloride-a-comparison-of-needle-insertion-forces-and-sonographic-appearance-with-commercial-and-traditional-simulation-materials
#3
David Frederick Pepley, Cheyenne Cassel Sonntag, Rohan Sunil Prabhu, Mary Alice Yovanoff, David C Han, Scarlett Rae Miller, Jason Zachary Moore
INTRODUCTION: Training using ultrasound phantoms allows for safe introduction to clinical skills and is associated with improved in-hospital performance. Many materials have been used to simulate human tissue in phantoms including commercial manikins, agar, gelatin, and Ballistics Gel; however, phantom tissues could be improved to provide higher-fidelity ultrasound images or tactile sensation. This article describes a novel phantom tissue mixture of a modified polyvinyl chloride (PVC) polymer, mineral oil, and chalk powder and evaluates needle cutting and ultrasonic properties of the modified PVC polymer mixture compared with a variety of phantom tissues...
April 3, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29620704/learners-perceptions-during-simulation-based-training-an-interview-study-comparing-remote-versus-locally-facilitated-simulation-based-training
#4
Margrethe Duch Christensen, Doris Oestergaard, Peter Dieckmann, Leonie Watterson
INTRODUCTION: Remotely facilitated simulation-based training (RF-SBT) is less positively appraised than face-to-face, locally facilitated simulation-based training (LF-SBT), despite being considered as an acceptable alternative. This study compared the perceptions of learners after RF-SBT and LF-SBT to explain differences between the two and identify relevant theories that would guide future practice. METHODS: Telephone interviews were conducted with 21 newly graduated doctors and nurses who completed a standardized simulation course delivered in both RF-SBT and LF-SBT formats...
April 3, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29620703/a-multicenter-collaboration-for-simulation-based-assessment-of-acgme-milestones-in-emergency-medicine
#5
David H Salzman, Hannah Watts, Kelly Williamson, Michelle Sergel, Valerie Dobiesz, Noah DeGarmo, Samreen Vora, Louis J Sharp, Ernest E Wang, Michael A Gisondi
In 2014, the six allopathic emergency medicine (EM) residency programs in Chicago established an annual, citywide, simulation-based assessment of all postgraduate year 2 EM residents. The cases and corresponding assessment tools were designed by the simulation directors from each of the participating sites. All assessment tools include critical actions that map directly to numerous EM milestones in 11 different subcompetencies. The 2-hour assessments provide opportunities for residents to lead resuscitations of critically ill patients and demonstrate procedural skills, using mannequins and task trainers respectively...
April 3, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29620702/electronic-health-records-in-simulation-education-literature-review-and-synthesis
#6
Bryan A Wilbanks, Penni I Watts, Chad A Epps
During the last decade, the use of electronic health records (EHRs) in clinical settings has risen sharply. Many clinical education programs have not incorporated the use of electronic documentation into their curriculum. It is important to incorporate technologies that will be used in real-world settings into educational clinical simulations to better prepare students for clinical practice and promote patient safety. Electronic documentation can be harder to teach to students because it requires a more in-depth orientation on how to use the electronic documentation system and because health care organizations often give students limited or no access to the documentation system...
April 3, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29613919/addressing-dual-patient-and-staff-safety-through-a-team-based-standardized-patient-simulation-for-agitation-management-in-the-emergency-department
#7
Ambrose H Wong, Marc A Auerbach, Halley Ruppel, Lauren J Crispino, Alana Rosenberg, Joanne D Iennaco, Federico E Vaca
INTRODUCTION: Emergency departments (EDs) have seen harm rise for both patients and health workers from an increasing rate of agitation events. Team effectiveness during care of this population is particularly challenging because fear of physical harm leads to competing interests. Simulation is frequently employed to improve teamwork in medical resuscitations but has not yet been reported to address team-based behavioral emergency care. As part of a larger investigation of agitated patient care, we designed this secondary study to examine the impact of an interprofessional standardized patient simulation for ED agitation management...
April 3, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29613918/the-100-most-cited-articles-on-healthcare-simulation-a-bibliometric-review
#8
Chloe Walsh, Sinéad Lydon, Dara Byrne, Caoimhe Madden, Susan Fox, Paul OʼConnor
This article provides an overview and synthesis of the 100 most cited healthcare simulation publications to provide insight into the articles that have shaped current knowledge and practice. Searches of the Scopus and Web of Science databases were conducted in July 2017. Most articles were concerned with medical education and training (86%) and were most often published in surgical journals (33%). Manikins (20%), standardized patients (16%), inanimate part-task trainers (16%), fully simulated environments (17%), and virtual reality part-task trainers (14%) were the most commonly featured types of simulators...
April 3, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29381587/status-quo-in-pediatric-and-neonatal-simulation-in-four-central-european-regions-the-dachs-survey
#9
Michael Wagner, Ellen Heimberg, Lukas P Mileder, Alex Staffler, Annika Paulun, Ruth M Löllgen
INTRODUCTION: Simulation has acquired wide acceptance as an important component of education in health care and as a key tool to increase patient safety. This study aimed at identifying to what extent and how pediatric and neonatal simulation-based training (SBT) was being carried out in four Central European regions. METHODS: We surveyed all pediatric and neonatal health care institutions in Germany, Austria, Switzerland, and South Tyrol on their current state of SBT using an online questionnaire...
January 30, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29381590/simulation-of-shoulder-dystocia-for-skill-acquisition-and-competency-assessment-a-systematic-review-and-gap-analysis
#10
Edith D Gurewitsch Allen
Mastery of shoulder dystocia management skills acquired via simulation training can reduce neonatal brachial plexus injury by 66% to 90%. However, the correlation between simulation drills and reduction in clinical injuries has been inconsistently replicated, and establishing a causal relationship between simulation training and reduction of adverse clinical events from shoulder dystocia is infeasible due to ethical limitations. Nevertheless, professional liability insurance carriers increasingly are mandating simulation-based rehearsal and competency assessment of their covered obstetric providers' shoulder dystocia management skills-a high-stakes demand that will require rapid scaling up of access to quality shoulder dystocia simulation...
January 29, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29381589/exploring-faculty-approaches-to-feedback-in-the-simulated-setting-are-they-evidence-informed
#11
Amanda Lee Roze des Ordons, Adam Cheng, Jonathan E Gaudet, James Downar, Jocelyn M Lockyer
INTRODUCTION: Feedback in clinical education and after simulated experiences facilitates learning. Although evidence-based guidelines for feedback exist, faculty experience challenges in applying the guidelines. We set out to explore how faculty approach feedback and how these approaches align with current recommendations. METHODS: There is strong evidence for the following four components of feedback: feedback as a social interaction, tailoring content, providing specific descriptions of performance, and identifying actionable items...
January 29, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29381588/three-dimensional-printed-pediatric-airway-model-improves-novice-learners-flexible-bronchoscopy-skills-with-minimal-direct-teaching-from-faculty
#12
Emily M DeBoer, Jennifer Wagner, Miranda E Kroehl, Joseph Albietz, Robin Shandas, Robin R Deterding, Matthew J Rustici
INTRODUCTION: Training in pediatric flexible bronchoscopy (FB) is predominantly completed on patients. Early trainees are less accurate and slower than experienced bronchoscopists. This report describes the development of a three-dimensional printed airway model and describes how the model was used to teach learners basic FB skills. METHODS: Postgraduate year two (PGY2) pediatric residents completing a 1-month pediatric pulmonology rotation with minimal previous exposure to FB were randomized into a simulation trainee group (n = 18) or a control resident group (n = 9)...
January 29, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29377865/validity-evidence-for-a-serious-game-to-assess-performance-on-critical-pediatric-emergency-medicine-scenarios
#13
James M Gerard, Anthony J Scalzo, Matthew A Borgman, Christopher M Watson, Chelsie E Byrnes, Todd P Chang, Marc Auerbach, David O Kessler, Brian L Feldman, Brian S Payne, Sohail Nibras, Riti K Chokshi, Joseph O Lopreiato
INTRODUCTION: We developed a first-person serious game, PediatricSim, to teach and assess performances on seven critical pediatric scenarios (anaphylaxis, bronchiolitis, diabetic ketoacidosis, respiratory failure, seizure, septic shock, and supraventricular tachycardia). In the game, players are placed in the role of a code leader and direct patient management by selecting from various assessment and treatment options. The objective of this study was to obtain supportive validity evidence for the PediatricSim game scores...
January 26, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29373385/leveraging-quick-response-code-technology-to-facilitate-simulation-based-leaderboard-competition
#14
Todd P Chang, Cara B Doughty, Diana Mitchell, Chrystal Rutledge, Marc A Auerbach, Karin Frisell, Priti Jani, David O Kessler, Heather Wolfe, Ralph J MacKinnon, Maya Dewan, Jonathan Pirie, Daniel Lemke, Mona Khattab, Nancy Tofil, Chenthila Nagamuthu, Catharine M Walsh
INTRODUCTION: Leaderboards provide feedback on relative performance and a competitive atmosphere for both self-guided improvement and social comparison. Because simulation can provide substantial quantitative participant feedback, leaderboards can be used, not only locally but also in a multidepartment, multicenter fashion. Quick Response (QR) codes can be integrated to allow participants to access and upload data. We present the development, implementation, and initial evaluation of an online leaderboard employing principles of gamification using points, badges, and leaderboards designed to enhance competition among healthcare providers...
January 25, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29373384/learning-theory-foundations-of-simulation-based-mastery-learning
#15
William C McGaghie, Ilene B Harris
Simulation-based mastery learning (SBML), like all education interventions, has learning theory foundations. Recognition and comprehension of SBML learning theory foundations are essential for thoughtful education program development, research, and scholarship. We begin with a description of SBML followed by a section on the importance of learning theory foundations to shape and direct SBML education and research. We then discuss three principal learning theory conceptual frameworks that are associated with SBML-behavioral, constructivist, social cognitive-and their contributions to SBML thought and practice...
January 25, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29373383/validity-of-simulation-based-assessment-for-accreditation-council-for-graduate-medical-education-milestone-achievement
#16
Robert S Isaak, Fei Chen, Susan M Martinelli, Harendra Arora, David A Zvara, Gene Hobbs, Marjorie P Stiegler
INTRODUCTION: The Accreditation Council for Graduate Medical Education requires biannual evaluation of anesthesiology residents on 25 subcompetency milestones. Some milestone domains are particularly challenging to repeatedly and reliably observe during clinical care. Simulation-Based Milestones Assessment (SBMA) may help overcome these challenges. However, few studies have examined the external validation of simulation assessment scores (ie, the relationships between simulation-based assessment scores and other standard measures of ability) for milestones...
January 25, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29373382/cost-utility-analysis-of-virtual-and-mannequin-based-simulation
#17
Katie A Haerling
INTRODUCTION: The purposes of this study were to (1) compare learning outcomes between students who participated in mannequin-based simulation activities and students who participated in virtual simulation activities and (2) describe a cost-utility analysis comparing the two types of simulation activities in terms of costs and multiple measures of effectiveness. METHODS: Nursing student participants were randomly assigned to one of two experimental groups to complete either a mannequin-based or virtual simulation activity...
January 25, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29369962/establishing-a-virtual-community-of-practice-in-simulation-the-value-of-social-media
#18
Brent Thoma, Victoria Brazil, Jesse Spurr, Janice Palaganas, Walter Eppich, Vincent Grant, Adam Cheng
Professional development opportunities are not readily accessible for most simulation educators, who may only connect with simulation experts at periodic and costly conferences. Virtual communities of practice consist of individuals with a shared passion who communicate via virtual media to advance their own learning and that of others. A nascent virtual community of practice is developing online for healthcare simulation on social media platforms. Simulation educators should consider engaging on these platforms for their own benefit and to help develop healthcare simulation educators around the world...
January 24, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29369961/role-of-scientific-theory-in-simulation-education-research
#19
Martin V Pusic, Kathy Boutis, Willam C McGaghie
Scientific theories are consistent explanations about how the world works. They have been shown to be plausible not only from a large amount of independent confirmatory evidence but also because rigorous attempts at falsification have failed. Other desirable features include parsimony, scalability, explanatory, and predictive power. Scientific theories differ from models and laws in the amount of evidence available and/or the degree to which they explain nature. Learning curve theory is a scientific theory with direct applicability to simulation education researchers...
January 24, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29621100/clinical-macrosystem-simulation-translates-between-organizations
#20
G Jesse Bender, James A Maryman
INTRODUCTION: Simulation has become an integral tool in healthcare facility redesign. Immersing clinical experts into their future environment has demonstrated benefits for transition planning. This study evaluates translation of a proven macrosystems testing protocol, TESTPILOT, to an organization with limited simulation experience. METHODS: An experienced TESTPILOT team guided Woman's Hospital Baton Rouge's simulation preparation for their new neonatal intensive care unit...
April 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
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