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

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https://www.readbyqxmd.com/read/30499869/simulation-safety-first-an-imperative
#1
Daniel Raemer, Alexander Hannenberg, Ann Mullen
No abstract text is available yet for this article.
November 28, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/30407961/simulation-based-education-to-train-learners-to-speak-up-in-the-clinical-environment-results-of-a-randomized-trial
#2
Ceyda Oner, Nelli Fisher, Fouad Atallah, Mary Ann Son, Peter Homel, Katerina Mykhalchenko, Howard Minkoff
INTRODUCTION: Assertiveness is essential for communication and/or speaking up. We performed a randomized trial to assess the effectiveness of assertiveness/advocacy/CUS/two-challenge rule (AACT) simulation-based education for labor and delivery as well as postpartum nurses. We aimed to determine whether this training would improve labor and delivery and postpartum nurses speaking up in the clinical setting. METHODS: We conducted a randomized controlled trial among nurses on labor and delivery and postpartum units...
November 7, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/30407960/the-use-of-statistical-process-control-charts-to-evaluate-interprofessional-education-sessions-embedded-into-a-pediatric-emergency-in-situ-resuscitation-program
#3
Jonathan Pirie, Sandra Cardenas, Wail Seleem, Dragan Kljujic, Suzan Schneeweiss, Carrie Glanfield, Tania Principi
The rigorous evaluation of simulation in healthcare to improve resuscitations and team functioning can be challenging. Statistical process control (SPC) charts present a unique methodology to enable statistical rigor when evaluating simulation. This article presents a brief overview of SPC charts and its advantages over traditional before and after methodologies, followed by an exemplar using SPC to evaluate an in situ team training program with embedded interprofessional education sessions.
November 7, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/30407959/using-an-immersive-virtual-reality-system-to-assess-lay-provider-response-to-an-unannounced-simulated-sudden-cardiac-arrest-in-the-out-of-hospital-setting
#4
Marion Leary, Alfredo Almodovar, David G Buckler, Abhishek Bhardwaj, Audrey L Blewer, Benjamin S Abella
BACKGROUND: A sudden cardiac arrest (SCA) occurs when the heart abruptly stops beating; because of the nature of SCA, capturing data in the out-of-hospital setting from actual bystander response is difficult. Current technologies such as virtual reality (VR) allow the creation of scenarios programmed for heightened realism. No studies have used an immersive VR system to observe lay bystander response. OBJECTIVE: We sought to characterize lay bystander response to an unannounced simulated VR SCA event during a multisensory scenario...
November 7, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/30407957/multiple-patient-casualty-scenarios-a-measurement-tool-for-teamwork
#5
Shannon L Marlow, Wendy L Bedwell, Stephanie Zajac, Denise L Reyes, Michelle LaMar, Saad Khan, Joseph Lopreiato, Eduardo Salas
INTRODUCTION: Teamwork is a critical aspect of patient care and is especially salient in response to multiple patient casualties. Effective training and measurement improve team performance. However, the literature currently lacks a scientifically developed measure of team performance within multiple causality scenarios, making training and feedback efforts difficult. The present effort addresses this gap by integrating the input of subject matter experts and the science of multicasualty teams and training to (1) identify overarching teamwork processes and corresponding behaviors necessary for team performance and (2) develop a behavioral observation tool to optimize teamwork in multicasualty training efforts...
December 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/30407956/social-network-analysis-of-a-simulation-community
#6
Richard H Riley, Cai Kjaer, A Carol Cheney, Svetlana Naumovski, Brodene L Straw
INTRODUCTION: Graphical analysis of networking maps can be used to measure the health, connectivity, and vulnerabilities of a professional community. We aimed to capture and map the connections and relationships between individuals and organizations in the healthcare simulation community of the state of Western Australia. It was also intended that this analysis would encourage new opportunities for collaboration to advance simulation-based education. METHODS: In association with a baseline list of established simulation practitioners, an online survey instrument and propriety mapping software were used to establish links and interactions between individuals, colleagues, their own, and external organizations...
November 7, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/30407955/interprofessional-healthcare-student-training-in-the-care-of-sexual-assault-patients-utilizing-standardized-patient-methodology
#7
Wendy J Lee, Lou Clark, Kathleen Wortmann, Laura A Taylor, Arnyce R Pock
BACKGROUND: The medical assessment of sexual assault (SA) is challenging because SA patients are often hesitant to disclose their medical needs, which puts them at further physical and psychological risk, and because of provider unease in conducting SA examinations. This challenge is compounded by a lack of provider training. OBJECTIVES: The study goals were to develop an interprofessional simulation event that would foster SA interview skills, foster effective communication with SA patients, and increase learner confidence in assessing SA patients...
November 7, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/30395079/preparing-the-next-generation-of-code-blue-leaders-through-simulation-what-s-missing
#8
Ayaaz K Sachedina, Sarah Blissett, Alliya Remtulla, Kumar Sridhar, Deric Morrison
INTRODUCTION: Despite the increasing reliance on simulation to train residents as code blue leaders, the perceived role and effectiveness of code blue simulations from the learners' perspective have not been explored. A code blue Simulation Program (CBSP), developed based on evidence-based simulation principles, was implemented at our institution. We explored the role of simulation in code blue training and the differences between real and simulated code blues from the learner perspective...
October 31, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/30395078/augmented-reality-future-step-visualization-for-robust-surgical-telementoring
#9
Daniel S Andersen, Maria E Cabrera, Edgar J Rojas-Muñoz, Voicu S Popescu, Glebys T Gonzalez, Brian Mullis, Sherri Marley, Ben L Zarzaur, Juan P Wachs
INTRODUCTION: Surgical telementoring connects expert mentors with trainees performing urgent care in austere environments. However, such environments impose unreliable network quality, with significant latency and low bandwidth. We have developed an augmented reality telementoring system that includes future step visualization of the medical procedure. Pregenerated video instructions of the procedure are dynamically overlaid onto the trainee's view of the operating field when the network connection with a mentor is unreliable...
October 31, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/30395077/emergent-themes-for-instructional-design-alpha-and-beta-testing-during-a-faculty-development-course
#10
Jannet J Lee-Jayaram, Benjamin W Berg, Angela Sy, Kristine M Hara
INTRODUCTION: Instructional design is an established discipline for designing educational activities for learners and is applied during the development of simulation-based healthcare educational activities. Although the iterative process is already being used with alpha/beta testing during development of the simulation, the process has not been described in detail. We sought to describe this process of design changes made during a novice faculty development course for simulation-based healthcare education where participants routinely design scenarios and conduct alpha/beta testing...
October 31, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/30216277/learners-experiences-during-rapid-cycle-deliberate-practice-simulations-a-qualitative-analysis
#11
Rebecca J Chancey, Esther M Sampayo, Daniel S Lemke, Cara B Doughty
INTRODUCTION: Rapid Cycle Deliberate Practice (RCDP) is a team-based simulation method, emphasizing repetitive practice over reflective debriefing, with progressively more challenging rounds, frequent starts and stops, and direct coaching. Although some studies have shown improved performance, no study has evaluated learners' perceptions. We aimed to explore learners' experiences during RCDP. METHODS: This was a qualitative study of participants' perceptions regarding RCDP during their pediatric emergency medicine rotation...
September 13, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/30216275/in-situ-simulation-to-mitigate-threats-to-participation-in-a-multicenter-clinical-trial-in-high-acuity-low-frequency-setting
#12
Steven Chan, Lynn Babcock, Gary Geis, Mary Frey, Venita Robinson, Benjamin Kerrey
INTRODUCTION: Multicenter clinical trials of high-acuity, low-frequency emergencies are expensive and resource intensive. Current standards for trial preparation have significant limitations. Our objective is to describe our use of in situ simulation (ISS) to identify and mitigate threats to enrollment, protocol adherence, and patient safety in preparation for a multicenter clinical trial of antiepileptics for status epilepticus in the emergency department. METHODS: This is a descriptive study of ISS conducted in the emergency department at a free-standing, academic pediatric institution...
September 13, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/30216274/validation-of-the-fast-workstation-as-an-objective-evaluator-of-hand-tied-surgical-knots
#13
Andrew M Schneider, Robert A Pedowitz, Douglas A Evans
INTRODUCTION: Hand-tying surgical knots is an important skill that is applicable across all surgical disciplines. Knot quality is traditionally assessed in the operating room by visual inspection, which is inherently subjective. With the increasing prevalence of simulation training, surgical trainees having access to objective feedback of their knot-tying skills are paramount for skill evaluation. Our study aimed to validate a mechanical suture loop security tester as an objective evaluation method of hand-tied surgical knot quality...
September 13, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/30520805/using-simulation-to-teach-echocardiography-a-systematic-review
#14
Cecil A Rambarat, Justin M Merritt, Hannah F Norton, Erik Black, David E Winchester
We identified 24 studies of high-fidelity simulation being used to teach echocardiography. A variety of study designs were used with outcomes ranging from reports of learner self-confidence up to improvement in organizational practice. Most studies were carried out in graduate medical populations, specifically in anesthesia trainees. The substantial majority of studies (91.6%) concluded that simulation has positive outcomes for teaching echocardiography. Future investigations would benefit from application of educational theory and should focus on demonstrating whether simulation can improve care delivery and patient outcomes...
December 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/30407958/comparative-analysis-of-emergency-medical-service-provider-workload-during-simulated-out-of-hospital-cardiac-arrest-resuscitation-using-standard-versus-experimental-protocols-and-equipment
#15
Nicholas Asselin, Bryan Choi, Catherine C Pettit, Max Dannecker, Jason T Machan, Derek L Merck, Lisa H Merck, Selim Suner, Kenneth A Williams, Janette Baird, Gregory D Jay, Leo Kobayashi
INTRODUCTION: Protocolized automation of critical, labor-intensive tasks for out-of-hospital cardiac arrest (OHCA) resuscitation may decrease Emergency Medical Services (EMS) provider workload. A simulation-based assessment method incorporating objective and self-reported metrics was developed and used to quantify workloads associated with standard and experimental approaches to OHCA resuscitation. METHODS: Emergency Medical Services-Basic (EMT-B) and advanced life support (ALS) providers were randomized into two-provider mixed-level teams and fitted with heart rate (HR) monitors for continuous HR and energy expenditure (EE) monitoring...
December 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/30286028/evaluation-of-a-low-cost-high-fidelity-animal-model-to-train-graduate-advanced-practice-nursing-students-in-the-performance-of-ultrasound-guided-central-line-catheter-insertion
#16
Shayne D Hauglum, Nichole A Crenshaw, Karina A Gattamorta, Greta Mitzova-Vladinov
INTRODUCTION: Ultrasound-guided central venous catheter insertion (UGCVC) is a commonly performed procedure taught through simulation. The aims of the study were to examine the utilization of an animal model and compare it with two currently used Blue Phantom central line models to determine whether an animal model provides good or better simulated conditions for the performance of UGCVC insertion. METHODS: Using a randomized cross-over study, 46 advanced practice nursing students were assessed using a task-specific performance tool in their performance of UGCVC insertion on both the animal model and the Blue Phantom models...
October 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/30286027/some-exciting-news-and-changes-for-the-journal
#17
EDITORIAL
Mark W Scerbo
No abstract text is available yet for this article.
October 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/30216276/simulation-faculty-development-continuing-the-dialogue
#18
LETTER
Dawn Taylor Peterson, Penni I Watts, Chad A Epps, Marjorie Lee White
No abstract text is available yet for this article.
October 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/30216273/the-influence-of-culture-on-teamwork-and-communication-in-a-simulation-based-resuscitation-training-at-a-community-hospital-in-honduras
#19
Madeline F Perry, Teresa L Seto, Juan Carlos Vasquez, Srirama Josyula, Amy R L Rule, David W Rule, Beena D Kamath-Rayne
Communication and teamwork are important aspects of medicine and have been a recent focus of resuscitation. Culture can influence communication and teamwork, and these effects have not been studied in low-resource settings. Using a case study and the TEAM scale, we evaluated how culture influences teamwork and communication during resuscitation simulations, in addition to examining other challenges of simulation research in low-resource settings. We observed lower scores in leadership and communication skills than have been seen in other studies using the TEAM scale, which led us to evaluate the possible role of culture in influencing these skills...
October 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29771817/high-value-cost-conscious-communication-skills-in-undergraduate-medical-education-validity-evidence-for-scores-derived-from-two-standardized-patient-scenarios
#20
Neena Natt, Stephanie R Starr, Darcy A Reed, Yoon Soo Park, Liselotte N Dyrbye, Andrea N Leep Hunderfund
INTRODUCTION: Training in high-value, cost-conscious care (HVCCC) is increasingly being incorporated into medical school curricula, but students may have limited opportunities to engage patients in HVCCC conversations. The aim of this study was to develop two standardized patient scenarios with associated checklists, hypothesizing that resulting scores would allow for valid formative assessments of HVCCC communication skills. METHODS: Scenarios were designed to generate a less-is-more conversation (in response to a patient requesting an unnecessary test) and a shared decision-making conversation (in response to a patient choosing between multiple effective treatment options)...
October 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
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