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https://www.readbyqxmd.com/read/29777617/simulation-in-urology-to-train-non-technical-skills-in-ward-rounds
#1
K Somasundram, H Spence, A J Colquhoun, C Mcilhenny, C S Biyani, S Jain
OBJECTIVE: We have designed an exercise to train newly appointed Urology trainees in non-technical skills on ward rounds as a part of a simulation 'boot camp'. This paper reports our experience, including a qualitative analysis of participant feedback on the utility of this method of training. PATIENTS AND METHODS: The simulations took place in a high-fidelity simulated ward bay. Forty-eight doctors with formal Urology training ranging between 2-60 months (mean 19...
May 19, 2018: BJU International
https://www.readbyqxmd.com/read/29777356/visuospatial-abilities-and-fine-motor-experiences-influence-acquisition-and-maintenance-of-fundamentals-of-laparoscopic-surgery-fls-task-performance
#2
Cuan M Harrington, Patrick Dicker, Oscar Traynor, Dara O Kavanagh
BACKGROUND: Minimally invasive surgery poses a unique learning curve due to the requirement for non-intuitive psychomotor skills. The fundamentals of laparoscopic surgery (FLS) program trains and certifies residents in such skills. However, innate predictors of FLS performance and maintenance remain to be described. This single-centre observational study aimed to assess for candidate factors influencing the acquisition and maintenance of FLS performance amongst a surgically naïve cohort...
May 18, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29745715/tools-don-t-and-won-t-make-the-man-a-cognitive-look-at-the-future
#3
François Osiurak, Jordan Navarro, Emanuelle Reynaud, Gauthier Thomas
The question of whether tools erase cognitive and physical interindividual differences has been surprisingly overlooked in the literature. Yet if technology is profusely available in a near or far future, will we be equal in our capacity to use it? We sought to address this unexplored, fundamental issue, asking 200 participants to perform 3 physical (e.g., fine manipulation) and 3 cognitive tasks (e.g., calculation) in both non-tool-use and tool-use conditions. Here we show that tools do not erase but rather extend our intrinsic physical and cognitive skills...
May 2018: Journal of Experimental Psychology. General
https://www.readbyqxmd.com/read/29733492/cognitive-training-for-technical-and-non-technical-skills-in-robotic-surgery-a-randomised-controlled-trial
#4
N Raison, K Ahmed, T Abe, O Brunckhorst, G Novara, N Buffi, C McIlhenny, H Van der Poel, M Van Hemelrijck, A Gavazzi, P Dasgupta
OBJECTIVES: To investigate the effectiveness of motor imagery (MI) for technical and non-technical skills (NTS) training in minimally invasive surgery. MATERIALS AND METHODS: A single blind, parallel group randomised controlled trial was conducted at the Vattikuti Institute of Robotic Surgery, King's College London. Novice surgeons were recruited by open invitation in 2015. Following basic robotic skills training, participants underwent simple randomisation to either MI training or standard training...
May 7, 2018: BJU International
https://www.readbyqxmd.com/read/29724800/the-importance-of-quality-in-pulmonary-v-q-imaging
#5
April Mann, Mario DiDea, France Fournier, Daniel Tempesta, Jessica Williams, Norman LaFrance
As the healthcare environment continues to change and morph into a system focusing on increased quality and evidence-based outcomes, nuclear medicine technologists must be reminded they play a critical role in achieving high quality interpretable images used to drive patient care, treatments and best possible outcomes. A survey performed by the Quality Committee, Society of Nuclear Medicine and Molecular Imaging-Technologist Section demonstrated a clear knowledge gap exists amongst technologists regarding their understanding of quality, how it is measured, and how it should be achieved throughout all practicing technologists despite role and education level...
May 3, 2018: Journal of Nuclear Medicine Technology
https://www.readbyqxmd.com/read/29723200/longitudinal-motor-performance-development-in-early-adolescence-and-its-relationship-to-adult-success-an-8-year-prospective-study-of-highly-talented-soccer-players
#6
Daniel Leyhr, Augustin Kelava, Johannes Raabe, Oliver Höner
Several talent identification and development (TID) programs in soccer have implemented diagnostics to measure players' motor performance. Yet, there is a lack of research investigating the relationship between motor development in adolescence and future, adult performance. This longitudinal study analyzed the three-year development of highly talented young soccer players' speed abilities and technical skills and examined the relevance of this development to their adult success. The current research sample consisted of N = 1,134 players born between 1993 and 1995 who were selected for the German Soccer Association's TID program and participated in nationwide motor diagnostics (sprinting, agility, dribbling, ball control, shooting) four times between the Under 12 (U12) and Under 15 (U15) age class...
2018: PloS One
https://www.readbyqxmd.com/read/29718603/non-technical-skills-required-to-recognise-and-escalate-patient-deterioration-in-acute-hospital-settings
#7
Cara Large, Matthew Aldridge
Recognising patient deterioration is a vital nursing role. Observation based on vital signs and early warning scores are mandatory for all adult patients in acute hospital care and are the first steps in identifying deterioration. However, they rely on users' understanding of the significance of the results they find and their ability to escalate to senior colleagues if necessary. This article examines the non-technical skills nurses require to recognise and escalate patient deterioration. It explores and analyses the literature on this topic and suggests there is a need for greater focus on situational awareness in nurse training and in healthcare in general, as this is linked to improved patient safety...
May 2, 2018: Nursing Management (Harrow)
https://www.readbyqxmd.com/read/29703590/how-effective-is-trauma-simulation-as-an-educational-process-for-healthcare-providers-within-the-trauma-networks-a-systematic-review
#8
Donna Barleycorn, Geraldine A Lee
BACKGROUND: Major trauma is a significant public health problem and a leading cause of death for several age groups. To address this issue, Major Trauma Networks were introduced in the UK from 2010, consisting of Major Trauma Centres (MTCs) and a network of linked Trauma Units (TUs). OBJECTIVE: The aim is to undertake a systematic review to examine how effective is trauma simulation as an educational process for healthcare providers within trauma networks. METHODS: The databases searched included Medline, Embase and Cinahl from 2010 to 2016...
April 24, 2018: International Emergency Nursing
https://www.readbyqxmd.com/read/29665190/comparison-of-emergency-medicine-malpractice-cases-involving-residents-to-non-resident-cases
#9
Kiersten L Gurley, Shamai A Grossman, Margaret Janes, C Winnie Yu-Moe, Ellen Song, Carrie D Tibbles, Nathan I Shapiro, Carlo L Rosen
BACKGROUND: Data are lacking on how emergency medicine (EM) malpractice cases with resident involvement differs from cases that do not name a resident. OBJECTIVES: To compare malpractice case characteristics in cases where a resident is involved (resident case) to cases that do not involve a resident (non-resident case) and to determine factors that contribute to malpractice cases utilizing EM as a model for malpractice claims across other medical specialties. METHODS: We used data from the Controlled Risk Insurance Company (CRICO) Strategies' division Comparative Benchmarking System (CBS) to analyze open and closed EM cases asserted from 2009-2013...
April 17, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29653248/core-trainee-boot-camp-a-method-for-improving-technical-and-non-technical-skills-of-novice-surgical-trainees-a-before-and-after-study
#10
R Bamford, L Langdon, C A Rodd, S Eastaugh-Waring, J E Coulston
INTRODUCTION: The transition to surgical training can be a stressful time for trainees and is most evident during national handover periods where new graduates start and senior trainees rotate to new programmes. During this time, patient mortality can increase and Hospital efficiency reduces. This influence is compounded by the impact of working time directives. Intensive, simulation rich training programmes or "Boot Camps" have been postulated as a solution. This article highlights the development of a surgical boot camp for novice surgical trainees and the impact this can have on training...
April 10, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29624657/development-and-evaluation-of-a-patient-centred-measurement-tool-for-surgeons-non-technical-skills
#11
J Yule, K Hill, S Yule
BACKGROUND: Non-technical skills are essential for safe and effective surgery. Several tools to assess surgeons' non-technical skills from the clinician's perspective have been developed. However, a reliable measurement tool using a patient-centred approach does not currently exist. The aim of this study was to translate the existing Non-Technical Skills for Surgeons (NOTSS) tool into a patient-centred evaluation tool. METHODS: Data were gathered from four cohorts of patients using an iterative four-stage mixed-methods research design...
April 6, 2018: British Journal of Surgery
https://www.readbyqxmd.com/read/29614349/simulation-for-training-and-assessment-in-hysteroscopy-a-systematic-review
#12
REVIEW
Pietro Gambadauro, Milan Milenkovic, Gergö Hadlaczky
Hysteroscopy simulation complements conventional training on patients, yet evidence-based recommendations about its implementation and use are lacking. This systematic review analyzes and critically discusses hysteroscopy simulation literature published over the last 30 years. Systematic searches on PubMed, Embase, PsychINFO, ERIC, and the Cochrane Library produced 27 original articles published through 2017. Strategies based on different simulation models (eg, vegetables, synthetic uteri, virtual reality) were evaluated by users and appeared to facilitate learning...
March 31, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29611790/factors-that-affect-scrub-practitioner-non-technical-skills-a-literature-review
#13
Guy McClelland
Non-technical skills are the cognitive and interpersonal behaviours that compliment clinical competence in surgery. Effective use of non-technical skills is essential for scrub practice, because they facilitate anticipation of the surgeon's requirements and promote appropriate communication behaviours. This literature review analyses the factors that may influence a scrub practitioner's use of non-technical skills during surgery. Recommendations are made that are intended to improve their use by reducing behavioural variations during surgery...
April 2018: Journal of Perioperative Practice
https://www.readbyqxmd.com/read/29601087/construct-and-criterion-validity-testing-of-the-non-technical-skills-for-surgeons-notss-behaviour-assessment-tool-using-videos-of-simulated-operations
#14
S Yule, A Gupta, D Gazarian, A Geraghty, D S Smink, J Beard, T Sundt, G Youngson, C McIlhenny, S Paterson-Brown
BACKGROUND: Surgeons' non-technical skills are an important part of surgical performance and surgical education. The most widely adopted assessment tool is the Non-Technical Skills for Surgeons (NOTSS) behaviour rating system. Psychometric analysis of this tool to date has focused on inter-rater reliability and feasibility rather than validation. METHODS: NOTSS assessments were collected from two groups of consultant/attending surgeons in the UK and USA, who rated behaviours of the lead surgeon during a video-based simulated crisis scenario after either online or classroom instruction...
March 30, 2018: British Journal of Surgery
https://www.readbyqxmd.com/read/29601079/relationship-between-intraoperative-non-technical-performance-and-technical-events-in-bariatric-surgery
#15
A B Fecso, S S Kuzulugil, C Babaoglu, A B Bener, T P Grantcharov
BACKGROUND: The operating theatre is a unique environment with complex team interactions, where technical and non-technical performance affect patient outcomes. The correlation between technical and non-technical performance, however, remains underinvestigated. The purpose of this study was to explore these interactions in the operating theatre. METHODS: A prospective single-centre observational study was conducted at a tertiary academic medical centre. One surgeon and three fellows participated as main operators...
March 30, 2018: British Journal of Surgery
https://www.readbyqxmd.com/read/29588841/non-technical-skills-and-gastrointestinal-endoscopy-a-review-of-the-literature
#16
REVIEW
Charlotte R Hitchins, Magdalena Metzner, Judy Edworthy, Catherine Ward
Background: Non-technical skills (NTS) have gained increasing recognition in recent years for their role in safe, effective team performance in healthcare. Gastrointestinal endoscopy is a procedure-based specialty with rapidly advancing technology, significant operational pressures and rapidly changing 'teams of experts'. However, to date there has been little focus on the effect of NTS in this field. Objectives: This review aims to examine the existing literature on NTS in gastrointestinal endoscopy and identify areas for further research...
April 2018: Frontline Gastroenterology
https://www.readbyqxmd.com/read/29587730/applying-interprofessional-team-based-learning-in-patient-safety-a-pilot-evaluation-study
#17
Lukas Lochner, Sandra Girardi, Alessandra Pavcovich, Horand Meier, Franco Mantovan, Dietmar Ausserhofer
BACKGROUND: Interprofessional education (IPE) interventions are not always successful in achieving learning outcomes. Team-Based Learning (TBL) would appear to be a suitable pedagogical method for IPE, as it focuses on team performance; however, little is known about interprofessional TBL as an instructional framework for patient safety. In this pilot-study, we aimed to (1) describe participants' reactions to TBL, (2) observe their achievement with respect to interprofessional education learning objectives, and (3) document their attitudinal shifts with regard to patient safety behaviours...
March 27, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29587257/a-network-wide-stroke-team-program-reduces-time-to-treatment-for-endovascular-stroke-therapy-in-a-regional-stroke-network
#18
Ferdinand O Bohmann, Damla Tahtali, Natalia Kurka, Marlies Wagner, Se-Jong You, Richard du Mesnil de Rochemont, Joachim Berkefeld, Ann-Kathrin Hartmetz, Andrea Kuhlmann, Matthias W Lorenz, Ansgar Schütz, Bodo Kress, Christian Henke, Stephanie Tritt, Uta Meyding-Lamadé, Helmuth Steinmetz, Waltraud Pfeilschifter
BACKGROUND AND PURPOSE: Driven by the positive results of randomized, controlled trials of endovascular stroke therapies (EVT) in stroke patients with large vessel occlusion, different approaches to speed up the workflow for EVT candidates are currently being implemented worldwide. We aimed to assess the effect of a simple stroke network-wide workflow improvement project, primarily focusing on i.v. thrombolysis, on process times for patients undergoing EVT. METHODS: In 2015, we conducted a network-wide, peer-to-peer acute stroke workflow improvement program for i...
March 27, 2018: Cerebrovascular Diseases
https://www.readbyqxmd.com/read/29578515/a-bioluminescent-and-fluorescent-orthotopic-syngeneic-murine-model-of-androgen-dependent-and-castration-resistant-prostate-cancer
#19
Jonathan F Anker, Hanlin Mok, Anum F Naseem, Praveen Thumbikat, Sarki A Abdulkadir
Orthotopic tumor modeling is a valuable tool for pre-clinical prostate cancer research, as it has multiple advantages over both subcutaneous and transgenic genetically engineered mouse models. Unlike subcutaneous tumors, orthotopic tumors contain more clinically accurate vasculature, tumor microenvironment, and responses to multiple therapies. In contrast to genetically engineered mouse models, orthotopic models can be performed with lower cost and in less time, involve the use of highly complex and heterogeneous mouse or human cancer cell lines, rather that single genetic alterations, and these cell lines can be genetically modified, such as to express imaging agents...
March 6, 2018: Journal of Visualized Experiments: JoVE
https://www.readbyqxmd.com/read/29577112/a-phenomenological-study-of-business-graduates-employment-experiences-in-the-changing-economy
#20
Throy Alexander Campbell
This study explores the perspectives of business college graduates, how technology has shaped the structures of their jobs, and the role of non-technical skills as they navigate the changing career path. Three overlapping themes emerged from the data analysis: (1) influence of increased technology capabilities on job structures and careers; (2) participation in job-related training and formal education as means of adapting to the new work environment; and (3) the role of non-technical skills in the workplace amidst the intensification of technology change...
2018: Journal for Labour Market Research
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