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https://www.readbyqxmd.com/read/27918336/resident-physicians-improve-nontechnical-skills-when-on-operating-room-management-and-leadership-rotation
#1
Devon C Cole, Christopher R Giordano, Terrie Vasilopoulos, Brenda G Fahy
BACKGROUND: Anesthesiology residency primarily emphasizes the development of medical knowledge and technical skills. Yet, nontechnical skills (NTS) are also vital to successful clinical practice. Elements of NTS are communication, teamwork, situational awareness, and decision making. METHODS: The first 10 consecutive senior residents who chose to participate in this 2-week elective rotation of operating room (OR) management and leadership training were enrolled in this study, which spanned from March 2013 to March 2015...
December 1, 2016: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/27899838/use-of-an-auditory-hallucination-simulation-to-increase-student-pharmacist-empathy-for-patients-with-mental-illness
#2
Elizabeth T Skoy, Heidi N Eukel, Jeanne E Frenzel, Amy Werremeyer, Becky McDaniel
Objective. To increase student pharmacist empathy through the use of an auditory hallucination simulation. Design. Third-year professional pharmacy students independently completed seven stations requiring skills such as communication, following directions, reading comprehension, and cognition while listening to an audio recording simulating what one experiencing auditory hallucinations may hear. Following the simulation, students participated in a faculty-led debriefing and completed a written reflection. Assessment...
October 25, 2016: American Journal of Pharmaceutical Education
https://www.readbyqxmd.com/read/27899836/impact-of-an-advanced-cardiac-life-support-simulation-laboratory-experience-on-pharmacy-student-confidence-and-knowledge
#3
Whitney D Maxwell, Phillip L Mohorn, Jason S Haney, Cynthia M Phillips, Z Kevin Lu, Kimberly Clark, Alex Corboy, Kelly R Ragucci
Objective. To assess the impact of an advanced cardiac life support (ACLS) simulation on pharmacy student confidence and knowledge. Design. Third-year pharmacy students participated in a simulation experience that consisted of team roles training, high-fidelity ACLS simulations, and debriefing. Students completed a pre/postsimulation confidence and knowledge assessment. Assessment. Overall, student knowledge assessment scores and student confidence scores improved significantly. Student confidence and knowledge changes from baseline were not significantly correlated...
October 25, 2016: American Journal of Pharmaceutical Education
https://www.readbyqxmd.com/read/27893904/clinical-judgment-scripts-as-a-strategy-to-foster-clinical-judgments
#4
Cheryl B Hines, Felecia G Wood
BACKGROUND: Clinical judgment encompasses how nurses use their knowledge of the patient to generate, assess, and prioritize patient care alternatives. Previous research has identified debriefing as critical to developing clinical judgment. Best practice for debriefing has yet to be identified. The purpose of this research was to investigate whether a standard debriefing script, based on Tanner's clinical judgment model, could foster clinical judgment. METHOD: Participants were senior nursing students in their final semester of study...
December 1, 2016: Journal of Nursing Education
https://www.readbyqxmd.com/read/27882788/why-we-need-more-research-into-interprofessional-education
#5
Marian Traynor, Despina Galanouli, John Gardner, Richard Corry
Interprofessional education (IPE) has long been considered an important means of improving communication and interaction between health professionals and of addressing patient safety concerns. This study aimed to explore whether a high-fidelity (HF) simulator could enhance a postgraduate IPE session on team-working and communication skills. A convenience sample of six doctors and six nurses, all recently qualified and working in an acute care setting, participated in teams of one nurse and one doctor in a typical clinical case scenario using a HF simulator...
November 24, 2016: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/27882523/simulation-in-undergraduate-psychiatry-exploring-the-depth-of-learner-engagement
#6
REVIEW
Petal S Abdool, Latika Nirula, Sarah Bonato, Tarek K Rajji, Ivan L Silver
OBJECTIVES: Simulation-based methodologies are increasingly used in undergraduate medical education to expand students' exposure to complex clinical scenarios. Engagement of students in these simulation-based methodologies is a key determinant of their success in learning. Thus, the authors conducted a systematic review to (1) identify simulation methods in use within the undergraduate psychiatry curriculum and (2) assess learner engagement using these methods. METHODS: Following a PRISMA methodology, the authors searched MEDLINE, ERIC, and PsychINFO databases from 1977 to 2015...
November 23, 2016: Academic Psychiatry
https://www.readbyqxmd.com/read/27881275/the-living-with-medicines-questionnaire-translation-and-cultural-adaptation-into-the-arabic-context
#7
Amani Zidan, Ahmed Awaisu, Sanah Hasan, Nadir Kheir
BACKGROUND: The Living with Medicines Questionnaire (LMQ) was developed in English language to assess, from a patient's perspective, issues related to the burden resulting from the use of medicines. OBJECTIVES: To translate and culturally adapt the LMQ into the Arabic language and context. METHODS: Permission to translate the LMQ was obtained from the original developers, and a protocol for its translation and cultural adaptation was developed using the International Society for Pharmacoeconomics and Outcomes Research guidelines for the translation and cultural adaptation of patient-reported outcome measures...
September 2016: Value in Health Regional Issues
https://www.readbyqxmd.com/read/27878205/iterative-development-and-evaluation-of-a-pharmacogenomic-guided-clinical-decision-support-system-for-warfarin-dosing
#8
Brittany L Melton, Alan J Zillich, Jason Saleem, Alissa L Russ, James E Tisdale, Brian R Overholser
OBJECTIVE: Pharmacogenomic-guided dosing has the potential to improve patient outcomes but its implementation has been met with clinical challenges. Our objective was to develop and evaluate a clinical decision support system (CDSS) for pharmacogenomic-guided warfarin dosing designed for physicians and pharmacists. METHODS: Twelve physicians and pharmacists completed 6 prescribing tasks using simulated patient scenarios in two iterations (development and validation phases) of a newly developed pharmacogenomic-driven CDSS prototype...
November 23, 2016: Applied Clinical Informatics
https://www.readbyqxmd.com/read/27874995/changes-in-self-efficacy-collective-efficacy-and-patient-outcome-following-interprofessional-simulation-training-on-postpartum-haemorrhage
#9
Signe Egenberg, Pål Øian, Torbjørn Moe Eggebø, Mirjana Grujic Arsenovic, Lars Edvin Bru
AIMS AND OBJECTIVES: To examine whether interprofessional simulation training on management of postpartum haemorrhage enhances self-efficacy and collective efficacy and reduces the blood transfusion rate after birth. BACKGROUND: Postpartum haemorrhage is a leading cause of maternal morbidity and mortality worldwide, although it is preventable in most cases. Interprofessional simulation training might help improve the competence of health professionals dealing with postpartum haemorrhage, and more information is needed to determine its potential...
November 22, 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/27874843/high-fidelity-simulation-experience-in-emergency-settings-doctors-and-nurses-satisfaction-levels
#10
Diletta Calamassi, Tiziana Nannelli, Andrea Guazzini, Laura Rasero, Stefano Bambi
BACKGROUND AND AIM OF THE WORK: Lots of studies describe High Fidelity Simulation (HFS) as an experience well-accepted by the learners. This study has explored doctors and nurses satisfaction levels during HFS sessions, searching the associations with the setting of simulation events (simulation center or on the field simulation). Moreover, we studied the correlation between HFS experience satisfaction levels and the socio-demographic features of the participants. METHODS: Mixed method study, using the Satisfaction of High-Fidelity Simulation Experience (SESAF) questionnaire through an online survey...
November 22, 2016: Acta Bio-medica: Atenei Parmensis
https://www.readbyqxmd.com/read/27871594/obstetric-team-simulation-program-challenges
#11
A S Bullough, S Wagner, T Boland, T P Waters, K Kim, W Adams
OBJECTIVE: To describe the challenges associated with the development and assessment of an obstetric emergency team simulation program. DESIGN: The goal was to develop a hybrid, in-situ and high fidelity obstetric emergency team simulation program that incorporated weekly simulation sessions on the labor and delivery unit, and quarterly, education protected sessions in the simulation center. All simulation sessions were video-recorded and reviewed. SETTING: Labor and delivery unit and simulation center...
December 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27869210/delivery-room-quality-improvement-project-improved-compliance-with-best-practices-for-a-community-nicu
#12
Charles W Sauer, Mallory A Boutin, Aayah N Fatayerji, James A Proudfoot, Nabil I Fatayerji, David J Golembeski
A Quality Improvement bundle was implemented with the goal of standardizing the multidisciplinary approach to delivery room management. We used a Pre-Post Quality Improvement initiative with the following aims: (1) Placement of a functioning pulse oximeter by two minutes after birth, (2) Delayed intubation, (3) Normothermia on Neonatal Intensive Care Unit Admission, (4) Use of a pre-brief, debrief, and delivery room checklist. Data was collected for 548 infants, which represents every admission to the Palomar Rady Children's Hospital Neonatal Intensive Care Unit during the 35 month study period from January 1, 2010 to November 30, 2012...
November 21, 2016: Scientific Reports
https://www.readbyqxmd.com/read/27867134/residual-anxiety-after-high-fidelity-simulation-in-anaesthesiology-an-observational-prospective-pilot-study
#13
Jean-Noël Evain, Lana Zoric, Laurent Mattatia, Olivier Picard, Jacques Ripart, Philippe Cuvillon
BACKGROUND: High fidelity simulation (HFS) in anaesthesiology intentionally provides stress on students, but anxiety may be detrimental if it goes on through debriefing. The primary goal of this study was to estimate the proportion of students with significant anxiety remaining after debriefing (Residual Anxiety: RA). Secondary goals were to evaluate the instructors' ability to estimate students' RA and to identify potential risk factors for high RA. SUBJECTS AND METHODS: Following IRB approval and informed consent, data from a cohort of subjects were prospectively collected by an independent expert...
November 17, 2016: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/27858502/prehospital-providers-perceptions-on-providing-patient-and-family-centered-care
#14
Emily M Ayub, Esther M Sampayo, Manish I Shah, Cara B Doughty
BACKGROUND: A gap exists in understanding a provider's approach to delivering care that is mutually beneficial to patients, families, and other providers in the prehospital setting. The purpose of this study was to identify attitudes, beliefs, and perceived barriers to providing patient and family centered care (PFCC) in the prehospital setting and to describe potential solutions for improving PFCC during critical pediatric events. METHODS: We conducted a qualitative, cross-sectional study of a purposive sample of Emergency Medical Technicians (EMTs) and paramedics from an urban, municipal, fire-based EMS system, who participated in the Pediatric Simulation Training for Emergency Prehospital Providers (PediSTEPPS) course...
November 18, 2016: Prehospital Emergency Care
https://www.readbyqxmd.com/read/27852293/a-simulation-based-curriculum-to-introduce-key-teamwork-principles-to-entering-medical-students
#15
Arna Banerjee, Jason M Slagle, Nathaniel D Mercaldo, Ray Booker, Anne Miller, Daniel J France, Lisa Rawn, Matthew B Weinger
BACKGROUND: Failures of teamwork and interpersonal communication have been cited as a major patient safety issue. Although healthcare is increasingly being provided in interdisciplinary teams, medical school curricula have traditionally not explicitly included the specific knowledge, skills, attitudes, and behaviors required to function effectively as part of such teams. METHODS: As part of a new "Foundations" core course for beginning medical students that provided a two-week introduction to the most important themes in modern healthcare, a multidisciplinary team, in collaboration with the Center for Experiential Learning and Assessment, was asked to create an experiential introduction to teamwork and interpersonal communication...
November 16, 2016: BMC Medical Education
https://www.readbyqxmd.com/read/27850903/1267-designing-and-implementing-a-debriefing-tool-to-reduce-compassion-fatigue-and-burnout-in-the-picu
#16
Courtney Nerovich, Kristi Thime, Jim Manzardo, Sabrina Derrington
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27850889/1253-implementation-of-a-formal-debriefing-program-after-pediatric-rapid-response-team-activations
#17
Linda Aponte-Patel, Arash Salavitabar, Pamela Fazzio, Andrew Geneslaw, Pamela Good, Anita Sen
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27850777/1140-facilitated-post-critical-event-team-debriefing-a-quality-improvement-initiative
#18
Vagia Tsiaousidis Campbell, Daniel Goldshtein, Luke Devine, Stephen Lapinsky, Michael Christian, Joshua Rucker, Sev Perelman
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27850049/409-needs-assessments-in-critical-care-a-comparison-of-simulation-debriefs-to-traditional-methods
#19
Aimee Sarti, Rola Ajjawi, Stephanie Sutherland, Angele Landriault, John Kim, Pierre Cardinal
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27849958/317-impact-of-a-fellow-driven-debriefing-program-after-pediatric-cardiac-arrests
#20
Jennifer Gillen, Linda Aponte-Patel, Anita Sen
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
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