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https://www.readbyqxmd.com/read/29766036/simulation-based-airway-management-training-for-anesthesiologists-a-brief-review-of-its-essential-role-in-skills-training-for-clinical-competency
#1
Nobuyasu Komasawa, Benjamin W Berg
In clinical practice, failure of proper airway management can lead to significant patient morbidity and mortality. Difficult airway management comprises a fundamental skill set for anesthesiologists and has long been recognized as one of the most challenging skills. Simulation-based training is an essential technique to establish and maintain technical and nontechnical skills for airway management. We review the evidence-based utility of simulation-based training for anesthesiologists to accquire technical and nontechnical airway mangement skills...
October 2017: Journal of Education in Perioperative Medicine: JEPM
https://www.readbyqxmd.com/read/29741959/near-misses-in-financial-trading-skills-for-capturing-and-averting-error
#2
Meghan Leaver, Alex Griffiths, Tom Reader
OBJECTIVE: The aims of this study were (a) to determine whether near-miss incidents in financial trading contain information on the operator skills and systems that detect and prevent near misses and the patterns and trends revealed by these data and (b) to explore if particular operator skills and systems are found as important for avoiding particular types of error on the trading floor. BACKGROUND: In this study, we examine a cohort of near-miss incidents collected from a financial trading organization using the Financial Incident Analysis System and report on the nontechnical skills and systems that are used to detect and prevent error in this domain...
May 1, 2018: Human Factors
https://www.readbyqxmd.com/read/29726307/research-on-key-indicators-in-modern-surgical-practice-assessment-ergonomic-approach
#3
Dragutin Grozdanovic, Miroljub Grozdanovic
It is undeniable that fundamental requirements in surgery refer to the adequate use of medical knowledge (eg, clinical knowledge and technical skills). However, this knowledge and skills of surgeons should be supplemented with synergetic research of capabilities of surgeons, operating rooms (ORs), and nontechnical skills. In this article, by using expert research, we presented 15 key indicators in surgical practice assessment. Communication efficiency in the OR has been ranked as the first and most important among indicators using the fuzzy analytic hierarchy process method...
May 1, 2018: Surgical Innovation
https://www.readbyqxmd.com/read/29672469/cultural-prototypes-and-differences-in-simulation-debriefing
#4
Francis F Ulmer, Rana Sharara-Chami, Zavi Lakissian, Martin Stocker, Ella Scott, Peter Dieckmann
INTRODUCTION: Culture is believed to play a role in education, safety, and patient outcome in healthcare. Hofstede's culture analysis permits a quantitative comparison between countries, along different culture dimensions, including power distance (PD). Power distance index (PDI) is a value reflecting social hierarchy in a country. We sought to explore the relation between PDI and self-reported behavior patterns of debriefers during simulation debriefings. We determined six culture-relevant debriefing characteristics and formulated six hypotheses on how these characteristics correlate with national PDIs...
April 18, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29616137/video-monitoring-a-simulation-based-quality-improvement-program-in-bihar-india
#5
Jessica Dyer, Hilary Spindler, Amelia Christmas, Malay Bharat Shah, Melissa Morgan, Susanna R Cohen, Jason Sterne, Tanmay Mahapatra, Dilys Walker
Background: Simulation-based training has become an accepted clinical training andragogy in high-resource settings with its use increasing in low-resource settings. Video recordings of simulated scenarios are commonly used by facilitators. Beyond using the videos during debrief sessions, researchers can also analyze the simulation videos to quantify technical and nontechnical skills during simulated scenarios over time. Little is known about the feasibility and use of large-scale systems to video record and analyze simulation and debriefing data for monitoring and evaluation in low-resource settings...
April 2018: Clinical Simulation in Nursing
https://www.readbyqxmd.com/read/29605027/determining-the-educational-value-of-a-technical-and-nontechnical-skills-medical-student-curriculum
#6
Edward S Shipper, Sarah E Miller, Brittany N Hasty, Monica M De La Cruz, Sylvia Bereknyei Merrell, Dana T Lin, James N Lau
BACKGROUND: Residency application rates to general surgery remain low. The purpose of this study is to describe the educational value of a curriculum designed to increase preclinical medical student interest in surgical careers to better understand the process by which medical students decide to pursue a career in surgery. MATERIALS AND METHODS: We used qualitative methodology to describe the educational value of a technical and nontechnical skills curriculum offered to preclinical medical students at our institution...
May 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29573429/assessing-nontechnical-skills-in-otolaryngology-emergencies-through-simulation-based-training
#7
Kitty Y Wu, Stephanie Kim, Kevin Fung, Kathryn Roth
OBJECTIVE: Nontechnical skills (NTS) are essential to emergency crisis management. Due to the rarity of true emergencies, they are challenging to teach and assess within a competency-based curriculum. Our purpose is to evaluate the utility of the Non-Technical Skills in Surgery (NOTSS) scale in NTS assessment in simulated otolaryngology and head and neck surgery (OTO-HNS) emergencies and identify common challenges that residents encounter. METHODS: Mixed methods analysis of 15 junior OTO-HNS resident teams in four simulated emergency scenarios...
March 24, 2018: Laryngoscope
https://www.readbyqxmd.com/read/29490076/advancing-simulation-based-education-in-pain-medicine
#8
Naileshni Singh, Alison A Nielsen, David J Copenhaver, Samir J Sheth, Chin-Shang Li, Scott M Fishman
Background: The Accreditation Council for Graduate Medical Education (ACGME) has recently implemented milestones and competencies as a framework for training fellows in Pain Medicine, but individual programs are left to create educational platforms and assessment tools that meet ACGME standards. Objectives: In this article, we discuss the concept of milestone-based competencies and the inherent challenges for implementation in pain medicine. We consider simulation-based education (SBE) as a potential tool for the field to meet ACGME goals through advancing novel learning opportunities, engaging in clinically relevant scenarios, and mastering technical and nontechnical skills...
February 27, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/29449162/is-video-based-education-an-effective-method-in-surgical-education-a-systematic-review
#9
Akgul Ahmet, Kus Gamze, Mustafaoglu Rustem, Karaborklu Argut Sezen
OBJECTIVE: Visual signs draw more attention during the learning process. Video is one of the most effective tool including a lot of visual cues. This systematic review set out to explore the influence of video in surgical education. We reviewed the current evidence for the video-based surgical education methods, discuss the advantages and disadvantages on the teaching of technical and nontechnical surgical skills. METHODS: This systematic review was conducted according to the guidelines defined in the preferred reporting items for systematic reviews and meta-analyses statement...
February 12, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29427618/factors-influencing-team-behaviors-in-surgery-a-qualitative-study-to-inform-teamwork-interventions
#10
Emma-Louise Aveling, Juliana Stone, Thoralf Sundt, Cameron Wright, Francesca Gino, Sara Singer
BACKGROUND: Surgical excellence demands teamwork. Poor team behaviors negatively affect team performance and are associated with adverse events and worse outcomes. Interventions to improve surgical teamwork focusing on frontline team members' nontechnical skills have proliferated but shown mixed results. Literature on teamwork in organizations suggests that team behaviors are also contingent on psycho-social, cultural and organizational factors. This study examines factors influencing surgical team behaviors in order to inform more contextually sensitive and effective approaches to optimizing surgical teamwork...
February 7, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29421067/patient-safety-movement-history-and-future-directions
#11
REVIEW
Meghan E Lark, Kay Kirkpatrick, Kevin C Chung
Despite progress within the past 15 years, improving patient safety in health care remains an important public health issue. The history of safety policies, research, and development has revealed that this issue is more complex than initially perceived and is pertinent to all health care settings. Solutions, therefore, must be approached at the systems level and supplemented with a change in safety culture, especially in higher risk fields such as surgery. To do so, health care agents at all levels have started to prioritize the improvement of nontechnical skills such as teamwork, communication, and accountability, as reflected by the development of various checklists and safety campaigns...
February 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29383867/human-simulation-based-learning-to-prevent-medication-error-a-systematic-review
#12
REVIEW
Laura Sarfati, Florence Ranchon, Nicolas Vantard, Vérane Schwiertz, Virginie Larbre, Stéphanie Parat, Amélie Faudel, Catherine Rioufol
RATIONALE, AIMS AND OBJECTIVES: In the past 2 decades, there has been an increasing interest in simulation-based learning programs to prevent medication error (ME). To improve knowledge, skills, and attitudes in prescribers, nurses, and pharmaceutical staff, these methods enable training without directly involving patients. However, best practices for simulation for healthcare providers are as yet undefined. By analysing the current state of experience in the field, the present review aims to assess whether human simulation in healthcare helps to reduce ME...
January 31, 2018: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/29361507/dr-congeniality-understanding-the-importance-of-surgeons-nontechnical-skills-through-360%C3%A2-feedback
#13
Julie J Lanz, Paul J Gregory, Mariano E Menendez, Larry Harmon
OBJECTIVE: Physician performance is a complex construct that is broadly defined by technical and nontechnical components. The primary aim of this study was to identify which Big Five personality traits (openness, conscientiousness, extraversion, agreeableness, and emotional stability) in surgeons were related to patient satisfaction and teamwork performance in a surgical setting. A secondary aim of this study was to examine the specific perceptions of physician behavior related to patient satisfaction and teamwork performance...
January 17, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29303063/coaching-experts-applications-to-surgeons-and-continuing-professional-development
#14
Assad Zahid, Jonathan Hong, Christopher J Young
Surgery is a science and an art, which is mastered through years of training and refined by the accumulation of individual experience and preference. Continuing professional development (CPD) is a concept that emphasizes a self-directed approach to education. Coaching is a process that leads to increased utilization of a person's current skills and resources without counselling or advising. Coaching in surgery could be used to facilitate and optimize feedback and reflection, thus enhancing performance and outcomes through elite performance of an operative procedure...
February 2018: Surgical Innovation
https://www.readbyqxmd.com/read/29273339/simulation-based-laparoscopic-surgery-crisis-resource-management-training-predicting-technical-and-nontechnical-skills
#15
Mitchell G Goldenberg, Kai H Fok, Michael Ordon, Kenneth T Pace, Jason Y Lee
OBJECTIVES: To develop a unique simulation-based assessment using a laparoscopic inferior vena cava (IVC) injury scenario that allows for the safe assessment of urology resident's technical and nontechnical skills, and investigate the effect of personality traits performance in a surgical crisis. METHODS: Urology residents from our institution were recruited to participate in a simulation-based training laparoscopic nephrectomy exercise. Residents completed demographic and multidimensional personality questionnaires and were instructed to play the role of staff urologist...
December 19, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29176419/the-role-of-checklists-and-human-factors-for-improved-patient-safety-in-plastic-surgery
#16
Claude Oppikofer, David Schwappach
LEARNING OBJECTIVES: After studying the article, participants should be able to: 1. Describe the role of human factors and nontechnical skills for patient safety and recognize the need for customization of surgical checklists. 2. Apply encouragement to speaking up and understand the importance of patient involvement for patient safety. 3. Recognize the potential for improvement regarding patient safety in their own environment and take a leading role in the patient safety process. 4. Assess their own safety status and develop measures to avoid unnecessary distraction in the operating room...
December 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29173376/evaluation-of-a-brief-team-training-intervention-in-surgery-a-mixed-methods-study
#17
Brigid M Gillespie, Catherine Steel, Evelyn Kang, Emma Harbeck, Kristina Nikolic, Nicole Fairweather, Wendy Chaboyer
The aim of this study was to evaluate a brief team training program in relation to teams' observed nontechnical skills (NTSs) in surgery, teams' perceptions of safety culture, and the training implementation. We used mixed methods to analyze structured observations of 179 surgeries, semistructured interviews with surgical team members from four selected surgical specialties, and a survey. There were significant (P < .001) improvements in surgical teams' observed NTSs and in the use of the World Health Organization's Surgical Safety Checklist after participation in the training program...
December 2017: AORN Journal
https://www.readbyqxmd.com/read/29117089/simulation-in-interprofessional-clinical-education-exploring-validated-nontechnical-skills-measurement-tools
#18
Carl Eugene Alexander von Wendt, Leila Niemi-Murola
The research literature regarding interprofessional simulation-based medical education has grown substantially and continues to explore new aspects of this educational modality. The aim of this study was to explore the validation evidence of tools used to assess teamwork and nontechnical skills in interprofessional simulation-based clinical education. This systematic review included original studies that assessed participants' teamwork and nontechnical skills, using a measurement tool, in an interprofessional simulated setting...
April 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29100919/identifying-nontechnical-skill-deficits-in-trainees-through-interdisciplinary-trauma-simulation
#19
Sarah Sullivan, Krystle Campbell, Joshua C Ross, Ryan Thompson, Alyson Underwood, Anne LeGare, Ingie Osman, Suresh K Agarwal, Hee Soo Jung
OBJECTIVE: The goal of this study was to investigate nontechnical skills in a simulated trauma setting both before and after a debriefing session in order to better understand areas to target for the development of educational interventions. DESIGN: Wilcoxon signed rank tests were used to compare scores on the 5 domains of the T-NOTECHS pre- and postdebriefings. A qualitative analysis using the PEARLS debriefing framework was performed to provide a rich description of the strategies used by the debriefing facilitators...
November 16, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29079277/a-decade-of-imaging-surgeons-brain-function-part-ii-a-systematic-review-of-applications-for-technical-and-nontechnical-skills-assessment
#20
REVIEW
Hemel Narendra Modi, Harsimrat Singh, Guang-Zhong Yang, Ara Darzi, Daniel Richard Leff
BACKGROUND: Functional neuroimaging technologies enable assessment of operator brain function and can deepen our understanding of skills learning, ergonomic optima, and cognitive processes in surgeons. Although there has been a critical mass of data detailing surgeons' brain function, this literature has not been reviewed systematically. METHODS: A systematic search of original neuroimaging studies assessing surgeons' brain function and published up until November 2016 was conducted using Medline, Embase, and PsycINFO databases...
November 2017: Surgery
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