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"Healthcare Simulation"

Taylor Sawyer, Walter Eppich, Marisa Brett-Fleegler, Vincent Grant, Adam Cheng
Debriefing is a critical component in the process of learning through healthcare simulation. This critical review examines the timing, facilitation, conversational structures, and process elements used in healthcare simulation debriefing. Debriefing occurs either after (postevent) or during (within-event) the simulation. The debriefing conversation can be guided by either a facilitator (facilitator-guided) or the simulation participants themselves (self-guided). Postevent facilitator-guided debriefing may incorporate several conversational structures...
June 2016: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
Michelle A Kelly, Elizabeth Berragan, Sissel Eikeland Husebø, Fiona Orr
PURPOSE: This article provides insights and perspectives from four experienced educators about their approaches to developing, delivering, and evaluating impactful simulation learning experiences for undergraduate nurses. A case study format has been used to illustrate the commonalities and differences of where simulation has been positioned within curricula, with examples of specialized clinical domains and others with a more generic focus. The importance of pedagogy in developing and delivering simulations is highlighted in each case study...
May 2016: Journal of Nursing Scholarship
Daniel Aiham Ghazali, Stéphanie Ragot, Cyril Breque, Youcef Guechi, Amélie Boureau-Voultoury, Franck Petitpas, Denis Oriot
BACKGROUND: Human error and system failures continue to play a substantial role in adverse outcomes in healthcare. Simulation improves management of patients in critical condition, especially if it is undertaken by a multidisciplinary team. It covers technical skills (technical and therapeutic procedures) and non-technical skills, known as Crisis Resource Management. The relationship between stress and performance is theoretically described by the Yerkes-Dodson law as an inverted U-shaped curve...
2016: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Rodrigo Rubio, Jose M Maestre, Ignacio Del Moral, Dan Raemer
Five principles of magic are described that directly relate to enhancing participant engagement in the healthcare simulation setting. The principles discussed are the following: reality is in the mind of the participant, attention is easily misdirected, perception can be manipulated, various cognitive biases can be exploited, and focus must be captured. Using these principles in a healthcare simulation can help fill gaps in fidelity and bring a participant to a point where the situation and events make sense to them, they feel that they are in an appropriate environment, and they are willing to forgive the natural flaws of the simulation itself...
December 2015: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
Faizal A Haji, Rabia Khan, Glenn Regehr, James Drake, Sandrine de Ribaupierre, Adam Dubrowski
As interest in applying cognitive load theory (CLT) to the study and design of pedagogic and technological approaches in healthcare simulation grows, suitable measures of cognitive load (CL) are needed. Here, we report a two-phased study investigating the sensitivity of subjective ratings of mental effort (SRME) and secondary-task performance (signal detection rate, SDR and recognition reaction time, RRT) as measures of CL. In phase 1 of the study, novice learners and expert surgeons attempted a visual-monitoring task under two conditions: single-task (monitoring a virtual patient's heart-rate) and dual-task (tying surgical knots on a bench-top simulator while monitoring the virtual patient's heart-rate)...
December 2015: Advances in Health Sciences Education: Theory and Practice
Lauren E Benishek, Elizabeth H Lazzara, William L Gaught, Lygia L Arcaro, Yasuharu Okuda, Eduardo Salas
Simulation-based training (SBT) affords practice opportunities for improving the quality of clinicians' technical and nontechnical skills. However, the development of practice scenarios is a process plagued by a set of challenges that must be addressed for the full learning potential of SBT to be realized. Scenario templates are useful tools for assisting with SBT and navigating its inherent challenges. This article describes existing SBT templates, explores considerations in choosing an appropriate template, and introduces the Template of Events for Applied and Critical Healthcare Simulation (TEACH Sim) as a tool for facilitating the formation of practice scenarios in accordance with an established evidence-based simulation design methodology...
February 2015: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
Janice C Palaganas, Chad Epps, Daniel B Raemer
This article explores the evolution and history of interprofessional education (IPE) using healthcare simulation (HCS). The evolution described here demonstrates an achievement of patient safety efforts as a consequence of the historical roots of healthcare and highlights HCS as a progressive method synergistic with IPE. This paper presents a descriptive review that covers the HCS and IPE literature, indicating factors that led to the use of HCS in IPE. Understanding the history of simulation-enhanced IPE provides healthcare educators with fertile ground to support future IPE...
March 2014: Journal of Interprofessional Care
Jill S Sanko, Ilya Shekhter, Richard R Kyle, Stephen Di Benedetto, David J Birnbach
Among the most powerful tools available to simulation instructors is a confederate. Although technical and logical realism is dictated by the simulation platform and setting, the quality of role playing by confederates strongly determines psychological or emotional fidelity of simulation. The highest level of realism, however, is achieved when the confederates are properly trained. Theater and acting methodology can provide simulation educators a framework from which to establish an acting convention specific to the discipline of healthcare simulation...
August 2013: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
Roxane Gardner
Debriefing is a lynchpin in the process of learning. As a post-experience analytic process, debriefing is a discussion and analysis of an experience, evaluating and integrating lessons learned into one's cognition and consciousness. Debriefing provides opportunities for exploring and making sense of what happened during an event or experience, discussing what went well and identifying what could be done to change, improve and do better next time. This manuscript serves as an introduction to debriefing, covering a range of topics that include a brief review of its origin, the structure and process of debriefing-specifically in the context of simulation-based medical education, and factors that facilitate effective, successful debriefing...
June 2013: Seminars in Perinatology
Viren N Naik, Susan E Brien
PURPOSE: The purpose of this article is to review the role of technical and nontechnical skills in routine and crisis situations. We discuss the role of different simulation modalities in addressing these skills and competencies to enhance patient safety. PRINCIPAL FINDINGS: Human and system errors are a recognized cause of significant morbidity and mortality. Technical skills encompass the medical and procedural knowledge required for patient care, while nontechnical skills are behaviour-based and include task management, situation awareness, teamwork, decision-making, and leadership...
February 2013: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
Gilles Chiniara, Gary Cole, Ken Brisbin, Dan Huffman, Betty Cragg, Mike Lamacchia, Dianne Norman
BACKGROUND: Simulation in healthcare lacks a dedicated framework and supporting taxonomy for instructional design (ID) to assist educators in creating appropriate simulation learning experiences. AIMS: This article aims to fill the identified gap. It provides a conceptual framework for ID of healthcare simulation. METHODS: The work is based on published literature and authors' experience with simulation-based education. RESULTS: The framework for ID itself presents four progressive levels describing the educational intervention...
August 2013: Medical Teacher
S Barry Issenberg, Hyun Soo Chung, Luke Adam Devine
This report reviews and critically evaluates the development of 3 movements in healthcare that have had a profound impact on changes occurring at all levels of medical education: patient safety, healthcare simulation, and competency-based education (exemplified by the Accreditation Council for Graduate Medical Education). The authors performed a critical and selective review of the literature from 1999 to 2011 to identify uses of simulation to address patient-safety issues aligned according to the Accreditation Council for Graduate Medical Education 6 core competencies: (1) patient care; (2) medical knowledge; (3) interpersonal and communication skills; (4) professionalism; (5) practice-based learning; and (6) systems-based practice...
November 2011: Mount Sinai Journal of Medicine, New York
Beth Beam
No abstract text is available yet for this article.
September 2011: Nebraska Nurse
Nancy E Oriol, Emily M Hayden, Julie Joyal-Mowschenson, Sharon Muret-Wagstaff, Russell Faux, James A Gordon
In the natural world, learning emerges from the joy of play, experimentation, and inquiry as part of everyday life. However, this kind of informal learning is often difficult to integrate within structured educational curricula. This report describes an educational program that embeds naturalistic learning into formal high school, college, and graduate school science class work. Our experience is based on work with hundreds of high school, college, and graduate students enrolled in traditional science classes in which mannequin simulators were used to teach physiological principles...
September 2011: Advances in Physiology Education
John J Schaefer, Allison A Vanderbilt, Carolyn L Cason, Eric B Bauman, Ronnie J Glavin, Frances W Lee, Deborah D Navedo
This article is a review of the literature focused on simulation as an educational intervention in healthcare. The authors examined the literature based on four key levels: (1) the validity and reliability of the simulator, (2) the validity and reliability of the performance evaluation tool, (3) the study design, and (4) the translational impact. The authors found that the majority of research literature in healthcare simulation does not address the validity and reliability of the simulator or the performance evaluation tool...
August 2011: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
Mark W Scerbo, W Bosseau Murray, Guillaume Alinier, Tim Antonius, Jeff Caird, Eric Stricker, John Rice, Richard Kyle
This article addresses the necessary steps in the design of simulation-based instructional systems. A model for designing instructional systems is presented which stipulates that the outcome metrics be defined before the simulation system is designed. This ensures integration of educational objectives and measures of competency into the design and development process. The article ends with a challenge to simulator users and instructors: become involved in the integrated system design process by the daily collection of standardized data and working with the simulation engineers throughout the design process...
August 2011: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
Walter Eppich, Valerie Howard, John Vozenilek, Ian Curran
INTRODUCTION: Simulation-based team training (SBTT) in healthcare is gaining acceptance. Guidelines for appropriate use of SBTT exist, but the evidence base remains limited. Insights from other academic disciplines with sophisticated models of team working may point to opportunities to build on current frameworks applied to team training in healthcare. The purpose of this consensus statement is threefold: (1) to highlight current best practices in designing SBTT in healthcare and to identify gaps in current implementation; (2) to explore validated concepts and principles from relevant academic disciplines and industries; and (3) to identify potential high-yield areas for future research and development...
August 2011: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
Joseph T Samosky, Emma Baillargeon, Russell Bregman, Andrew Brown, Amy Chaya, Leah Enders, Douglas A Nelson, Evan Robinson, Alison L Sukits, Robert A Weaver
We have developed a prototype of a real-time, interactive projective overlay (IPO) system that creates augmented reality display of a medical procedure directly on the surface of a full-body mannequin human simulator. These images approximate the appearance of both anatomic structures and instrument activity occurring within the body. The key innovation of the current work is sensing the position and motion of an actual device (such as an endotracheal tube) inserted into the mannequin and using the sensed position to control projected video images portraying the internal appearance of the same devices and relevant anatomic structures...
2011: Studies in Health Technology and Informatics
Michael Seropian, Robert Lavey
The number of simulation facilities across the United States and internationally is growing rapidly. The capital investment required can be substantive regardless of size. This article focuses on ways to optimize expenditures and maximize utility. Several key factors will play decisive roles in the successful launch of a new simulation facility. Mission/vision, budget, functional need, and space are partners in determining the final design of the simulation facility. Ideally, the budget is based on the functional requirements and desired capacity; but when this is not the case, of course, the owner must prioritize the needs of the new center...
December 2010: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
Frederick W Kron, Craig L Gjerde, Ananda Sen, Michael D Fetters
BACKGROUND: Studies in K-12 and college students show that their learning preferences have been strongly shaped by new media technologies like video games, virtual reality environments, the Internet, and social networks. However, there is no known research on medical students' game experiences or attitudes towards new media technologies in medical education. This investigation seeks to elucidate medical student experiences and attitudes, to see whether they warrant the development of new media teaching methods in medicine...
2010: BMC Medical Education
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