scholarly journals Impact and Implementation of Simulation-Based Training for Safety

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Federico F. Bilotta ◽  
Samantha M. Werner ◽  
Sergio D. Bergese ◽  
Giovanni Rosa
Keyword(s):  
Medical Education ◽  
Patient Safety ◽  
Clinical Practice ◽  
Deliberate Practice ◽  
Aviation Industry ◽  
Medical Professionals ◽  
Research Needs ◽  
Medical Environment ◽  
Simulation Based ◽  
Training Research

Patient safety is an issue of imminent concern in the high-risk field of medicine, and systematic changes that alter the way medical professionals approach patient care are needed. Simulation-based training (SBT) is an exemplary solution for addressing the dynamic medical environment of today. Grounded in methodologies developed by the aviation industry, SBT exceeds traditional didactic and apprenticeship models in terms of speed of learning, amount of information retained, and capability for deliberate practice. SBT remains an option in many medical schools and continuing medical education curriculums (CMEs), though its use in training has been shown to improve clinical practice. Future simulation-based anesthesiology training research needs to develop methods for measuring both the degree to which training translates into increased practitioner competency and the effect of training on safety improvements for patients.

scholarly journals TP8.2.26 A new simulation-based course to improve trauma management by junior doctors

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Hannah Schneiders
Keyword(s):  
Medical Education ◽  
Patient Safety ◽  
Small Group ◽  
Unmet Need ◽  
Junior Doctors ◽  
Trauma Management ◽  
Likert Scales ◽  
Sample Group ◽  
Simulation Based

Abstract Aims Trauma calls at small hospitals are often attended by small and/or junior teams, especially overnight. The quality of primary surveys was subjectively observed to be extremely variable, sufficient to cause concern about patient safety. In addition, the introduction of the ‘ward trauma call’ for falls was generating anxiety amongst juniors. I recognised an unmet need and gained permission from the Director of Medical Education to create a half-day ‘Introduction to Trauma’ simulation-based course. Method A sample group of Foundation doctors attended a pilot course. Confidence in aspects of trauma management was assessed using Likert scales. Results Pre-course results indicated doctors were reasonably confident with their A-E assessments (63% moderately or very confident) but lacked confidence in trauma skills such as using a scoop. After the course 100% reported increased confidence about what will happen in a trauma call, and 63% reported increased confidence in their A-E assessments. Increased confidence was also widely reported in trauma skills (e.g. log roll 88%), how to manage a ward trauma call (100%), and where to find further guidance (100%). Conclusions This pilot demonstrated that a small group simulation-based teaching intervention can significantly increase the confidence of foundation doctors in all aspects of their role in trauma management. The most notable increases were in trauma equipment use and in managing ward trauma, suggesting these are areas where foundation doctors lack guidance or experience. The course is now part of trust induction for new foundation doctors.

scholarly journals Medical simulation: a novel innovation from resource limited nation

2018 ◽  
Vol 5 (10) ◽  
pp. 4641
Author(s):  
Emaduddin Siddiqui ◽  
Syed Mustahsan ◽  
Muhammad Daniyal ◽  
Muhammad Abdul Raffay Khan ◽  
Ali Mikdad ◽  
...  
Keyword(s):  
Medical Education ◽  
Education System ◽  
Medical Professionals ◽  
Medical Simulation ◽  
Traditional Methods ◽  
Safe Environment ◽  
Resource Limited ◽  
Simulation Based ◽  
Medical Teams ◽  
Near Future

Old methods of training and medical education are coming at halt considering chances of errors, neglect and communication gaps amongst medical teams  associated with the traditional methods, leading to avoidable patient mortality. Simulation based learning is slowly replacing the old methods given its provision of safe environment to medical professionals to polish their skills and knowledge without the risk of any loss of patient lives. This article discusses the experience of simulation based learning as it is tried to being introduced at one of the hospitals of Pakistan, a resource limited nation and the challenges that has to be faced in  trying to incorporate   simulation in the education system in near future

PARTNERSHIPS WITH PATIENTS: THE CONCEPT OF SHARED CARE IN CLINICAL PRACTICE OF CARDIOLOGISTS

Vestnik ◽  
2021 ◽  
pp. 93-96
Author(s):  
С.Ж. Уразалина
Keyword(s):  
Medical Education ◽  
Clinical Practice ◽  
Training Programs ◽  
Shared Care ◽  
Medical Professionals ◽  
Old Patients ◽  
Joint Management ◽  
Treatment Plans ◽  
Close Cooperation ◽  
Education Conference

Целью данной статьи являлось ознакомить кардиологическое сообщество страны с результатами работы ESC Education Conference (2020), которая была посвящена обсуждению проблем и возможности интеграции участия пациентов в совместном ведении их с врачами. ESC создан специальный форум по вовлечению уже пролеченных «старых» пациентов в программу совместного ведения «новых» пациентов, а также привлечению их в программы образования и науки. Конференция подтвердила единодушие участников в том, что интеграция пациентов в разработку их диагностических и лечебных планов требует выделения большего количества времени для обучения пациентов во время каждой встречи, а также сделала акцент о необходимости введения в учебные программы разделов по обучению медицинских работников совместному ведению. Вывод: Таким образом, концепция тесного сотрудничества пациентов и медицинских работников предоставляет огромную возможность для развития программы совместного ведения больных в области медицинского образования. The aim of article was to familiarize the cardiology community of the country with the results of the ESC Education Conference (2020), which was devoted to discussing the problems and the possibility of integrating patient participation in joint management with doctors. ESC created a special forum for the involvement of already treated "old" patients in the program of shared care of "new" patients, as well as their involvement in education and science programs. The Conference confirmed the consensus of the participants that the patients integration in the development of their diagnostic and treatment plans requires more time to train patients during each meeting, and also emphasized the need to introduce sections on training programs of medical professionals in the field of enabling shared care. Conclusion: Thus, the concept of close cooperation between patients and medical professionals provides a huge opportunity for the development of an enabling shared care in medical education.

scholarly journals Simulation in Neuroanesthesia: How Much to Learn?

2018 ◽  
Vol 05 (02) ◽  
pp. 83-86 ◽  
Author(s):  
Rashmi Bhatt ◽  
Puneet Khanna
Keyword(s):  
Patient Safety ◽  
Clinical Training ◽  
Improve Patient Safety ◽  
Aviation Industry ◽  
Surgical Morbidity ◽  
Nontechnical Skills ◽  
Number Of Patients ◽  
Simulation Based ◽  
Margin Of Safety ◽  
Teaching Curriculum

AbstractTaking a cue from the aviation industry, medicine took upon itself the responsibility to improve patient safety. The cause was championed by anesthesia that became a pioneer in using simulation-based training to improve the nontechnical skills, at every level of clinical training. The needs have been understood by evolving subspecialties such as neuroanesthesia as well, where a fewer number of patients and reduced margin of safety have propelled the development of simulation modules specific to requirements. The constant, ongoing advances and improvement in simulation practices have contributed immensely to the betterment of patient safety, and a significant dent in surgical morbidity and mortality probably explains why simulation-based training programs are being incorporated into teaching curriculum across the world.

scholarly journals Man or Machine? Comparison of the Effect of Tutor-Guided versus Simulator-Guided Short-Time Bronchoscopy Training on Navigational Skills and Knowledge of the Tracheobronchial Anatomy

2020 ◽  
Author(s):  
Anke Schertel ◽  
Thomas Geiser ◽  
Wolf E. Hautz
Keyword(s):  
Medical Education ◽  
Clinical Practice ◽  
Teaching Method ◽  
Flexible Bronchoscopy ◽  
Effect Sizes ◽  
Simulator Training ◽  
Undergraduate Medical Students ◽  
Simulation Based ◽  
Fellowship Programs ◽  
Short Time

Abstract Background: Simulation based medical education is efficient for the acquisition of flexible bronchoscopy navigational skills and the knowledge of the tracheobronchial anatomy. However, bronchoscopy simulator training is not routinely integrated into pneumologic fellowship programs or undergraduate medical education for time and/or cost reasons. Our study compares the effect of self-guided bronchoscopy simulator training versus tutor guided training on the acquisition of navigational skills and knowledge of the bronchial anatomy. Methods: 3rd -year undergraduate medical students were randomized to either a tutor- or simulator guided bronchoscopy simulator training focusing on the acquisition of navigational skills and the knowledge of the tracheobronchial anatomy. Every student performed a baseline bronchoscopy followed by a structured bronchoscopy simulator training and finally an assessment bronchoscopy at the end of the training program. Groups were compared by means of a repeated measurement ANOVA and effect sizes calculated as Cohens’ d. Results: 54 eligible students participated in the study. Knowledge of the tracheobronchial anatomy significantly increased from pre- to post training (all p < 0.001; all d > 2), navigational skills significantly decreased (all p < 0.005; all d < 1). There were no significant differences between groups. Conclusion: Short-time simulator guided bronchoscopy training improves knowledge of the tracheobronchial anatomy in novice bronchoscopists as much as tutor guided training, but navigational skills seem to worsen in both groups. Further studies assessing transfer to clinical practice are needed to find the optimal teaching method for basic flexible bronchoscopy.

Patient safety and simulation-based medical education

2000 ◽  
Vol 22 (5) ◽  
pp. 489-495 ◽  
Author(s):  
Amitai Ziv, Stephen D. Small, Paul Root Wo
Keyword(s):  
Medical Education ◽  
Patient Safety ◽  
Simulation Based

Simulated patient encounter to assess and improve fellows' ability to manage chemotherapy infusion reactions.

2019 ◽  
Vol 37 (15_suppl) ◽  
pp. TPS10541-TPS10541
Author(s):  
Danielle Elise Zimmerman
Keyword(s):  
Medical Education ◽  
Behavior Management ◽  
Human Error ◽  
Current Knowledge ◽  
Medical Knowledge ◽  
Aviation Industry ◽  
Post Intervention ◽  
Simulation Based ◽  
Chemotherapy Infusion ◽  
Infusion Reactions

TPS10541 Background: Medical educators have adopted simulation-based exercises (SBEs) because studies of their use in the aviation industry and other technical fields have shown that they reduce human error. While use of simulation has increased in undergraduate and graduate medical education, it hasn’t been used as frequently in educating subspecialty fellows. Fewer than 5% of participants in a survey of different subspecialists indicated that simulations were part of their fellowship curriculum (1) even though simulation-based training is an ACGME program requirement (2). Chemotherapy infusion reactions (CIRs) occur with about 5% of all cytotoxic chemotherapies and even more frequently with biologics (3). These CIRs present significant morbidity and cost. HFS improves knowledge and confidence in medical trainees (4). Therefore, I designed a high fidelity simulation (HFS)-based curriculum to measure fellows’ current medical knowledge and provide a mechanism for gaining increased understanding and confidence. Across subspecialty graduation medical education, only one SBE with IRs has been performed, and that project aimed only to measure existing knowledge (5). This project aims to measure oncology fellows’ knowledge of and confidence in CIR management, measure attitudes regarding SBEs, measure improvement in knowledge following the SBEs, and assess for changes in behavior (management of CIRS) that may occur following these interventions. Methods: The HFS takes place in the VA Hospital Interdisciplinary Simulation and Education Center, which consists of a programmable mannequin that can “talk” through a speaker and convey physical exam signs in an “outpatient clinic.” Participants will interact with the mannequin, who will be a patient experiencing a paclitaxel infusion reaction. An evaluator will be grading the participant’s actions with an OSCE style checklist. Immediate debriefing will be followed by a didactic. Participants will complete post-intervention surveys regarding their confidence in and knowledge of management of CIRS. Participants will later be evaluated on their attitudes regarding the simulation, their knowledge of CIR management, and will also provide critique of the same interaction done by another provider. These HFS-based activities will allow evaluation of fellows’ current knowledge of and comfort with CIRS, fellows’ attitudes regarding the intervention, improvement in knowledge occurred following the intervention, and anticipated change in management.

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