scholarly journals Advanced Medical Simulation: Interactive Videos and Rapid Cycle Deliberate Practice to Enhance Teamwork and Event Management – Effective Event Management During Simulated Obstetrical Cases

2019 ◽  
Vol 12 (3) ◽  
pp. 70
Author(s):  
Fernando Salvetti ◽  
Roxane Gardner ◽  
Rebecca Minehart ◽  
Barbara Bertagni
Keyword(s):  
Crisis Management ◽  
Situational Awareness ◽  
Deliberate Practice ◽  
Medical Simulation ◽  
Event Management ◽  
Core Element ◽  
Neural Processes ◽  
Simulation Scenario ◽  
Interactive Videos ◽  
Cognitive Retention

<p>This article is about an experiential coursework focused on learning and improving teamwork and event management during simulated obstetrical cases. Effective team management during a crisis is a core element of expert practice. Medical simulation can contribute enormously to enhance teamwork during a crisis, fostering situational awareness and contextual intelligence, as well as cognitive retention of essential steps and procedures to be performed during an ongoing crisis. A crisis management organizational approach known as Name-Claim-Aim is being used � to facilitate crisis management and decision making. Augmented and virtual reality technology (e-REAL) reproduces a variety of different emergent situations, � enabling learners to interact with multimedia scenarios and practice using Name-Claim-Aim in a virtual environment. Subsequently, learners rapidly cycle between deliberate practice and directed feedback within a high-fidelity simulation scenario until mastery is achieved.So far, the early findings show that visualization, if linked in interactive ways to the learners, allows for the better use of the neural processes and for better learning and meaningful behavior change.Non-invasive technologies to monitor patterns of neural activity during the program delivery will be introduced.</p>

scholarly journals Perceptions of Internal Medicine Residency Program Candidates on the Use of Simulation in the Selection Process

2014 ◽  
Vol 6 (2) ◽  
pp. 338-340 ◽  
Author(s):  
Keith Cannon ◽  
Zachary Hartsell ◽  
Ilko Ivanov ◽  
Joseph Charles ◽  
Harshad Joshi ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Medical School ◽  
Residency Program ◽  
Situational Awareness ◽  
Clinical Skills ◽  
Selection Process ◽  
Internal Medicine Residency ◽  
Medical Simulation ◽  
Internal Medicine Residency Program ◽  
Interview Process

Abstract Background The recruitment of skilled candidates into internal medicine residency programs has relied on traditional interviewing techniques with varying degrees of success. The development of simulated medical technology has provided a new arena in which to assess candidates' clinical skills, knowledge base, situational awareness, and problem-solving dexterities within a standardized environment for educational and assessment purposes. Objective The purpose of this study was to investigate the interest of program candidates in incorporating simulation medicine into the internal medicine residency interview process. Methods As a prospective, survey-based analysis, potential candidates who completed an interview between October 2012 and January 2013 with an accredited internal medicine residency program were sent a postmatch survey that incorporated 3 additional questions relating to their prior experience with medical simulation and their views on incorporating the technology into the interview format. Results Of the 88 candidates who completed an interview, 92% (n  =  81) were scheduled to graduate medical school in 2013 and were graduates of a US medical school. All survey responders described previous experience with medical simulation. Fifty-eight percent (n  =  51) of responders described being “less likely” to interview with or join a residency program if they were required to participate in a 10-minute medical simulation during the interview process. Conclusions The results of this study suggest that despite the increasing role of technology in medical education, its role in high-stakes evaluations (such as residency interviews) requires further maturation before general acceptance by residency candidates can be expected.

scholarly journals MANAGING HUMAN INDUCED CRISIS WITH BIG DATA INFRASTRUCTURE

2018 ◽  
Vol 5 (1) ◽  
Author(s):  
Afolabi Ojerinde ◽  
Philip Adewole
Keyword(s):  
Big Data ◽  
Crisis Management ◽  
Data Storage ◽  
Situational Awareness ◽  
Policy Formulation ◽  
Data Infrastructure ◽  
Desktop Application ◽  
Opinion Score ◽  
Hadoop Distributed File System ◽  
Established Fact

This paper presents human induced crisis management system using big data infrastructure. This approach was motivated by the already established fact that human induced crisis are characterized by velocity, variety and volume. This paper therefore employed Hadoop big data stack, web technology to design and implement a crisis management model. The resulting system comprises analytical engine, custom website and a desktop application called “Channel”. The Hadoop distributed file system was used for data storage in the analytical engine, crisis data were collected via Twitter API and web service generated by the project website using Apache Flume and Channel respectively. Apache Hive was used to analyse the collected data and the analysed result were posted back to custom website using Channel. The system was evaluated using Mean Opinion Score (MOS) to test for its applicability, usability and reliability. The perceived applicability rating of 74%, usability rating of 73% and reliability rating of 57% were obtained. The resulting system provides insight into crisis situation; promote rapid situational awareness, aid policy formulation and monitoring.

scholarly journals Trialing Innovative Technologies in Crisis Management—“Airborne and Terrestrial Situational Awareness” as Support Tool in Flood Response

2020 ◽  
Vol 10 (11) ◽  
pp. 3743 ◽  
Author(s):  
Elisa Schröter ◽  
Ralph Kiefl ◽  
Eric Neidhardt ◽  
Gaby Gurczik ◽  
Carsten Dalaff ◽  
...  
Keyword(s):  
Crisis Management ◽  
Urban Areas ◽  
Large Scale ◽  
New Technologies ◽  
Situational Awareness ◽  
Route Planning ◽  
Added Value ◽  
Aerial Image ◽  
Specific Response ◽  
Test Bed

Flooding represents the most-occurring and deadliest threats worldwide among natural disasters. Consequently, new technologies are constantly developed to improve response capacities in crisis management. The remaining challenge for practitioner organizations is not only to identify the best solution to their individual demands, but also to test and evaluate its benefit in a realistic environment before the disaster strikes. To bridge the gap between theoretic potential and actual integration into practice, the EU-funded project DRIVER+ has designed a methodical and technical environment to assess innovation in a realistic but non-operational setup through trials. The German Aerospace Center (DLR) interdisciplinary merged mature technical developments into the “Airborne and terrestrial situational awareness” system and applied it in a DRIVER+ Trial to promote a sustainable and demand-oriented R&D. Experienced practitioners assessed the added value of its modules “KeepOperational” and “ZKI” in the context of large-scale flooding in urban areas. The solution aimed at providing contextual route planning in police operations and extending situational awareness based on information derived through aerial image processing. The user feedback and systematically collected data through the DRIVER + Test-bed approved that DLR’s system could improve transport planning and situational awareness across organizations. However, the results show a special need to consider, for example, cross-domain data-fusion techniques to provide essential 3D geo-information to effectively support specific response tasks during flooding.

scholarly journals Application of Augmented Reality, Mobile Devices, and Sensors for a Combat Entity Quantitative Assessment Supporting Decisions and Situational Awareness Development

2019 ◽  
Vol 9 (21) ◽  
pp. 4577 ◽  
Author(s):  
Mariusz Chmielewski ◽  
Krzysztof Sapiejewski ◽  
Michał Sobolewski
Keyword(s):  
Decision Support ◽  
Augmented Reality ◽  
Crisis Management ◽  
Mobile Applications ◽  
Situational Awareness ◽  
Analytical Data ◽  
Mission Planning ◽  
Military Operations ◽  
Support Tools ◽  
Threat Level

This paper presents advances in the development of specialized mobile applications for combat decision support utilizing augmented reality technologies used for the production of contextual data delivered to any tactical smartphone. Handhelds and decision support systems have been present in military operations since the 1990s. Due to the development of hardware and software platforms, smartphones are capable of running complex algorithms for individual soldiers and low-level commander support. The utilization of tactical data (force location, composition, and tasks) in dynamic mobile networks that are accessible anywhere during a mission provides means for the development of situational awareness and decision superiority. These two elements are key factors in 21st-century military operations, as they influence the efficiency of recognition, identification, and targeting. Combat support tools and their analytical capabilities can serve as recon data hubs, but most of all they can support and simplify complex analytical tasks for commanders. These tasks mainly include topographical and tactical orientation within the battlespace. This paper documents the ideas for and construction details of mobile support tools used for supporting the specific operational activities of military personnel during combat and crisis management. The presented augmented reality-based evaluation methods formulate new capabilities for the visualization and identification of military threats, mission planning characteristics, tasks, and checkpoints, which help individuals to orientate within their current situation. The developed software platform, mobile common operational picture (mCOP), demonstrates all research findings and delivers a personalized combat-oriented distributed mobile system, supporting blue-force tracking capabilities and reconnaissance data fusion as well as threat-level evaluations for military and crisis management scenarios. The mission data are further fused with Geographic Information System (GIS) topographical and vector data, supporting terrain evaluations for mission planning and execution. The application implements algorithms for path finding, movement task scheduling, assistance, and analysis, as well as military potential evaluation, threat-level estimation, and location tracking. The features of the mCOP mobile application were designed and organized as mission-critical functions. The presented research demonstrates and proves the usefulness of deploying mobile applications for combat support, situation awareness development, and the delivery of augmented reality-based threat-level analytical data to extend the capabilities and properties of software tools applied for supporting military and border protection operations.

scholarly journals The application of simulation in medical education - our experience “from improvisation to simulation”

2018 ◽  
Vol 146 (5-6) ◽  
pp. 338-344 ◽  
Author(s):  
Aleksandar Pavlovic ◽  
Nevena Kalezic ◽  
Sladjana Trpkovic ◽  
Nebojsa Videnovic ◽  
Ljiljana Sulovic
Keyword(s):  
Medical Education ◽  
Professional Education ◽  
Medical Simulation ◽  
High Fidelity Simulation ◽  
Everyday Clinical Practice ◽  
The Past ◽  
Fundamental Goal ◽  
Simulation Scenario ◽  
The One ◽  
Synthetic Models

While the use of simulation in medical education has a long history, it has seen its greatest strides in the past 15-odd years. It may be defined as imitation, artificial while at the same time faithful, of various clinical situations through well-crafted medical ?scenarios? where, instead of actual people, we use standardized patients: plant, animal, or synthetic models, computerized interactive manikins ? simulators, with audiovisuals, as well as medical equipment used in everyday clinical practice. The fundamental goal of using simulation in medical education is an optimal balance between professional education on the one hand and complete safety and protection of patients on the other. Depending on the available finances and the level of advancement of the healthcare and education systems, medical simulation can take various forms ? from simple improvisation to the creation of a high-fidelity simulation in centers for medical simulation. Our example shows that, even with modest financial means, enthusiasm, creativity, and good ideas make it possible to establish a center for medical simulation. A separate section of the paper is devoted to the staging of a simulation scenario based on the authors? experiences.

Rapid cycle deliberate practice improves and sustains paediatric resident PALS performance

2019 ◽  
Vol 6 (5) ◽  
pp. 257-261
Author(s):  
Nathan D Swinger ◽  
Chrystal Rutledge ◽  
Stacy Gaither ◽  
Amber Q Youngblood ◽  
Jerri Lynn Zinkan ◽  
...  
Keyword(s):  
Life Support ◽  
Cardiopulmonary Arrest ◽  
Tertiary Care ◽  
Deliberate Practice ◽  
Pulseless Electrical Activity ◽  
Advanced Life Support ◽  
Simulation Method ◽  
Skill Retention ◽  
Resident Performance ◽  
Simulation Scenario

ObjectivesPaediatric cardiopulmonary arrest resuscitation is a critically important skill but infrequently used in clinical practice. Therefore, resuscitation knowledge relies heavily on formal training which is vulnerable to rapid knowledge decay. We evaluate knowledge and skill retention post-training using rapid cycle deliberate practice (RCDP).DesignPilot, non-blinded, single-arm study.SettingPediatric Simulation Center at Children’s of Alabama.Participants42 paediatric residents at a large, tertiary care, academic children’s hospital were enrolled in this simulation-based resuscitation study.InterventionsEach participant led a 7 min preintervention arrest scenario as a baseline test. After testing, participants were trained individually in the paediatric advanced life support (PALS) skills necessary for resuscitation of a patient in pulseless electrical activity and ventricular fibrillation using RCDP—a simulation method using frequent expert feedback and repeated opportunities for the learner to incorporate new learning. Immediately post-training, participants were retested as leaders of a different paediatric arrest scenario. 3 months post-training participants returned to complete a final simulation scenario.Main outcome measuresTo evaluate knowledge and skill retention following PALS training.ResultsPreintervention data demonstrated poor baseline resident performance with an average PALS score of 52%. Performance improved to 94% immediately post-training and this improvement largely persisted at 3 months, with an average performance of 81%. In addition to improvements in performance, individual skills improved including communication, recognition of rhythms, early chest compressions and rapid administration of epinephrine or defibrillation.ConclusionsRCDP training was associated with significant improvements in resident performance during simulated paediatric resuscitation and high retention of those improvements.

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