scholarly journals Development of an instrument to measure the quality of standardized/simulated patient verbal feedback

2012 ◽  
Vol 2 (1) ◽  
pp. 3 ◽  
Author(s):  
Win May ◽  
Dixie Fisher ◽  
Denise Souder

2012 ◽  
Vol 2 (1) ◽  
Author(s):  
Win May ◽  
Dixie Fisher ◽  
Denise Souder


Author(s):  
Suvini Amaratunge ◽  
Morgan Harrison ◽  
Danae Perry ◽  
Christine Bond ◽  
Michael Ceulemans ◽  
...  


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Rania Itani ◽  
Hani M J Khojah ◽  
Fatima Jaffal ◽  
Deema Rahme ◽  
Lina Karout ◽  
...  

Abstract Background The COVID-19 pandemic has overburdened the healthcare facilities, which demanded the use of alternative and effective methods for delivering healthcare services. The use of telehealth has become a necessity to provide initial health services. Objective To identify the pharmaceutical care provided by community pharmacists to suspected high-risk COVID-19 patients using telehealth. Methods A simulated patient (SP) phoned 100 randomly-selected community pharmacies throughout Lebanon using a standard scenario of uncontrolled diabetes mellitus with typical symptoms of COVID-19. Pharmacists’ responses were compared with pre-defined ideal recommendations using a special form. Results The mean of the retrieved medical information score obtained by the pharmacists was 2.48 ± 2.79 (out of 21), with 34 % of the participants not retrieving any relevant medical data from the SP. The relative patient information, the exposure to COVID-19, and the possible COVID-19 symptoms were not retrieved by 61 %, 70 %, and 41 % of the pharmacists, respectively. Two percent of the pharmacists assured that the SP’s symptoms were related to common cold, while 5 % confirmed that the SP is infected with COVID-19. Notably, 35 % of the pharmacists did not offer any recommendation. Among them, 14 % claimed that they were too busy to respond. Only 39 % of the pharmacists provided an appropriate recommendation by referring the SP to her physician to seek medical attention within 24 h since the SP is a high-risk patient, and 41 % recommended doing a PCR test. Antipyretics, antibiotics, and dietary supplements were recommended by 27 %, 7 %, and 16 % of the pharmacists, respectively. Less than 16 % of the pharmacists recommended using protective measures against COVID-19. In addition, the overall communication skills of the pharmacists were generally below expectations. Conclusions This study is the first to assess the quality of pharmaceutical care provided by community pharmacists in the Middle East via Telehealth. An unsatisfactory level of preparedness through means of telehealth technology was evident. This resulted in the quality of pharmaceutical-care services provided to high-risk patients via telehealth to be below expectations. Therefore, health authorities should encourage community pharmacists to effectively adopt telehealth, by providing appropriate training, as well as recognizing their extra efforts with financial compensations, aiming to optimize patients’ health outcomes.



2014 ◽  
Vol 26 (1) ◽  
pp. 107-108 ◽  
Author(s):  
Takuya Hashimoto ◽  
◽  
Hiroshi Kobayashi ◽  

This paper introduces the android robot SAYA and its applications. SAYA was developed to enable human beings and robots to communicate emotions. SAYA shows six basic facial expressions: surprise, fear, disgust, anger, sadness, and happiness. In order to improve the quality of facial expressions and its reality, the android robot which mimics a real human being was also developed. The suggested practical applications for SAYA are a receptionist and a remote teacher. The android robot SAYA is also serving as a simulated patient for medical interview training in psychiatric education.





2021 ◽  
pp. 771-780
Author(s):  
Bee Yean Low ◽  
Emily Farrow ◽  
Abigail Emtage

Objectives: To compare the performance of paid actor-simulated patients: 1) before and after a simulated patient training programme aiming for programme enhancement; 2) to postgraduate/staff-simulated patients. Methods: Fifty-six student participants watched a series of video recordings of student pharmacist-paid actor-simulated patients role-playing and blindly assessed the performance of paid actor-simulated patients pre- and post-training using the Maastricht Assessment of Simulated Patients (MaSP). Seventy-three student participants compared the paid actor-simulated patients’ performance to postgraduate/staff-simulated patients. Data collected were analysed using paired t-tests and independent t-tests, respectively. Results: There was a statistically significant improvement in the collated MaSP scores for paid actor-simulated patients’ performance post-training in the authenticity of role-playing (mean score ± standard deviation (SD): 2.61 ± 0.30 (Pre-training); 2.70 ± 0.31 (Post-training), p < 0.05) but not the quality of feedback. Similarly, paid actor-simulated patients performed better (in the authenticity of role-playing but not the quality of feedback) when compared to postgraduate/staff-simulated patients. Conclusions: Paid actor-simulated patients require improvement in providing quality feedback to students to enhance students’ learning.



F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 1841 ◽  
Author(s):  
Bernhard Langer ◽  
Christian Kunow

Background: To determine if pharmacy staff in Germany referred patients to a medical consultation for a scenario in which consulting a doctor was mandatory (‘appropriate outcome’) and what the quality of questioning and – if a medication was dispensed – the quality of information provided were in this context. Moreover, to determine which factors predicted a necessary referral to a doctor. Methods: A cross-sectional covert simulated patient study was conducted in a random sample of community pharmacies stratified by location in the German state of Mecklenburg-Vorpommern. Each pharmacy was visited once by one of four trained investigators. They simulated a symptom-based request involving a grandmother with acute diarrhoea. A multivariate binary logistic regression analysis using potential variables from bivariate analysis was carried out to determine the predictors for a referral to a doctor. Results: All 199 planned visits were conducted. A necessary referral to a doctor was recommended in 59.8% (n=119) of all test purchases. Multivariate analysis revealed that a non-pharmacist as opposed to a pharmacist and two or more questions as opposed to no questions were significantly associated with a referral to a doctor. Conclusions: Regarding the necessary referral to a doctor, an enormous potential for improvement was revealed for community pharmacies in the German state of Mecklenburg-Vorpommern. The results should make both the Mecklenburg-Vorpommern pharmacy association and legislators aware of the need to significantly escalate their quality management efforts.



F1000Research ◽  
2020 ◽  
Vol 8 ◽  
pp. 1841
Author(s):  
Bernhard Langer ◽  
Christian Kunow

Background: In Germany, non-pharmacists (pharmacy technicians and pharmaceutical technical assistants) are permitted to advise on and sell medications in addition to pharmacists. The aim of this study was to determine if pharmacists and non-pharmacists referred patients to a medical consultation for a scenario in which consulting a doctor was mandatory (‘appropriate outcome’) and what the quality of questioning and – if a medication was dispensed – the quality of information provided were in this context. The study also aimed to determine which factors predicted a necessary referral to a doctor. Methods: A cross-sectional, covert simulated patient study was conducted in a random sample of community pharmacies stratified by location in the German state of Mecklenburg-Vorpommern. Each pharmacy was visited once by one of four trained investigators. They simulated a symptom-based request involving a grandmother with acute diarrhoea. A multivariate binary logistic regression analysis using potential variables from bivariate analysis was carried out to determine the predictors for a referral to a doctor. Results: All 199 planned visits were conducted. A necessary referral to a doctor was recommended in 59.8% (n=119) of all visits. The most commonly asked question was ‘for whom is the medication?’ (75.4%, n=150), while ‘clarification by a doctor’ was asked the least (17.6%, n=35). In 87.9% (n=175) of all visits a medication was dispensed. Multivariate analysis revealed that, unlike pharmacists, non-pharmacists have a 2.446 times higher likelihood of recommending a referral to a doctor (p = 0.044; 95% CI = 1.025–5.835). Conclusions: In almost half of the visits a necessary referral to a doctor was not recommended. Furthermore, the quality of questioning and the quality of information were below expectations. Moreover, involvement of non‑pharmacists was surprisingly identified as a relevant factor influencing the appropriate outcome.



Kinesiology ◽  
2016 ◽  
Vol 48 (1) ◽  
pp. 49-57 ◽  
Author(s):  
Juan Carlos Martínez ◽  
Pablo Jesús Gómez-López ◽  
Pedro Femia ◽  
Daniel Mayorga-Vega ◽  
Jesús Viciana

The aims of this study were to analyse the effect of two feedback types as strategies in training ski teachers and to verify their effectiveness in the students’ learning. Thirty ski teachers participated in the study (average age=32.0±5.4 years; average experience in ski teaching=10.0±3 years). The teachers were divided into two experimental groups (group I: verbal feedback; group II: visual and verbal feedback) and one control group. Fifteen teaching trials were performed by each teacher, and a subsequent instructional supervision meeting was carried out in order to analyse quality of feedbacks delivered during the trial. A total of 180 high school students participated in the study as ski learners. During the instructional supervision meeting, the teachers were guided towards a previously established theoretical model of feedback used as the evaluation criterion. The ARIMA analysis of the time series showed changes in baseline teacher behaviour (group II came closer to the model established and concentrated better than group I; both experimental groups were better than the control group). The results of the analysis of variance for the comparison of students’ learning were also in the same direction: the students of group II teachers obtained better results than their peers of group I, and both experimental group’s students were better than those pertaining to the control group. We recommend using the criteria of the feedback model in order to achieve better quality of teacher training in skiing.



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