scholarly journals Experience in Organizing Teamwork During Treatment COVID - 19 in the Conditions of the Simulation Center

2021 ◽  
Vol 1 (3) ◽  
pp. 149
Author(s):  
N. A. Talkimbaeva ◽  
B. M. Kurmanaeva ◽  
S. N. Mizonova ◽  
E. Amangeldikyzy

The aim was to study the development of increasing the effectiveness of treatment of patients with severe and common forms of coronavirus infection, through the optimization of simulation training methods.

2021 ◽  
Vol 1 (3) ◽  
pp. 128-129
Author(s):  
S. V. Khodus ◽  
V. S. Oleksik

A study was carried out among 76 students who took part in the Olympiad contests in practical medical skills in an innovative distance format. The data obtained testify to the effectiveness of distance simulation training, the assessment of which was carried out by students answering test questions before and after passing the test task, as well as by assessing the students' actions during the remote passage of the simulation scenario by experts.


Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Robert Mikulik ◽  
Veronika Svobodová ◽  
Hana Pokorná

Background: Clinical need exists to shorten door-to-needle time (DNT) for intravenous thrombolysis but effective training methods are missing. Simulation training improves teamwork and logistics in numerous fields but it is not clear if simulation improves logistics in stroke. Methodology This is a nation-wide study to evaluate efficacy of simulation training conducted between 2016-2018 and measured by DNT in centers participating in simulation training program as compared to the rest of stroke centers in the Czech Republic. Information about DNT was obtained from prospectively collected data from nationally used Safe Implementation Treatment in Stroke Registry (SITS). Outcome is improvement in DNT in 2018 as compared to 2015 (after and before the simulation training period). Scenarios are based on real clinical cases and are initiated by pre-notification from EMS through indication of thrombolysis and ends by indication for mechanical thrombectomy. Simulation courses were conducted in standardly equipped simulation center (hospital bed, stretcher, simulation monitor, artificial CT scanner, audiovisual equipment etc.). Results: Between 2016 and 2018, 10 courses were conducted for stroke teams from 9 of all 45-stroke centers in the Czech Republic. DNT was available both in 2015 and 2018 in 41 (91%) of 45 stroke centers. Stroke centers that passed simulation training improved their DNT in 2018 as compared to 2015 by 30 minutes (95%CI 25.7-34.7) as compared to 20 minutes (95%CI 15.8-24.3) in stroke centers that did not pass the simulation training (p=0.01). Conclusion: DNT considerably shortened in all stroke centers and simulation training additionally improved door-to-needle time by 10 minutes. Simulation training is useful training method to improve logistics in stroke.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Bjoern Zante ◽  
Joerg C. Schefold

Abstract Background The application of manual emergency skills is essential in intensive care medicine. Simulation training on cadavers may be beneficial. The aim of this study was to analyze a skill-training aiming to enhance ICU-fellows´ performance. Methods A skill-training was prepared for chest tube insertion, pericardiocentesis, and cricothyroidotomy. Supervision levels (SL) for entrustable professional activities (EPA) were applied to evaluate skill performance. Pre- and post-training, SL and fellows´ self- versus consultants´ external assessment was compared. Time on skill training was compared to conventional training in the ICU-setting. Results Comparison of pre/post external assessment showed reduced required SL for chest tube insertion, pericardiocentesis, and cricothyroidotomy. Self- and external assessed SL did not significantly correlate for pre-training/post-training pericardiocentesis and post-training cricothyroidotomy. Correlations were observed for self- and external assessment SL for chest tube insertion and pre-assessment for cricothyroidotomy. Compared to conventional training in the ICU-setting, chest tube insertion training may further be time-saving. Conclusions Emergency skill training separated from a daily clinical ICU-setting appeared feasible and useful to enhance skill performance in ICU fellows and may reduce respective SL. We observed that in dedicated skill-training sessions, required time resources would be somewhat reduced compared to conventional training methods.


Author(s):  
Nikita E. DYATLOV ◽  
Inessa Ya. MOISEEVA ◽  
Larisa F. BURMISTROVA

The study discusses the purpose, tasks and main directions of simulation education in modern medical universities. We formulated the main directions of simulation training in modern conditions and gave a brief description of the possibilities of dummies and the simulation center itself: theoretical and practical training, simulation trainings, use of educational materials, debriefing, master classes, seminars and lectures, competitions and Olympiads, use of feedback devices, questionnaires, etc. We briefly described each learning method with advantages and existing disadvantages and paid attention to the training of the population in first aid skills. In conclusion, we presented the key advantages and disadvantages of simulation training: legislative regulation, cost of purchase of equipment and its maintenance, a wide range of competences of the teacher in terms of preparation for classes and adjustment of phantom, the need for programmers, engineers and laboratory technicians, issues of selection of the appropriate dummy among the line of domestic and foreign products. For each problem, we proposed ways to overcome it, as well as recommended various methods of training in simulation centers. The study will be useful for students and teachers of medical universities, as well as for doctors undergoing postgraduate training.


2011 ◽  
Vol 354-355 ◽  
pp. 901-905
Author(s):  
Guang Ying Ran ◽  
Jun Zhou Liu ◽  
Li Hong Chen

This paper analyzes the simulation function about switching operation simulation in the training simulation system of intelligent substation, and proposes a kind of training methods about switching operation, it promote running on duty personnel training, and effectively utilizes the substation simulation training system. At the same time puts forward intelligent reasoning machine system.


2017 ◽  
Vol 2 (3) ◽  

Objectives: This is a descriptive study to investigate the clinical ability, learning attitudes, and self-confidence in nursing students after simulation training. Methods: The participants of this study were 54 third-year nursing students in a city in Korea who had never received simulation-based education. Simulation training was conducted during the ‘adult nursing practice’ curriculum in the third year at the beginning of clinical practice, during the 10 hours of ‘surgical system nursing’. The topic of the simulation scenario was ‘nursing care for patients after abdominal operations’. Data were analyzed with SPSS 22.0, using mean, standard deviation, and percentage. Results: The results of the simulation training showed that all the groups were able to perform the ‘hand washing’ items for the clinical ability. In addition, the average score of learning-attitude after simulation training was 4.0 points (out of 5 points). Among the average scores, ‘recognition of my weaknesses and strengths’ averaged 4.4 points, ‘active discussions and opinions shared through debriefing’ averaged 4.3 points, and the lowest scoring item, ‘decreased anxiety in clinical practice’, averaged 3.4 points. The confidence score after the simulation training was 6.5 (out of 10). Conclusions: If simulation training were carried out continuously rather than once, it could help nursing students have confidence in learning attitudes and patient care. In order for nursing students to have practical experience with clinical situations, simulation training needs to be continuous.


Author(s):  
A. V. Soshnikov ◽  
O. V. Gorokh ◽  
N. Yu. Katkova

The authors of this article describe the experience of applying of simulation technologies in the curriculum in a medical university. The article discusses the methodology of practical training in obstetrics on the platform of a simulation center. The article also presents the results of the study that reveals students ' opinion about the role of the medical simulation training and its place in the educational process.


2020 ◽  
Vol 39 (1) ◽  
pp. 83-103
Author(s):  
J. Cedar Wang ◽  
Lori Podlinski

This chapter discusses the current state of hospital-based simulation, including the unprecedented events of 2020's global COVID-19 pandemic. Hospital-based simulation training requires a new approach. The realities of social distancing and the operational demands of hospital staffing ratios warrant creative adaptations of traditional simulation training methods. Hospitals used simulation to improve patient outcomes by training healthcare staff and students through telesimulation, and tested systems and equipment using in situ simulation (ISS). Latent safety threats (LSTs) were identified and corrected to improve patient outcomes. Hospital-based simulation has been incorporated into newly licensed registered nurses (NLRNs) residency programs to prepare them for competent practice. Simulations are also used for preparing staff for low-incidence, high-risk medical emergencies or disasters, such as active shooter events. Hospital-based simulation training adds value to healthcare systems, but requires more evidence of its quantitative and qualitative impacts.


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