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29 papers 0 to 25 followers
Seung Eun Lee, Linda D Scott, V Susan Dahinten, Catherine Vincent, Karen Dunn Lopez, Chang Gi Park
This integrative literature review was conducted to examine the relationships between safety culture and patient safety and quality of care outcomes in hospital settings and to identify directions for future research. Using a search of six electronic databases, 17 studies that met the study criteria were selected for review. This review revealed semantic inconsistencies, infrequent use of a theory or theoretical framework, limited discussions of validity of instruments used, and significant methodological variations...
December 1, 2017: Western Journal of Nursing Research
Monique F Crane, Sue Brouwers, Kirsty Forrest, Suyin Tan, Thomas Loveday, Mark W Wiggins, Chris Munday, Leila David
OBJECTIVE: This study extends previous research by exploring the association between mood states (i.e., positive and negative affect) and fixation in practicing anesthetists using a realistic medical simulation. BACKGROUND: The impact of practitioner emotional states on fixation is a neglected area of research. Emerging evidence is demonstrating the role of positive affect in facilitating problem solving and innovation, with demonstrated implications for practitioner fixation...
August 2017: Human Factors
Andrew Petrosoniak, Marc Auerbach, Ambrose H Wong, Christopher M Hicks
In situ simulation (ISS), a point of care training strategy that occurs within the patient care environment involving actual healthcare team members, provides additional benefits to centre-based simulation. ISS can serve several roles within emergency medicine (EM): improves provider/team performance, identifies and mitigates threats to patient safety and improves systems and infrastructure. The effective use of ISS fosters inter-professional team training and a culture of safety essential for high performance EM teams and resilient systems...
February 2017: Emergency Medicine Australasia: EMA
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
Richard J Novick, Lorelei Lingard, Sayra M Cristancho
OBJECTIVE: Asking for help in the operating room occurs within a surgical culture that has traditionally valued independence, decisiveness, and confidence. A tension exists between these deeply ingrained character traits and the new culture of team-based practice that emphasizes maximizing patient safety. The objective of this study is to explore surgeon-to-surgeon help-seeking behaviors during complex and unanticipated operative scenarios. STUDY DESIGN: Semistructured interviews were conducted with a purposeful sample of 14 consultant surgeons from multiple specialties...
March 2015: Journal of Surgical Education
Jette Led Sørensen, Cees van der Vleuten, Susanne Rosthøj, Doris Østergaard, Vicki LeBlanc, Marianne Johansen, Kim Ekelund, Liis Starkopf, Jane Lindschou, Christian Gluud, Pia Weikop, Bent Ottesen
OBJECTIVE: To investigate the effect of in situ simulation (ISS) versus off-site simulation (OSS) on knowledge, patient safety attitude, stress, motivation, perceptions of simulation, team performance and organisational impact. DESIGN: Investigator-initiated single-centre randomised superiority educational trial. SETTING: Obstetrics and anaesthesiology departments, Rigshospitalet, University of Copenhagen, Denmark. PARTICIPANTS: 100 participants in teams of 10, comprising midwives, specialised midwives, auxiliary nurses, nurse anaesthetists, operating theatre nurses, and consultant doctors and trainees in obstetrics and anaesthesiology...
October 6, 2015: BMJ Open
Jette Led Sørensen, Laura Emdal Navne, Helle Max Martin, Bent Ottesen, Charlotte Krebs Albrecthsen, Berit Woetmann Pedersen, Hanne Kjærgaard, Cees van der Vleuten
OBJECTIVE: To examine how the setting in in situ simulation (ISS) and off-site simulation (OSS) in simulation-based medical education affects the perceptions and learning experience of healthcare professionals. DESIGN: Qualitative study using focus groups and content analysis. PARTICIPANTS: Twenty-five healthcare professionals (obstetricians, midwives, auxiliary nurses, anaesthesiologists, a nurse anaesthetist and operating theatre nurse) participated in four focus groups and were recruited due to their exposure to either ISS or OSS in multidisciplinary obstetric emergencies in a randomised trial...
October 6, 2015: BMJ Open
Brian K Ross, Julia Metzner
Maintenance of certification (MOC) is a process through which practitioners are able to show continuing competence in their areas of expertise. Simulation plays an increasingly important role in the assessment of students and residents, as well as in the initial practice certification for health care professionals. The use of simulation as an assessment tool in MOC has been sluggish to be universally accepted. This article discusses the role of simulation in health care education, how simulation might be effectively applied in the MOC process, and the future role of simulation in the MOC process...
August 2015: Surgical Clinics of North America
Gianni R Lorello, Christopher M Hicks, Sana-Ara Ahmed, Zoe Unger, Deven Chandra, Megan A Hayter
INTRODUCTION: Effective trauma resuscitation requires the coordinated efforts of an interdisciplinary team. Mental practice (MP) is defined as the mental rehearsal of activity in the absence of gross muscular movements and has been demonstrated to enhance acquiring technical and procedural skills. The role of MP to promote nontechnical, team-based skills for trauma has yet to be investigated. METHODS: We randomized anaesthesiology, emergency medicine, and surgery residents to two-member teams randomly assigned to either an MP or control group...
March 2016: CJEM
Megan Sherman, Farrah Leland, Brian Ross, Rosemarie Fernandez
Health care simulation is a rapidly growing, heterogeneous field requiring expertise that is not traditionally represented within health care or educational institutions. Simulation staff members often take on unique roles and have goals and career development needs that differ from more typical hospital and educational institution-based personnel. This poses both challenges and opportunities for simulation administrators. In this article, we describe a novel simulation, Simopoly, designed to provide the opportunity to think creatively about simulation center staff development, retention, and promotion in the context of daily operations and management...
October 2014: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
Suzanne Perry, Susan Margaret Bridges, Michael Francis Burrow
In line with the advances in technology and communication, medical simulations are being developed to support the acquisition of requisite psychomotor skills before real-life clinical applications. This review article aimed to give a general overview of simulation in a cognate field, clinical dental education. Simulations in dentistry are not a new phenomenon; however, recent developments in virtual-reality technology using computer-generated medical simulations of 3-dimensional images or environments are providing more optimal practice conditions to smooth the transition from the traditional model-based simulation laboratory to the clinic...
February 2015: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
Kathleen Masters
Simulation is increasingly being used as a teaching strategy in nursing education. The best learning outcomes occur when simulation is integrated into the curriculum rather than added to a crowded curriculum. Faculty are challenged to integrate simulation experiences into the curriculum in a way that promotes optimal achievement of student learning objectives. The purpose of this article is to describe the journey toward the integration of simulation in a baccalaureate nursing curriculum. A description of the journey from the beginning, through Health Resources and Services Administration funding, as a participating site in The NCSBN National Simulation Study, and through curricular redesign are presented in the context of faculty growth and lessons learned...
February 2014: Journal of Nursing Education
Maria Ahmed, Sonal Arora, Stephanie Russ, Ara Darzi, Charles Vincent, Nick Sevdalis
OBJECTIVES: To explore the current status of performance feedback (debriefing) in the operating room and to develop and evaluate an evidence-based, user-informed intervention termed "SHARP" to improve debriefing in surgery. BACKGROUND: Effective debriefing is a key educational technique for optimizing learning in surgical settings. However, there is a lack of a debriefing culture within surgery. Few studies have prospectively evaluated educational interventions to improve the quality and quantity of performance feedback in surgery...
December 2013: Annals of Surgery
Sonal Arora, Maria Ahmed, John Paige, Debra Nestel, Jane Runnacles, Louise Hull, Ara Darzi, Nick Sevdalis
OBJECTIVE: : To identify the features of effective debriefing and to use this to develop and validate a tool for assessing such debriefings. INTRODUCTION: : Simulation-based training has become an accepted means of surgical skill acquisition. A key component of this is debriefing-yet there is a paucity of research to guide best practice. METHODS: : Phase 1-Identification of best practice and tool development. A search of the Medline, Embase, PsycINFO, and ERIC databases identified current evidence on debriefing...
December 2012: Annals of Surgery
Paul C Mullan, Elizabeth Wuestner, Tarra D Kerr, Daniel P Christopher, Binita Patel
AIM: Multiple guidelines recommend debriefing of resuscitations to improve clinical performance. We implemented a novel standardized debriefing program using a Debriefing In Situ Conversation after Emergent Resuscitation Now (DISCERN) tool. METHODS: Following the development of the evidence-based DISCERN tool, we conducted an observational study of all resuscitations (intubation, CPR, and/or defibrillation) at a pediatric emergency department (ED) over one year...
July 2013: Resuscitation
Danielle Hart, Mary Ann McNeil, Sharon Griswold-Theodorson, Kriti Bhatia, Scott Joing
In this 30-minute talk, the authors take an in-depth look at how to debrief high-fidelity case-based simulation sessions, including discussion on debriefing theory, goals, approaches, and structure, as well as ways to create a supportive and safe learning environment, resulting in successful small group learning and self-reflection. Emphasis is placed on the "debriefing with good judgment" approach. Video clips of sample debriefing attempts, highlighting the "dos and don'ts" of simulation debriefing, are included...
September 2012: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
S Barry Issenberg, William C McGaghie, Emil R Petrusa, David Lee Gordon, Ross J Scalese
REVIEW DATE: 1969 to 2003, 34 years. BACKGROUND AND CONTEXT: Simulations are now in widespread use in medical education and medical personnel evaluation. Outcomes research on the use and effectiveness of simulation technology in medical education is scattered, inconsistent and varies widely in methodological rigor and substantive focus. OBJECTIVES: Review and synthesize existing evidence in educational science that addresses the question, 'What are the features and uses of high-fidelity medical simulations that lead to most effective learning?'...
January 2005: Medical Teacher
Jenny W Rudolph, Robert Simon, Daniel B Raemer, Walter J Eppich
The authors present a four-step model of debriefing as formative assessment that blends evidence and theory from education research, the social and cognitive sciences, experience drawn from conducting over 3,000 debriefings, and teaching debriefing to approximately 1,000 clinicians worldwide. The steps are to: 1) note salient performance gaps related to predetermined objectives, 2) provide feedback describing the gap, 3) investigate the basis for the gap by exploring the frames and emotions contributing to the current performance level, and 4) help close the performance gap through discussion or targeted instruction about principles and skills relevant to performance...
November 2008: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
L J de Lloyd, F Subash, A R Wilkes, I Hodzovic
We compared the Aura-i(™) , intubating laryngeal mask airway and i-gel(™) as conduits for fibreoptic-guided tracheal intubation in a manikin. Thirty anaesthetists each performed two tracheal intubations through each device, a total of 180 intubations. The median (IQR [range]) time to complete the first intubation was 40 (31-50 [15-162]) s, 37 (34-48 [25-75]) s and 28 (22-35 [14-59]) s for the Aura-i, intubating laryngeal mask airway and i-gel, respectively. Tracheal intubation through the i-gel was the quickest (p < 0...
May 2015: Anaesthesia
Michael S Beeson, John A Vozenilek
The Accreditation for Graduate Medical Education has developed a new process of accreditation, the Next Accreditation System (NAS), which focuses on outcomes. A key component of the NAS is specialty milestones-specific behavior, attributes, or outcomes within the general competency domains. Milestones will mark a level of proficiency of a resident within a competency domain. Each specialty has developed its own set of milestones, with semiannual reporting to begin July 2013, for 7 specialties, and the rest in July 2014...
June 2014: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
2015-01-31 20:31:40
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