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40
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Text
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URL Address
<a href="http://doi.org/10.7759/cureus.6752" target="_blank" rel="noreferrer noopener">http://doi.org/10.7759/cureus.6752</a>
Pages
e6752-e6752
Issue
1
Volume
12
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Update Year & Number
March 2020 Update
NEOMED College
NEOMED College of Medicine
NEOMED Department
NEOMED Student Publications
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Simulation-based Training Curriculum for the Management of Vaginal Cuff Dehiscence and Evisceration.
Publisher
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Cureus
Date
A point or period of time associated with an event in the lifecycle of the resource
2020
2020-01
Subject
The topic of the resource
medical education; Simulation; obstetrics and gynecology; bowel evisceration; vaginal cuff dehiscence
Creator
An entity primarily responsible for making the resource
Chapman Amelia D; Bashour Marla; Sagaria Lauren; Gothard David; Ballas Derek A
Description
An account of the resource
Objective Vaginal cuff dehiscence with evisceration (VCDE) is a serious, life-threatening complication of hysterectomy. Due to the high volume of hysterectomies performed in the U.S each year, it is likely that a practitioner will encounter VCDE during their career. Due to its infrequent occurrence, residents receive little exposure to it during training. Delayed diagnosis of VCDE can impede proper management and lead to severe, long-term complications or death. Our goal was to provide an opportunity for resident physicians to identify VCDE and practice performing a reduction of prolapsed bowel and vaginal cuff repair through hands-on simulation in hopes that the simulation would improve the residents' confidence and knowledge in recognizing and managing future VCDE cases. Methods Obstetrics and Gynecology residents postgraduate year (PGY) 1-4 participated in this study (n=13). Before and after the simulated case, a knowledge test covering VCDE recognition and management and a confidence survey were given to the participants. A gynecologic mannequin was modified by placing simulated bowel into the abdominal cavity with a portion extending through a vaginal cuff and protruding from the vaginal introitus. For the simulation, a hemodynamically unstable patient presented with findings consistent with a VCDE. Once the decision to proceed to surgery was made, participants were transferred to a simulated operating room where they performed a reduction of prolapsed bowel and vaginal cuff closure either laparoscopically or vaginally on the mannequin. A debriefing session was held post-simulation to discuss management and thought processes, as well as reflect on their performance and discuss improvement strategies for future cases. Finally, the residents participated in a brief didactic lecture on education about the incidence, presentation, and management of VCDE. Results Analysis of the knowledge questionnaires showed the median score and interquartile range (IQR) pre- and post-simulation was 15(12-28) and 20(19-22) respectively, with a median score increase (and IQR) of 5(3.5-8.5) (p=0.001). The confidence score had pre- and post-simulation median scores (and IQRs) of 28(20-34.5) and 40(37.5-46) respectively, with a median score increase (and IQR) of 15(8-20.5) (p=0.001). Conclusions Our intervention improved residents' knowledge and confidence in recognizing VCDE, identifying the need for surgical management, and performing a reduction of prolapsed bowel and vaginal cuff repair.
Identifier
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<a href="http://doi.org/10.7759/cureus.6752" target="_blank" rel="noreferrer noopener">10.7759/cureus.6752</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
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Journal Article
2020
Ballas Derek A
Bashour Marla
bowel evisceration
Chapman Amelia D
Cureus
Gothard David
Medical education
NEOMED College of Medicine Student
NEOMED Student Publications
Obstetrics and gynecology
Sagaria Lauren
simulation
vaginal cuff dehiscence
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.7759/cureus.3800" target="_blank" rel="noreferrer noopener">http://doi.org/10.7759/cureus.3800</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
e3800-e3800
Issue
12
Volume
10
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Emergent Cesarean Section in a Bandl's Ring Patient: An Obstetrics and Gynecology Simulation Scenario.
Publisher
An entity responsible for making the resource available
Cureus
Date
A point or period of time associated with an event in the lifecycle of the resource
2018
2018-12
Subject
The topic of the resource
bandl's ring; contraction ring; uterine ring
Creator
An entity primarily responsible for making the resource
Gupta Rahul; Nageeb Emmanuel M; Minhas Imran; Dang Nathan; Mock Samantha A; Rivera Janice; Ballas Derek A
Description
An account of the resource
Bandl's ring is a rare pathology, although its incidence is thought to be rising. Training curricula for treating this condition is almost nonexistent. Patients who present with this disease require specific management and treatment. Practicing these techniques in a medical simulation lab allows trainees to hone their skills in a safe, inconsequential environment. We present a simulated case in which a patient presents with a Bandl's ring.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.7759/cureus.3800" target="_blank" rel="noreferrer noopener">10.7759/cureus.3800</a>
2018
Ballas Derek A
bandl's ring
contraction ring
Cureus
Dang Nathan
Gupta Rahul
Minhas Imran
Mock Samantha A
Nageeb Emmanuel M
Rivera Janice
uterine ring
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1108/IJHCQA-08-2017-0157" target="_blank" rel="noreferrer noopener">http://doi.org/10.1108/IJHCQA-08-2017-0157</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
935-949
Issue
8
Volume
31
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Iatrogenic emergency medicine procedure complications and associated trouble-shooting strategies.
Publisher
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International journal of health care quality assurance
Date
A point or period of time associated with an event in the lifecycle of the resource
2018
2018-10
Subject
The topic of the resource
Humans; Emergency medicine; Training; Emergency Medicine/education; Emergency Service; Error management; Iatrogenic injury; Procedure complication; Quality improvement; Hospital/*organization & administration/standards; Iatrogenic Disease/*epidemiology/*prevention & control; Quality Improvement/*organization & administration/standards; Safety Management/*organization & administration/standards
Creator
An entity primarily responsible for making the resource
Ahmed Rami A; Hughes Patrick G; Wong Ambrose H; Gray Kaley M; Ballas Derek A; Khobrani Ahmad; Selley Robert D; McQuown Colleen
Description
An account of the resource
PURPOSE: The purpose of this paper is to provide a consolidated reference for the acute management of selected iatrogenic procedural injuries occurring in the emergency department (ED). DESIGN/METHODOLOGY/APPROACH: A literature search was performed utilizing PubMed, Scopus, Web of Science and Google Scholar for studies through March of 2017 investigating search terms "iatrogenic procedure complications," "error management" and "procedure complications," in addition to the search terms reflecting case reports involving the eight below listed procedure complications. FINDINGS: This may be particularly helpful to academic faculty who supervise physicians in training who present a higher risk to cause such injuries. ORIGINALITY/VALUE: Emergent procedures performed in the ED present a higher risk for iatrogenic injury than in more controlled settings. Many physicians are taught error-avoidance rather than how to handle errors when learning procedures. There is currently very limited literature on the error management of iatrogenic procedure complications in the ED.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1108/IJHCQA-08-2017-0157" target="_blank" rel="noreferrer noopener">10.1108/IJHCQA-08-2017-0157</a>
2018
Ahmed Rami A
Ballas Derek A
Emergency Medicine
Emergency Medicine/education
Emergency Service
Error management
Gray Kaley M
Hospital/*organization & administration/standards
Hughes Patrick G
Humans
Iatrogenic Disease/*epidemiology/*prevention & control
Iatrogenic injury
International journal of health care quality assurance
Khobrani Ahmad
McQuown Colleen
Procedure complication
Quality Improvement
Quality Improvement/*organization & administration/standards
Safety Management/*organization & administration/standards
Selley Robert D
Training
Wong Ambrose H