Re: Low-Fidelity Simulation in Global and Distributed Settings.
*Curriculum; *International Cooperation; Authors; Continuing/*methods; Curriculum; Education; Emergency Medicine; Emergency Medicine/*education; Humans; Medical; Professional Development; Simulations
Hobgood Cherri; Mulligan Terrance; Bodiwala Guatam; Cameron Peter; Holliman James; Kwan James; Singer Andrew; Jouriles Nicholas
CJEM
2016
2016-01
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1017/cem.2015.99" target="_blank" rel="noreferrer noopener">10.1017/cem.2015.99</a>
Workplace Violence Training Using Simulation.
Attitude of Health Personnel; Chi Square Test; Clinical Assessment Tools; Descriptive Statistics; Disaster Planning; Fisher's Exact Test; Health Personnel; Human; Learning Environment; Literature Review; McNemar's Test; Multidisciplinary Care Team; Nonverbal Communication; Nursing; Ohio; Qualitative Studies; Quantitative Studies; Role Playing; Self Assessment; Self Defense; Simulations; Students; Summated Rating Scaling; Validity; Videorecording; Weapons; Workplace Violence – Education
: Workplace violence in health care settings is increasing dramatically nationwide. In response, an interdisciplinary team at an Ohio health system developed and piloted a model of training to address workplace violence. The model included classroom learning, a code silver (person with a weapon or a hostage situation) simulation training, and hands-on self-defense techniques. Based on data collected in the pilot, the team revised the model to offer a more comprehensive approach; the new, revised training program is known as Violence: enABLE Yourself to Respond. The team designed four distinct five-minute simulation scenarios depicting a range of threats from "escalating behavior" to "active shooter" and enacted them with standardized participants (health care personnel trained to perform specific behaviors in educational scenarios). Immediately after each simulation, the instructors facilitated a debriefing of the participants. Participants' pre- and post-training program self-evaluations of how prepared they felt to react to violent situations, as well as experts' evaluations of the participants' performance in simulations, provided evidence of the effectiveness of the model. Analysis of the data demonstrated a statistically significant positive difference in both participants' perception of their preparedness and experts' evaluation of their performance. The combination of classroom learning and simulation training is an effective, evidence-based method to prepare employees to respond when a situation escalates to violence, including the use of a weapon. This approach was designed for acute care but can be adapted to other settings. Skills learned can be used in both personal and professional life.
Brown Robin G; Anderson Shauna; Brunt Barbara; Enos Trish; Blough Keith; Kropp Denise
The American journal of nursing
2018
2018-10
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1097/01.NAJ.0000546382.12045.54" target="_blank" rel="noreferrer noopener">10.1097/01.NAJ.0000546382.12045.54</a>
Improving bariatric patient transport and care with simulation.
Humans; United States; Educational Measurement; Education; Emergency Medicine; Obesity/*therapy; Patient Care; Airway Management; Allied Health Personnel/*education; Cardiopulmonary Resuscitation/education; Manikins; Transportation of Patients/*methods/standards; Catheterization; Human; Simulations; Analysis of Covariance; Trauma; Medical; Models; Infusions; Educational; Intraosseous/methods; Peripheral/methods; Technology; Equipment and Supplies; Bariatric Patients; Control Group; Firefighters; Obesity – Surgery; Transportation of Patients – Methods; Airway Management – Education; Emergency Medical Technicians – Education; Health Knowledge – Evaluation
INTRODUCTION: Obesity is prevalent in the United States. Obese patients have physiologic differences from non-obese individuals. Not only does transport and maintenance of these patients require use of specialized equipment, but it also requires a distinct skill set and knowledge base. To date, there is no literature investigating simulation as a model for educating pre-hospital providers in the care of bariatric patients. The purpose of this study was to determine if a
Gable Brad D; Gardner Aimee K; Celik Dan H; Bhalla Mary Colleen; Ahmed Rami A
The western journal of emergency medicine
2014
2014-03
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.5811/westjem.2013.12.18855" target="_blank" rel="noreferrer noopener">10.5811/westjem.2013.12.18855</a>
On the Move: Simulation to Improve and Assure Transport Team Performance.
Pediatrics; Child; Emergency Medical Services; Emergency Medicine; Quality of Health Care; Specialization; Safety; Teamwork; Simulations; Multidisciplinary Care Team; Government Agencies; Medical Practice; Transportation of Patients – Methods; Professional Competence – Evaluation; Skill Acquisition – Evaluation
Patterson Mary D; Geis Gary L
Clinical Pediatric Emergency Medicine
2013
2013-09
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1016/j.cpem.2013.08.002" target="_blank" rel="noreferrer noopener">10.1016/j.cpem.2013.08.002</a>
The VENTRILOSCOPE: 'am I hearing things?'.
Education; Simulations; Medical; Teaching Materials; Auscultation – Education; Auscultation – Methods; Stethoscopes – Education
Background: Knowledge of the benefits of incorporating medical simulation into healthcare curricula is rapidly increasing. Though impeded by the high cost of complicated technology, medical simulation devices offer the ability to provide safe and controlled training environments, exposure to rare clinical scenarios, as well as unlimited training opportunities. Methods: This report describes a novel, inexpensive method of broadcasting normal and abnormal auscultatory findings to a relatively normal appearing stethoscope for use in training of healthcare professionals. Results: Using wireless transmitter broadcasting to a stethoscope fitted with a receiver apparatus, the student is able to perform a typical medical exam with auscultation of an unlimited variety of clinical sounds from anatomically appropriate sources while being observed from another room. Conclusions: Implications of this low-cost device include limitless training possibilities worldwide and across disciplines. The simplicity and portability of this device increases potential for use in rapid training of recognition of clinical signs associated with chemical/biological warfare agents, mass casualty incidents and field military applications. This is the first device to simulate clinically relevant sounds in a realistic manner on standardized patients and mannequins. The benefits of such simulation in medical education ultimately serve to increase trainee confidence and consequently, improve patient care and safety.
Castilano A; Haller N; Goliath C; Lecat P
Medical teacher
2009
2009-03
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1080/01421590802516798" target="_blank" rel="noreferrer noopener">10.1080/01421590802516798</a>
Improving a mature palliative care program at a Level I trauma center.
Advance Directives; Confidence Intervals; Data Analysis Software; Depression; Descriptive Statistics; Documentation; Electronic Health Records; Fisher's Exact Test; Frailty Syndrome; Hospital Programs; Human; Palliative Care; Pearson's Correlation Coefficient; Quality Improvement; Questionnaires; Simulations; Trauma Centers
Background: Similar to the significant rise in the geriatric population in the United States, trauma centers have seen an increase in geriatric trauma patients. These patients present with additional challenges such as a higher likelihood of undertriage, mortality, and frailty. In addition, the varying presence of advanced directive documentation increases the importance of early palliative care consultations for geriatric trauma patients. Objective: In 2018, a Level I trauma center in the Midwest reviewed the American College of Surgeons Trauma Quality Improvement Program's Palliative Care Best Practice Guideline to identify opportunities for improvement to strengthen the collaboration between the palliative care consult service and trauma program. Methods: The guideline drove improvements, which included documentation changes (i.e., expansion of palliative care consultation triggers, frailty assessment, advanced directives questions, depression screening, and addition of palliative care consultation section on the performance improvement program form) and training (1-hr lecture on palliative care and 5-hr palliative care simulation training) opportunities. Results: A 3-month manual chart review (March 2019 through May 2019) revealed that by May 2019, 87.2% of admitted geriatric trauma patients received frailty assessments, which surpassed the benchmark (>85%). In addition, advanced care planning questions (i.e., health care power of attorney, do not resuscitate order, or living will) exceeded the benchmarks set forth by the guideline (>90%), with all of the questions being asked and documented in 95.7% of those same patient charts by May 2019. Conclusion: This quality improvement project has applicability for trauma centers that treat geriatric trauma patients; using the guidelines can drive changes to meet individual institution needs.
Moran ME; Soltis M; Politis T; Gothard MD; George RL
Journal Of Trauma Nursing
2021
2021-04-03
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
journalArticle
<a href="http://doi.org/10.1097/JTN.0000000000000569" target="_blank" rel="noreferrer noopener">10.1097/JTN.0000000000000569</a>