Simulation- December 2011



Simulation – Evidence Update  

December -2011




Welcome to the December bulletin on Simulation being produced by the HEFT Library Services. This bulletin is produced to support Simulation training carried out in the Harry Hollier Simulation Centre at Good Hope. This issue will highlight evidence published in the previous 8 weeks. Full text articles can be accessed via your HEFT Athens ID.


Human factors

Nothing to report


Medical errors and patient safety

Title: Errors associated with outpatient computerized prescribing systems

Citation: Journal of the American Medical Informatics Association, 2011, vol./is. 18/6(767-773), 1067-5027;1527-974X (2011) Author(s): Nanji K.C., Rothschild J.M., Salzberg C., Keohane C.A., Zigmont K., Devita J., Gandhi T.K., Dalal A.K., Bates D.W., Poon E.G.

Abstract: The objective of this study is to report the frequency, types, and causes of errors associated with outpatient computer-generated prescriptions, and to develop a framework to classify these errors to determine which strategies have greatest potential for preventing them.


Title: A ‘Communication and Patient Safety’ training programme for all healthcare staff: can it make a difference?

Citation: BMJ Quality and Safety, 18November 2011, Epub Authors: Lee, P ; Allen, K and Daly, Ml

Abstract: Communication breakdown is a factor contributing to most cases of patient harm, and this harm continues to occur at unacceptable levels. Responding to this evidence, the Metro South District of Queensland Health (Australia) has developed a communication skills training programme titled ‘Communication and Patient Safety’

 Full text: Available in fulltext here (Login with your Athens on before clicking on the link)


Title: System-related interventions to reduce diagnostic errors: a narrative review

Citation: BMJ Quality and Safety, 30 November 2011, Epub Authors: Singh, H et al

Abstract: Diagnostic errors (missed, delayed or wrong diagnosis) have recently gained attention and are associated with significant preventable morbidity and mortality. The authors reviewed the recent literature and identified interventions that address system-related factors that contribute directly to diagnostic errors

Full text: Available in fulltext here (Login with your Athens on before clicking on the link)

Title: Increasing medication error reporting rates while reducing harm through simultaneous cultural and system-level interventions in an intensive care unit

Citation: BMJ Quality and Safety, November 2011, vol./is. 20/11(914-922), 2044-5415 (November 2011) Author(s): Abstoss K.M., Shaw B.E., Owens T.A., Juno J.L., Commiskey E.L., Niedner M.F.

Abstract: This study analyses patterns in reporting rates of medication errors, rates of medication errors with harm, and responses to the Safety Attitudes Questionnaire (SAQ), all in the context of four cultural and three system-level interventions for medication safety in an intensive care unit.


Medical debriefing

Title: Matrix marking system: A future for debrief and assessment

Citation: Emergency Medicine Journal, October 2011, vol./is. 28/(A11), 1472-0205 (October 2011) Author(s): Hanson J., Pimblett M., Dickinson M., Jones G., Davis M.

Abstract: Simulation enables practice in a safe environment and debrief is vital in these skills. The aim of this article is to describe a debrief system which enhances real-time marking through instant video feedback of performance in both technical and non-technical skills. Full Text: Available in fulltext at Highwire Press


Simulation and medical training

Title: Urologic Surgical Simulation: An Endoscopic Bladder Model

Citation: Simulation in Healthcare: The Journal of The Society for Medical Simulation, December 2011, vol./is. 6/6, 352-355;1559-713X Authors: Grimsy, Gwen M et al

Abstract: The authors present a high-fidelity endoscopic boar bladder model for first-year urology resident training in preparation for real-time experience in the operating room.

Full text: Available in Print from Good Hope Simulation Centre.



Title: Simulation-Based Scenario to Help Prepare Learners in the Management of Obstetric Emergencies

Citation: Simulation in Healthcare: The Journal of The Society for Medical Simulation, December 2011, vol./is. 6/6, 364-369;1559-713X Authors: Marzano, David MD; Frankel, Jennifer MD; Smith, Sara Boblick MD; Andreatta, Pamela PhD

Full text: Available in Print from Good Hope Simulation Centre.


Title: Simulation-based mastery learning improves patient outcomes in laparoscopic inguinal hernia repair: a randomized controlled trial.

Citation: Annals of Surgery, September 2011, vol./is. 254/3(502-9; discussion 509-11), 0003-4932;1528-1140 (2011 Sep) Author(s): Zendejas B, Cook DA, Bingener J, Huebner M, Dunn WF, Sarr MG, Farley DR

Abstract: To evaluate a mastery learning, simulation-based curriculum for laparoscopic, totally extraperitoneal (TEP) inguinal hernia repair.BACKGROUND: Clinically relevant benefits from improvements in operative performance, time, and errors after simulation-based training are not clearly established.

Full Text: Available in fulltext at Ovid




Title: "Blowing up the barriers" in surgical training: Exploring and validating the concept of distributed simulation

Citation: Annals of Surgery, December 2011, vol./is. 254/6(1059-1065), 0003-4932;1528-1140 (December 2011) Author(s): Kassab E., Tun J.K., Arora S., King D., Ahmed K., Miskovic D., Cope A., Vadhwana B., Bello F., Sevdalis N., Kneebone R.

Abstract: The study aims to  explore face, content and construct validity of Distributed Simulation (DS), an innovative approach to low-cost, high-fidelity surgical simulation and compare technical performance in the DS with that on a standard surgical box trainer.

Full Text: Available in fulltext at Ovid


Title: Training and simulation in otolaryngology

Citation: Otolaryngologic Clinics of North America, December 2011, vol./is. 44/6(1333-1350), 0030-6665;1557-8259 (December 2011) Author(s): Wiet G.J., Stredney D., Wan D.

Abstract: This article focuses on key issues surrounding the needs and application of simulation technologies for technical skills training in otolaryngology.

Full Text: Available in fulltext at MD Consult


Title: Randomized controlled trial of virtual reality and hybrid simulation for robotic surgical training

Citation: BJU International, November 2011, vol./is. 108/10(1652-1657), 1464-4096;1464-410X (November 2011) Author(s): Feifer A., Al-Ammari A., Kovac E., Delisle J., Carrier S., Anidjar M.

Abstract: The study aims to evaluate if two commonly used laparoscopic simulators could be adapted and used successfully for the robotics platform in a laparoscopic and roboticnaive medical student population. Full Text: Available in fulltext at EBSCOhost EJS


Title: Patient safety training simulations based on competency criteria of the accreditation council for graduate medical education

Citation: Mount Sinai Journal of Medicine, November 2011, vol./is. 78/6(842-853), 0027-2507;1931-7581 (November-December 2011) Author(s): Issenberg S.B., Chung H.S., Devine L.A.

Abstract: This report reviews and critically evaluates the development of 3 movements in healthcare that have had a profound impact on changes occurring at all levels of medical education: patient safety, healthcare simulation, and competency-based education (exemplified by the Accreditation Council for Graduate Medical Education).


Title: Integration of laparoscopic virtual-reality simulation into gynaecology training

Citation: BJOG: An International Journal of Obstetrics and Gynaecology, November 2011, vol./is. 118/SUPPL. 3(5-10), 1470-0328;1471-0528 (November 2011) Author(s): Burden C., Oestergaard J., Larsen C.R.

Abstract: In this review, the authors aim to summarise the VR simulators currently available together with evidence of their effectiveness in gynaecology, to understand their limitations and to discuss their incorporation into national training curricula.


Title: Influence of surgery simulator training on ophthalmology resident phacoemulsification performance.

Citation: Journal of Cataract & Refractive Surgery, October 2011, vol./is. 37/10(1756-61), 0886-3350;1873-4502 (2011 Oct) Author(s): Belyea DA, Brown SE, Rajjoub LZ

Abstract: To determine whether the use of an eye-surgery simulator during ophthalmology residency training improves cataract surgery performance.  Full Text: Available in fulltext at Elsevier; Note: You will need to register (free of charge) with Science Direct the first time you use it.


Title: The use of computers for perioperative simulation in anesthesia, critical care, and pain medicine.

Citation: Anesthesiology Clinics, September 2011, vol./is. 29/3(521-31), 1932-2275;1932-2275 (2011 Sep) Author(s): Lambden S, Martin B

Abstract: Simulation in perioperative anesthesia training is a field of considerable interest, with an urgent need for tools that reliably train and facilitate objective assessment of performance. This article reviews the available simulation technologies, their evolution, and the current evidence base for their use. The future directions for research in the field and potential applications of simulation technology in anesthesia, critical care, and pain medicine are discussed. Full Text: Available in fulltext at MD Consult


Title: Stroke simulation training: Is stroke management missing in residency training?

Citation: Annals of Emergency Medicine, October 2011, vol./is. 58/4 SUPPL. 1(S284), 0196-0644 (October 2011) Author(s): Reed K., Wood S., Jacobson L., Chang E., Milzman D.

Abstract: With the continued expansion of "Stroke Teams" in the emergency department (ED) and inpatient setting, the opportunities for emergency medicine residents to gain the required knowledge for managing patients with acute non-hemorrhagic cerebrovascular accidents may be in decline. Therefore, the study sought to estimate the incidence of emergency medicine resident involvement in acute cerebrovascular accident care and to develop a simulation model for the identification and management of acute non-hemorrhagic cerebrovascular accident for emergency medicine resident education and competency training. Full Text: Available in fulltext at MD Consult; Note: You will need to register (free of charge) with MD Consult the first time you use it.


Team training

Title: Determination of the psychometric properties of a behavioural marking system for obstetrical team training using high-fidelity simulation

Citation: BMJ Quality and Safety, October 2011, Epub Authors: Morgan, P J et al

Abstract: To determine the effectiveness of high-fidelity simulation for team training, a valid and reliable tool is required. This study investigated the internal consistency, inter-rater reliability and test–retest reliability of two newly developed tools to assess obstetrical team performance.

Full text: Available in fulltext here (Login with your Athens on before clicking on the link)


Title: The effect of a simulation-based training intervention on the performance of established critical care unit teams

Citation: Critical Care Medicine, December 2011, vol./is. 39/12(2605-2611), 0090-3493;1530-0293 (December 2011) Author(s): Frengley R.W., Weller J.M., Torrie J., Dzendrowskyj P., Yee B., Paul A.M., Shulruf B., Henderson K.M.

Abstract: The study evaluated the effectiveness of a simulation-based intervention on improving teamwork in multidisciplinary critical care teams managing airway and cardiac crises and compared simulation-based learning and case-based learning on scores for performance.

Full Text: Available in fulltext at MD Consult; Note: You will need to register (free of charge) with MD Consult the first time you use it.


Title: High fidelity team-based simulation training: Laparoscopic renal vein injury scenario

Citation: Journal of Endourology, November 2011, vol./is. 25/(A27), 0892-7790 (November 2011) Author(s): Lee J.Y., Siegel J., Mucksavage P., Shah N., Canales C., McDougall E.M., Lin S.

Abstract: Team-based simulation training (TBST) provides an opportunity to learn communication skills and prevent medical errors through experiential learning and deliberate practice. The OR is a high-stakes environment where effective communication is a key component to optimizing patient outcomes. The article aims to assess the technical and non-technical skills of trainees during an OR-based TBST scenario.




Wishing you all a Merry Christmas and a very Happy New Year 2012





Further information:

Multiple sources – websites, journals and healthcare databases – have been searched for evidence published in the previous four weeks are identified and highlighted here. For a detailed list of sources that have been scanned, please contact [email protected]

To access the full text links in this bulletin, login with your HEFT Athens ID at ‘before’ clicking on them in order to make them seamless


For more information on how to register for Athens, access the Athens Registration leaflet via HEFT Library website

NHS Evidence portal has now changed to  Visit this portal to access your journals and healthcare databases