Simulation- November 2011

 

 

Simulation – Evidence Update  

November -2011

 

 

 


Welcome to the November 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

Title: The effect of a graphical interpretation of a statistic trend indicator (Trigg's Tracking Variable) on the detection of simulated changes.

Citation: Anaesthesia & Intensive Care, September 2011, vol./is. 39/5(881-6), 0310-057X;0310-057X (2011 Sep) Author(s): Kennedy RR, Merry AF

Abstract: The authors examined the effect of a graphical indication of the magnitude of Trigg's Tracking Variable, a simple statistically based trend detection algorithm, on the accuracy and latency of the detection of changes in a micro-simulation.


 

Title: Simulation: Moving from Technology Challenge to Human Factors Success.

Citation: Cardiovasc Intervent Radiol. 2011 Sep 13. [Epub ahead of print] Authors: Gould DA, Chalmers N, Johnson SJ, Kilkenny C, White MD, Bech B, Lonn L, Bello F.

Abstract: The article states that Human factors research is central to simulator model development that is relevant to real-world imaging-guided interventional tasks and to the credentialing programs in which it would be used.


 

Medical errors and patient safety

Title : Multimodal system designed to reduce errors in recording and administration of

drugs in anaesthesia: prospective randomised clinical evaluation.

Citation: BMJ. 2011 Sep 22;343:d5543. doi: 10.1136/bmj.d5543. Authors: Merry AF, Webster CS, Hannam J, Mitchell SJ, Henderson R, Reid P, Edwards KE, Jardim A, Pak N, Cooper J, Hopley L, Frampton C, Short TG.

Abstract: The study aims to clinically evaluate a new patented multimodal system (SAFERSleep) designed to reduce errors in the recording and administration of drugs in anaesthesia. Full text: Available in full text via PubMed Central


Title: Reducing drug errors in anaesthesia.

Citation: BMJ, 2011, vol./is. 343/(d6885), 0959-535X;1468-5833 (2011) Author(s): Board P

Full Text: Available in fulltext at Highwire Press


 

Title: FDA Initiative on Preventing Surgical Fires

The U.S. Department of Health and Human Services’ Food and Drug Administration (FDA) and its partners have launched an initiative and website to increase awareness of factors that contribute to surgical fires, to disseminate surgical fire prevention tools, and to promote the adoption of risk reduction practices throughout the health care community. For more information on the Preventing Surgical Fires initiative, please visit www.fda.gov/preventingsurgicalfires


 

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

Citation: BMJ Quality & Safety, November 2011, vol./is. 20/11(914-22), 2044-5415;2044-5423 (2011 Nov) Author(s): Abstoss KM, Shaw BE, Owens TA, Juno JL, Commiskey EL, Niedner MF

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. Full Text: Available in fulltext at Highwire Press


 

Title: Standard operating procedures for anaesthetic emergencies: Designing and testing using simulation

Citation: Anaesthesia, September 2011, vol./is. 66/(60), 0003-2409 (September 2011) Author(s): Mellanby E., Arrow K., Wallis C., Morton J.

Abstract: The authors state that the introduction of SOPs intends to minimise error, standardise management & improve communication in a crisis situation. Creation of highly realistic scenarios using simulation allowed them to test and refine our SOPs and is a model they hope will be used for implementation of future guidelines.


 

Title: Simulation to enhance patient safety: why aren't we there yet?.

Citation: Chest, October 2011, vol./is. 140/4(854-8), 0012-3692;1931-3543 (2011 Oct) Author(s): Aggarwal R, Darzi A

Abstract: The article highlights that evidence suggests that an unacceptably high number of patients currently experience suboptimal care as the result of adverse events and medical error. Simulation-based training reduces medical error, enhances clinical outcomes, and reduces the cost of clinical care. 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: Safety and errors: a lesson from the airlines.

Citation: Journal of Urology, October 2011, vol./is. 186/4(1177-8), 0022-5347;1527-3792 (2011 Oct) Author(s): Erickson DR

Full Text: Available in fulltext at Ovid


 

Title: Critical incident reports concerning anaesthetic equipment: analysis of the UK National Reporting and Learning System (NRLS) data from 2006-2008*.

Citation: Anaesthesia, October 2011, vol./is. 66/10(879-88), 0003-2409;1365-2044 (2011 Oct) Author(s): Cassidy CJ, Smith A, Arnot-Smith J

Abstract: The authors aimed to explore the national picture by reviewing patient safety incidents relating to anaesthetic equipment from the National Reporting and Learning System for England and Wales between 2006 and 2008.


 

 

 

Medical debriefing

Title: Research regarding debriefing as part of the learning process.

Citation: Simulation in Healthcare: The Journal of The Society for Medical Simulation, August 2011, vol./is. 6 Suppl/(S52-7), 1559-2332;1559-713X (2011 Aug) Author(s): Raemer D, Anderson M, Cheng A, Fanning R, Nadkarni V, Savoldelli G

Abstract: Debriefing is a process involving the active participation of learners, guided by a facilitator or instructor whose primary goal is to identify and close gaps in knowledge and skills. A review of existing research and a process for identifying future opportunities was undertaken. Full text: Available in Print from Good Hope Simulation Centre.


 

Title: Briefings, debriefings: path to safer care.

Citation: Or Manager, September 2011, vol./is. 27/9(24-6), 8756-8047;1944-8198 (2011 Sep) Author(s): Patterson P

Full Text: Available in fulltext at EBSCO Host Available in fulltext at ProQuest (Legacy Platform)


 

Simulation and medical training

AHRQ Funded Projects Focus on Improving Patient Safety Through Simulation Research

AHRQ-funded simulation research creates a safe learning environment in which researchers and practitioners can test new clinical processes and enhance their individual and team skills. A new fact sheet released by AHRQ summarizes grant awards for simulation research projects funded in fiscal year 2011. In 2011, AHRQ funded 11 multi-year demonstration grants to evaluate the use and effectiveness of various simulation approaches and the role they can play in improving the safety and quality of health care delivery. Grant research topics include simulations of cardiac surgery, pediatric resuscitation methods, steps to recognize sepsis, and techniques for teaching femoral arterial access used for coronary artery stent placement.  These newly funded projects will inform providers, health educators, payers, policymakers, patients, and the public about the effective use of simulation in improving patient safety. For more information, select: http://www.ahrq.gov/qual/simulproj11.htm


Title: Why we need open simulation to train surgeons in an era of work-hour restrictions.

Citation: Vascular, August 2011, vol./is. 19/4(175-7), 1708-5381;1708-5381 (2011 Aug)

Author(s): Bath J, Lawrence P

Abstract: This article highlights the growing need for open vascular simulation as exposure to complex open vascular operations diminishes. The culture of, 'see one, do one, teach one' is fast becoming replaced by 'do many on a simulator, attain competency then perform under supervision in the operating room'. This will only be successfully achieved by the widespread incorporation of open vascular simulation into current vascular training programs if work hours remain limited and endovascular modalities continue to replace traditional open operations.


 

Title: Use of simulation for annual resident assessments is both effective and educational

Citation: Annals of Emergency Medicine, October 2011, vol./is. 58/4 SUPPL. 1(S337), 0196-0644 (October 2011) Author(s): Sunga K.L., Luke A., Gordon D.C., Goyal Dg.

Abstract: The aim of this study was to measure the efficacy of assessing and educating residents through the use of Objective Structured Simulated Evaluation (OSSE).

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: Assessment of advanced cardiac life support competency by emergency medicine residents using a simulation-based curriculum

Citation: Annals of Emergency Medicine, October 2011, vol./is. 58/4 SUPPL. 1(S335), 0196-0644 (October 2011) Author(s): McCrea M.J.

Abstract: This instructional module was developed to correct resident deficiencies with ACLS-based care and to aid proficient residents in becoming familiar with the 2010 ACLS update. The impact of this curriculum on resident performance will be compared with prior simulation ACLS competency evaluation.

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: Self instructional module for simulation elective in emergency medicine

Citation: Annals of Emergency Medicine, October 2011, vol./is. 58/4 SUPPL. 1(S331), 0196-0644 (October 2011) Author(s): Anderson B.B.

Abstract: The goal of this 1-week elective is to instruct senior emergency medicine residents how to create their own SIM (high-fidelity simulation) scenarios, run them for secondary learners (junior emergency medicine residents and 3rd year medical students on emergency medicine clerkship) and debrief the participants in a small group (SG) learning format in an effective manner. 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: Full-scale human simulation is effective in educating preclinical medical students on basic acute care skills

Citation: Annals of Emergency Medicine, October 2011, vol./is. 58/4 SUPPL. 1(S192), 0196-0644 (October 2011) Author(s): Yashar M.D., Clarke S.O., Uijtdehaage S., Coates W.C.

Abstract: The primary objective of this study was to assess the efficacy of a human simulator module in teaching preclinical medical students how to approach an undifferentiated, critically ill patient. Secondary objectives included an assessment of the module's effects on preclinical student interest in, and understanding of, acute care fields.

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: Improved performance of maternal-fetal medicine staff after maternal cardiac arrest simulation-based training.

Citation: American Journal of Obstetrics & Gynecology, September 2011, vol./is. 205/3(239.e1-5), 0002-9378;1097-6868 (2011 Sep) Author(s): Fisher N, Eisen LA, Bayya JV, Dulu A, Bernstein PS, Merkatz IR, Goffman D

Abstract: To determine the impact of simulation-based maternal cardiac arrest training on performance, knowledge, and confidence among Maternal-Fetal Medicine staff.

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: A simulation-based program to train medical residents to lead and perform advanced cardiovascular life support.

Citation: Hospital practice (1995) Hospital practice, November 2011, vol./is. 39/4(63-9), 2154-8331;2154-8331 (2011 Nov) Author(s): Stefan MS, Belforti RK, Langlois G, Rothberg MB

Abstract: In this article, the authors describe the design and implementation in their institution of a formative curriculum aimed at improving residents' readiness for being leaders of ACLS teams using human patient simulation. They discuss the limitations of the program and the challenges encountered in implementation. They also provide a description of the initiation and organization of the program. Full text: Available in full text through the Journal website.


 

Title: Deliberate Practice Using Simulation Improves Neonatal Resuscitation Performance.

Citation: Simulation in Healthcare: The Journal of The Society for Medical Simulation, 2011 Sep 21. [Epub ahead of print] Authors: Sawyer T, Sierocka-Castaneda A, Chan D, Berg B, Lustik M, Thompson M.

Abstract: The objective of this study was to evaluate the effectiveness of DP using simulation on improving NRP performance. Full text: Available in Print from Good Hope Simulation Centre


 

Title: Education in neonatology by simulation: between reality and declaration of intent.

Citation: Journal of Maternal-Fetal & Neonatal Medicine, October 2011, vol./is. 24 Suppl 1/(97-8), 1476-4954;1476-4954 (2011 Oct) Author(s): Cuttano A, Scaramuzzo RT, Gentile M, Ciantelli M, Sigali E, Boldrini A

Abstract: The authors state that after a decade of experience in "traditional" training courses, they started testing a new strategy of continuous education in Neonatology by means of high fidelity simulation. This model has been proposed to the Italian Society of Neonatology and it has been decided to create a Task Force to discuss ther model and encourage to use it in other Italian areas.


 

Title: Setting standards for simulation in anesthesia: The role of safety criteria in accreditation standards

Citation: Canadian Journal of Anesthesia, September 2011, vol./is. 58/9(846-852), 0832-610X;1496-8975 (September 2011) Author(s): Riem N., Boet S., Chandra D.

Abstract: The authors report an incident with the potential of harming trainees and staff which occurred during a full-scale simulation. The episode raised the question of training safety in simulation centres.


 

Title: B-blockade affects simulator scores.

Citation: Ophthalmology, September 2011, vol./is. 118/9(1893-1893.e3), 0161-6420;1549-4713 (2011 Sep) Author(s): Pointdujour R, Ahmad H, Liu M, Smith E, Lazzaro D

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: A framework-based approach to designing simulation-augmented surgical education and training programs.

Citation: American Journal of Surgery, September 2011, vol./is. 202/3(344-51), 0002-9610;1879-1883 (2011 Sep) Author(s): Cristancho SM, Moussa F, Dubrowski A

Abstract: In this report, the authors present a process called "Aim - FineTune - FollowThrough" to enable the connection of the identified problems to solutions, using frameworks from psychology, motor learning, education and experimental design.

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: Impact of laparoscopy simulator training on the technical skills of future surgeons in the operating room: a prospective study.

Citation: American Journal of Surgery, September 2011, vol./is. 202/3(265-72), 0002-9610;1879-1883 (2011 Sep) Author(s): Beyer L, Troyer JD, Mancini J, Bladou F, Berdah SV, Karsenty G

Abstract: This was a comparative prospective study that evaluated the impact of simulator training on technical competence during a real surgical procedure. 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: Technology-enhanced simulation for health professions education: a systematic review and meta-analysis.

Citation: JAMA, September 2011, vol./is. 306/9(978-88), 0098-7484;1538-3598 (2011 Sep 7) Author(s): Cook DA, Hatala R, Brydges R, Zendejas B, Szostek JH, Wang AT, Erwin PJ, Hamstra SJ

Abstract: The objective of the study was to summarize the outcomes of technology-enhanced simulation training for health professions learners in comparison with no intervention. Full Text:  Available in fulltext at Highwire Press


 

Team training

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

Citation: BMJ Qual Saf. 2011 Oct 12. [Epub ahead of print] Authors: Morgan PJ, Tregunno D, Pittini R, Tarshis J, Regehr G, Desousa S, Kurrek M, Milne K.

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.


 

Title: Impact of an embedded simulation team training programme in a paediatric intensive care unit: a prospective, single-centre, longitudinal study.

Citation: Intensive Care Med. 2011 Oct 1. [Epub ahead of print] Authors: Stocker M, Allen M, Pool N, De Costa K, Combes J, West N, Burmester M.

Abstract: The purpose was to evaluate the impact of an embedded simulation-based team training programme on perceived performance and to compare the effect over different phases of the programme.


 

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

Citation: Crit Care Med. 2011 Jul 14. [Epub ahead of print] Authors: Frengley RW, Weller J, Weller JM, Torrie J, Dzendrowskyj P, Yee B, Paul AM, Shulruf B, Henderson KM.

Abstract: The authors 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.


 

 

Title: In situ, multidisciplinary, simulation-based teamwork training improves early trauma care.

Citation: Journal of Surgical Education, November 2011, vol./is. 68/6(472-7), 1878-7452;1878-7452 (2011 Nov) Author(s): Steinemann S, Berg B, Skinner A, Ditulio A, Anzelon K, Terada K, Oliver C, Ho HC, Speck C

Abstract: To evaluate the impact of a team training curriculum for residents and multidisciplinary trauma team members on team communication, coordination and clinical efficacy of trauma resuscitation.


 

Title: Targeted Crisis Resource Management Training Improves Performance Among Randomized Nursing and Medical Students.

Citation: Simul Healthc. 2011 Sep 21. [Epub ahead of print] Authors: Jankouskas TS, Haidet KK, Hupcey JE, Kolanowski A, Murray WB.

Abstract: In this study designed with adequate statistical power to detect relevant training effects, investigators evaluated Crisis Resource Management (CRM) training during a simulated patient crisis. This study is guided by the Team Effectiveness Conceptual Model by Kozlowski and Ilgen. Full text: Available in Print from Good Hope Simulation Centre.


 

Title: Perceived stress and team performance during a simulated resuscitation

Citation: Intensive Care Medicine, September 2011, vol./is. 37/9(1473-1479), 0342-4642;1432-1238 (September 2011) Author(s): Hunziker S., Laschinger L., Portmann-Schwarz S., Semmer N.K., Tschan F., Marsch S.

Abstract: The aim of this study was to investigate whether mental stress and different perceived emotions have a negative impact on the performance of rescuers.


 

 

 

 

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

http://www.evidence.nhs.uk/nhs-evidence-content/journals-and-databases ‘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 www.heftlibrary.nhs.uk

NHS Evidence portal has now changed to www.evidence.nhs.uk  Visit this portal to access your journals and healthcare databases