Simulation- September 2012



Simulation – Monthly Update



September 2012

Welcome to the September 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: Simulation: moving from technology challenge to human factors success.

Citation: Cardiovascular & Interventional Radiology, June 2012, vol./is. 35/3(445-53), 0174-1551;1432-086X (2012 Jun) Author(s): Gould DA, Chalmers N, Johnson SJ, Kilkenny C, White MD, Bech B, Lonn L, Bello F

Abstract: Among simulation technologies and methods available today, computer-based systems are topical and bring the benefits of automated, repeatable, and reliable performance assessments. 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: Adverse drug events caused by serious medication administration errors.

Citation: BMJ Qual Saf. 2012 Jul 12. [Epub ahead of print] Author(s): Kale A, Keohane CA, Maviglia S, Gandhi TK, Poon EG.

Abstract: The objective of the study was to determine how often serious or life-threatening medicationadministration errors with the potential to cause harm (potential adverse drug

events) result in actual harm (adverse drug events (ADEs)) in the hospital setting.

Full Text: Available in fulltext here.


Title: Preventable deaths due to problems in care in English acute hospitals: a retrospective case record review study.

Citation: BMJ Qual Saf. 2012 Sep;21(9):737-45. Author(s): Hogan H, Healey F, Neale G, Thomson R, Vincent C, Black N.

Abstract: Monitoring hospital mortality rates is widely recommended. However, the number of preventable deaths remains uncertain with estimates in England ranging from 840 to 40 000 per year, these being derived from studies that identified adverse events but not whether events contributed to death or shortened life expectancy of those affected.

Full Text: Available in fulltext here.


Title: Uncharted territory: measuring costs of diagnostic errors outside the medical

record.Citation: BMJ Qual Saf. 2012 Jul 7. [Epub ahead of print] Author(s): Schwartz A, Weiner SJ, Weaver F, Yudkowsky R, Sharma G, Binns-Calvey A, Preyss B, Jordan N.

Abstract: The objective was to estimate the avoidable direct costs incurred by physicians making errors in the previous study.  Full Text: Available in fulltext here.


Title: Failures in communication and information transfer across the surgical care

pathway: interview study.

Citation: BMJ Qual Saf. 2012 Jul 7. [Epub ahead of print] Author(s): Nagpal K, Arora S, Vats A, Wong HW, Sevdalis N, Vincent C, Moorthy K.

Abstract: This study aimed to explore the communication and information transfer failures

across the entire surgical care pathway. Full Text: Available in fulltext here.


Title: Introducing standardized "readbacks" to improve patient safety in surgery: a prospective survey in 92 providers at a public safety-net hospital.

Citation: BMC Surg. 2012 Jun 19;12:8. Author(s): Prabhakar H, Cooper JB, Sabel A, Weckbach S, Mehler PS, Stahel PF.

Abstract: The present study was designed to determine the perception of staff in perioperative services regarding the role of standardized readbacks for improving patient safety in surgery at a single public safety-net hospital and level 1 trauma center.

Full Text: Available in fulltext here.

Title: Keeping patients safe when they transfer between care providers - getting the medicines right
Author(s): Royal Pharmaceutical Society, June 2012

Abstract: This report published by the Royal Pharmaceutical Society calls for improvements to the transfer of information about medicines when patients move between care settings

Full Text: Available in fulltext here.

Title: Maximising harm reduction in early specialty training for general practice: validation of a safety checklist.

Citation: BMC Fam Pract. 2012 Jun 21;13:62. Author(s): Bowie P, McKay J, Kelly M.

Abstract: The study aimed to prioritise the most safety-critical issues to be addressed in the first 12-weeks of specialty training in the general practice environment and validate a related

checklist reminder. Full Text: Available in fulltext here.


Title: The lost sponge: Patient safety in the operating room

Citation: CMAJ, August 2012, vol./is. 184/11(1275-1278), 0820-3946;1488-2329 (07 Aug 2012) Author(s): Grant-Orser A., Davies P., Singh S.S. Full Text: Available in fulltext at EBSCOhost


Title: Strategies for improving patient safety culture in hospitals: a systematic review.

Citation: BMJ Qual Saf. 2012 Jul 31. [Epub ahead of print] Author(s): Morello RT, Lowthian JA, Barker AL, McGinnes R, Dunt D, Brand C.

Abstract: To determine the effectiveness of patient safety culture strategies to

improve hospital patient safety climate.  Full Text: Available in fulltext here.


Title: Duty hours, quality of care, and patient safety: General surgery resident perceptions

Citation: Journal of the American College of Surgeons, July 2012, vol./is. 215/1(70-77), 1072-7515;1879-1190 (July 2012) Author(s): Borman K.R., Jones A.T., Shea J.A.

Abstract: The balance between patient treatment risks and training residents to proficiency is confounded by duty-hour limits. Stricter limits have been recommended to enhance quality and safety, although supporting data are scarce.

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: Surgical safety checklists: do they improve outcomes?.

Citation: British Journal of Anaesthesia, July 2012, vol./is. 109/1(47-54), 0007-0912;1471-6771 (2012 Jul) Author(s): Walker IA, Reshamwalla S, Wilson IH

Abstract: Introducing surgical checklists is not as straightforward as it seems, and requires leadership, flexibility, and teamwork in a different way to that which is currently practiced. Future work should be aimed at ensuring effective implementation of the WHO Surgical Safety Checklist, which will benefit patients on a global scale.

Full Text: Available in fulltext at EBSCOhost EJS Available in print at Solihull Staff Library


Title: Quality improvement initiative to reduce serious safety events and improve patient safety culture

Citation: Pediatrics, August 2012, vol./is. 130/2(e423-e431), 0031-4005;1098-4275 (August 2012) Author(s): Muething S.E., Goudie A., Schoettker P.J., Donnelly L.F., Goodfriend M.A., Bracke T.M., Brady P.W., Wheeler D.S., Anderson J.M., Kotagal U.R.

Abstract: The authors conducted a quality improvement initiative to implement cultural and system changes with the goal of reducing serious safety events (SSEs) by 80% within 4 years at a large, urban pediatric hospital.

Full Text: Available in fulltext at Highwire Press Available in fulltext at EBSCOhost EJS

Available in print at Heartlands Staff Library


Medical debriefing


Title: The effectiveness of video-assisted debriefing versus oral debriefing alone at

improving neonatal resuscitation performance: a randomized trial.

Citation: Simul Healthc. 2012 Aug;7(4):213-21. Author(s): Sawyer T, Sierocka-Castaneda A, Chan D, Berg B, Lustik M, Thompson M.

Abstract: The objective of this study was to compare the effectiveness of video-assisted debriefing to oral debriefing alone at improving performance in neonatal resuscitation.

Full Text: Available in Print from Harry Hollier Simulation Centre


Title: Debriefing Assessment for Simulation in Healthcare: Development and Psychometric


Citation: Simul Healthc. 2012 Aug 16. [Epub ahead of print] Author(s): Brett-Fleegler M, Rudolph J, Eppich W, Monuteaux M, Fleegler E, Cheng A, Simon R.

Abstract: This study examined the reliability of the scores of an assessment instrument, the Debriefing Assessment for Simulation in Healthcare (DASH), in evaluating the quality of health care simulation debriefings. The secondary objective was to evaluate whether the instrument's scores demonstrate evidence of validity.

Full Text: Available in Print from Harry Hollier Simulation Centre

Title: What's going on during the debriefing of a simulation session?

Citation: Minerva Anestesiologica, August 2012, vol./is. 78/8(863-864), 0375-9393 (August 2012) Author(s): Jaffrelot M., Touffet L., Ozier Y., Gueret G.

Title: Using debriefing for meaningful learning to foster development of clinical reasoning in simulation.

Citation: Journal of Nursing Education, June 2012, vol./is. 51/6(326-33), 0148-4834;0148-4834 (2012 Jun) Author(s): Dreifuerst KT

Abstract: The purpose of this exploratory, quasi-experimental, pretest-posttest study was to test the relationship of Debriefing for Meaningful Learning (DML) on the development of clinical reasoning skills in prelicensure nursing students when compared with customary debriefing strategies and on students' perception of quality of the debriefing experience.

Full Text: Available in fulltext at ProQuest


Simulation and medical training


Title: Successful implementation of the american college of surgeons/association of program directors in surgery surgical skills curriculum via a 4-week consecutive simulation rotation.

Citation: Simul Healthc. 2012 Jun;7(3):147-54. Author(s): Mittal MK, Dumon KR, Edelson PK, Acero NM, Hashimoto D, Danzer E, Selvan B, Resnick AS, Morris JB, Williams NN.

Abstract: Although simulation and skills laboratories are emerging as promising alternatives for skills training, their integration into graduate surgical education is inconsistent, erratic,  and often on a voluntary basis. The authors hypothesize that, by implementing the American College of Surgeons/Association of Program Directors in Surgery Surgical Skills Curriculum in a structured, inanimate setting, they can address some of these concerns.

Full Text: Available in Print from Harry Hollier Simulation Centre

Title: Skills Transfer After Proficiency-Based Simulation Training in Superficial

Femoral Artery Angioplasty.

Citation: Simul Healthc. 2012 Jul 13. [Epub ahead of print] Author(s): Hseino H, Nugent E, Lee MJ, Hill AD, Neary P, Tierney S, Moneley D, Given M.

Abstract: The purpose of this study was to explore whether basic endovascular skills acquired using proficiency-based simulation training in superficial femoral artery (SFA) angioplasty translate to real-world performance.

Full Text: Available in Print from Harry Hollier Simulation Centre

Title: Evaluation of Simulation-Based Training Model on Vascular Anastomotic Skills for

Surgical Residents.

Citation: Simul Healthc. 2012 Sep 6. [Epub ahead of print] Author(s): Sigounas VY, Callas PW, Nicholas C, Adams JE, Bertges DJ, Stanley AC, Steinthorsson G, Ricci MA.

Abstract: The study hypothesized that practice on surgical task simulators would improve residents' technical performance of vascular anastomotic technique.

Full Text: Available in Print from Harry Hollier Simulation Centre

Title: Teaching neuroanaesthesia using simulation, a pilot study

Citation: Journal of Neurosurgical Anesthesiology, July 2012, vol./is. 24/3(249), 0898-4921 (July 2012) Author(s): Kamalanathan K., Cain H., Goswami A., Shinde S.

Abstract: A study day was designed to provide Pre-Fellowship anesthetic trainees with exposure to clinical scenarios in order to teach the principles of management of such patients. The aim was to improve both candidates' knowledge and confidence before undertaking clinical placements within these specialties and before sitting the Final FRCA.

Title: Virtual reality cataract surgery training: Learning curves and concurrent validity

Citation: Acta Ophthalmologica, August 2012, vol./is. 90/5(412-417), 1755-375X;1755-3768 (August 2012) Author(s): Selvander M., Asman P.

Abstract: The aim was to investigate initial learning curves on a virtual reality (VR) eye surgery simulator and whether achieved skills are transferable between tasks.


Title: The use of simulation in healthcare: From systems issues, to team building, to task training, to education and high stakes examinations

Citation: Current Opinion in Critical Care, August 2012, vol./is. 18/4(326-332), 1070-5295;1531-7072 (August 2012) Author(s): Orledge J., Phillips W.J., Murray W.B., Lerant A.

Abstract: PURPOSE OF REVIEW: Simulation in healthcare is becoming increasingly used. This review will spotlight some of the uses of simulation in healthcare training.


Title: Motor skills training in orthopaedic surgery: a paradigm shift toward a simulation-based educational curriculum.

Citation: Journal of the American Academy of Orthopaedic Surgeons, July 2012, vol./is. 20/7(407-9), 1067-151X;1067-151X (2012 Jul) Author(s): Pedowitz RA, Marsh JL

Full Text: Available in fulltext at EBSCOhost EJS Available in print at Solhull Staff Library


Title: Emergency medicine simulation: a resident's perspective.

Citation: Annals of Emergency Medicine, July 2012, vol./is. 60/1(121-6), 0196-0644;1097-6760 (2012 Jul) Author(s): Meguerdichian DA, Heiner JD, Younggren BN

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: Republished: Simulation training improves ability to manage medical emergencies

Citation: Postgraduate Medical Journal, June 2012, vol./is. 88/1040(312-316), 0032-5473;1469-0756 (June 2012) Author(s): Ruesseler M., Weinlich M., Muller M.P., Byhahn C., Marzi I., Walcher F.

Abstract: This study determines the effect of a simulation-based curriculum in emergency medicine on students' abilities to manage emergency situations.

Full Text: Available in fulltext at Highwire Press


Title: Evaluation of hands-on training in colonoscopy: Is a computer-based simulator useful?

Citation: Digestive and Liver Disease, July 2012, vol./is. 44/7(580-584), 1590-8658;1878-3562 (July 2012) Author(s): Elvevi A., Cantu P., Maconi G., Conte D., Penagini R.

Abstract: The advantages of using a computer-based simulator during colonoscopy training are debated. The study aimed to explore its usefulness in objectively measuring trainees' competence in colonoscopy.



Title: A virtual-reality subtotal tonsillectomy simulator

Citation: Journal of Laryngology and Otology, July 2012, vol./is. 126/SUPPL. 2(S8-S13), 0022-2151;1748-5460 (July 2012) Author(s): Ruthenbeck G.S., Tan S.B., Carney A.S., Hobson J.C., Reynolds K.J.

Abstract: The objective was to develop a virtual-reality subtotal tonsillectomy simulation for surgical training.




Team training

Title: Impact of an in situ multi-professional simulation team training program in pediatric cardiac arrest postcardiac surgery: A pilot project

Citation: Paediatric Anaesthesia, September 2012, vol./is. 22/9(921-922), 1155-5645 (September 2012) Author(s): Lane M., Allen M., Ghez O., Desai A., Kakat S., Pool N., Cotterill J., De Costa K., Combes J., Burmester M.

Abstract: The authors conducted a pilot study to determine the validity and impact of cardiac arrest postcardiac surgery simulation scenarios using a prototype Harley Baby and validated SPRinT training in multi-professional teams.

Full Text: Available in fulltext at EBSCOhost


Title: Development and evaluation of a decision-based simulation for assessment of team skills

Citation: Surgery (United States), August 2012, vol./is. 152/2(152-157), 0039-6060;1532-7361 (August 2012) Author(s): Andrew B., Plachta S., Salud L., Pugh C.M.

Abstract: The goal of this project was to develop and evaluate a decision-based simulation to assess team skills.



New Additions to the HEFT Libraries:

New books on Simulation have not been added to the HEFT Libraries collection in July/August 2012. But if you would like to recommend any resources –books/journals/DVDs on Simulation, please email [email protected] or call x47836.




Further information:

The following sources have been searched for evidence published in the previous four weeks: Journal of Healthcare Simulation; BMJ Quality and Safety in Healthcare; NHS Institute for Innovation and Improvement; Agency for Healthcare Research and Quality; and searches on databases such as MEDLINE/EMBASE. Please contact [email protected] for any further information.


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

Visit NHS Evidence to access your journals and databases.