Using Simulation to Improve Systems-Based Practices

Gardner, Aimee K.; Johnston, Maximilian J.; Korndorffer, James R.; Haque, Imad; Paige, John T.

doi:10.1016/j.jcjq.2017.05.006

Cited by 6 publications

(10 citation statements)

References 43 publications

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“…The health care system affects the patient's waiting time under unpredictable circumstances and complexity. To deal with these conditions and reduce patient dissatisfaction with waiting time, the queue theory implementation is necessary (58)(59)(60)(61).…”

Section: -2-timementioning

confidence: 99%

“…The information system is also one of the components in the simulation design of the emergency department. In this regard, many studies were conducted and researchers found that recording the information, and electronic service records of the injured referred to the emergency department could be effective in providing health services to the injured (59,39,25). Studies showed that computerized registration of the injured referring to the hospital emergency department helped reduce the risk of errors in clinical decisionmaking (84 , 85, 15).…”

Section: -3-information Systemmentioning

confidence: 99%

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A Systematic Literature Review Identifying the Dimensions and Components of Simulation of the Hospital Emergency Department During Emergencies and Disasters

Shirazi

Moslehi

Rasouli

et al. 2022

Med. J. Islam. Republ. Iran

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Background: The use of simulation in medical education is evolving widely around the world. Hospital emergency services in the event of accidents and disasters affect the quality of health care. It is critical to determine the fundamental features for developing a hospital emergency department simulation to improve emergency services. In this regard, the current study conducted a comprehensive assessment of studies with the determinations and components of hospital emergency department simulation during accidents and disasters.Methods: In this systematic literature review, all studies between January 2010 and July 2021 were searched in MEDLINE/PubMed, EMBASE, ProQuest, Scopus, Web of Science, Iran medex Google Scholar, and Scientific Information Database (SID), MagIran databases and were analyzed with the thematic analysis approach and results were expressed based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 guidelines. The quality of the included studies was assessed using related checklists.Results: The findings of this study were divided into 3 main categories and 10 subcategories, including factors related to manpower (manpower arrangement, performance-awareness-skills, safety, and communication), factors related to medical services (triage, time, and transfer of the injured), and factors related to resource management and support (physical environment, equipment, and the information system).Conclusion: Through systematic planning, simulation allows for the identification of emergency department difficulties during accidents and disasters. Identifying dimensions and components, such as resource management and support, manpower, and medical services, is effective in designing the simulation of the hospital emergency department during accidents and disasters. Therefore, it is recommended to conduct future studies with a qualitative approach and focus on the factors affecting the simulation of the hospital emergency department during disasters, which has been done by the same researchers.

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Section: -2-timementioning

confidence: 99%

Section: -3-information Systemmentioning

confidence: 99%

A Systematic Literature Review Identifying the Dimensions and Components of Simulation of the Hospital Emergency Department During Emergencies and Disasters

Shirazi

Moslehi

Rasouli

et al. 2022

Med. J. Islam. Republ. Iran

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“…1,2 Born out of technological advancements, increased focus on patient safety, and attention to benchmarks of skill proficiency, simulation has infiltrated the curricula of medical schools and residency programs across almost all surgical disciplines. 2,3 Many high-quality studies are detailing the utility of simulation, in particular surgical skills simulation, in improving intraoperative performance and enhancing patient safety. 2,[4][5][6] Increasingly, acquiring basic surgical skill via the apprenticeship model mantra of "see one, do one," inherently reliant upon expert opinion, is being backstopped by structured modules in the simulation setting, with explicit objectives and tangible benchmarks.…”

mentioning

confidence: 99%

Use of the Fundamentals of Arthroscopic Surgical Training Workstation for Immediate Objective Feedback During Training Improves Hand-Tied Surgical Knot Proficiency

Schneider

Davis

Walsh³

et al. 2021

Sim Healthcare

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Introduction: In a prior study, we validated the FAST workstation as an objective evaluator of hand-tied surgical knots. The goal of this study was to determine whether guided practice with the FAST workstation could lead to objective improvement in hand-tied surgical knot performance. Methods: Sixty participants were randomized into 1 of 2 groups: a control group, with access to only the knot-tying station, and a test group, with access to the knot-tying station plus the knot testing station. The study was divided into 3 phases: prepractice, practice, and postpractice. Using the FAST workstation, participants hand-tied 5 knots, 15 knots, and 5 knots using 0 Vicryl suture in the prepractice, practice, and postpractice phases, respectively. Knots for each participant from the prepractice and postpractice phases were collected, tested, and compared. Results: Within the control group, the average number of prepractice knot successes was 2.63, and the average number of postpractice knot successes was 3.40, which resulted in an improvement of average knot successes of 0.77 (P < 0.01). Within the test group, the average number of prepractice knot successes was 2.40, and the average number of postpractice knot successes was 4.10, which resulted in an improvement of average knot successes of 1.70 (P < 0.01). The difference in average improvement of knot-tying successes (0.93 knots) between the 2 groups was statistically significant (P < 0.01). Discussion: A knot-tying trainer that provides objective feedback on knot performance may better improve hand-tied surgical knot proficiency compared with one without objective feedback.

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“…One way to teach perioperative team members how to respond to a hemorrhagic crisis using an MTP while working together as a well‐functioning team is through the use of simulation. Simulation is a technique used to replicate medical tasks and the environments in which they are performed for clinicians to learn, practice, and perfect their technical and nontechnical skills (eg, communication, teamwork) . It is a common educational modality used to train surgical teams in a safe learning environment to avoid compromising patient outcomes .…”

mentioning

confidence: 99%

“…Simulation is a technique used to replicate medical tasks and the environments in which they are performed for clinicians to learn, practice, and perfect their technical and nontechnical skills (eg, communication, teamwork) . It is a common educational modality used to train surgical teams in a safe learning environment to avoid compromising patient outcomes . This type of education should include all team members to improve interprofessional communication…”

mentioning

confidence: 99%

Using Simulation‐Based Education to Improve Team Communication During a Massive Transfusion Protocol in the OR

Vortman¹

2020

AORN Journal

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Hemorrhaging during operative and other invasive procedures can result in devastating outcomes for surgical patients. An effective plan of action in the form of a massive transfusion protocol (MTP), along with teamwork and clear communication among OR personnel, is critical during a hemorrhagic crisis to improve patient outcomes. However, perioperative personnel may be unprepared to manage a hemorrhagic crisis because they lack experiential knowledge of these uncommon, high-risk scenarios. Perioperative leaders at a 500-bed acute-care hospital in the Midwest developed an educational activity involving a video-recorded simulated MTP scenario, learning modules, and debriefing sessions to educate more than 150 employees. Perioperative personnel received preeducation and watched the video-recorded MTP simulation together, and then participated in team debriefings after watching the video. Based on team debriefings and evaluation feedback, most staff members believed that the activity improved team communication.

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Using Simulation to Improve Systems-Based Practices

Cited by 6 publications

References 43 publications

A Systematic Literature Review Identifying the Dimensions and Components of Simulation of the Hospital Emergency Department During Emergencies and Disasters

A Systematic Literature Review Identifying the Dimensions and Components of Simulation of the Hospital Emergency Department During Emergencies and Disasters

Use of the Fundamentals of Arthroscopic Surgical Training Workstation for Immediate Objective Feedback During Training Improves Hand-Tied Surgical Knot Proficiency

Using Simulation‐Based Education to Improve Team Communication During a Massive Transfusion Protocol in the OR

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