Feasibility of Human Factors Immersive Simulation Training in Ophthalmology

Abstract

IMPORTANCE Human factors training can enhance teamworking and reduce error. It is used regularly in certain medical disciplines, but its use has not been established for ophthalmology to our knowledge. OBJECTIVE To explore the feasibility of providing immersive simulation human factors training for ophthalmic surgical teams.

Improving the Quality of Evaluation Data in Simulation-Based Healthcare Improvement Projects

“…Confirmatory factor analysis can be used to test how well a sample of participant data fits the model by assessing whether items that are closely related in theory are highly intercorrelated in practice, forming distinct “factors” as expected. 76 The results should support the hypothesized number of factors, and the specific items that load onto each factor should make theoretical sense. For example, data from the SAQ suggested that its items could be categorized into 6 factors, which mapped onto the 6 components of patient safety the measure was designed to capture.…”

“…To provide a starting point for practitioners seeking suitable measurement tools, and to illustrate of some of the reliability and validity considerations outlined in this article, we present summaries of a range of measures that are potentially relevant for use in simulation-based healthcare improvement projects, and for which (in the case of healthcare-specific tools) validity evidence has been collected using samples of clinicians. These include measures of: nontechnical skills 4 , 5 , 39 , 48 , 49 , 52 , 58 – 60 , 76 , 77 , 80 – 117 (see Table 3, Supplemental Digital Content 1, which outlines 17 measures, http://links.lww.com/SIH/A516 ); technical skills and clinical performance 40 , 59 , 81 , 102 , 112 , 120 – 127 (see Table 4, Supplemental Digital Content 2, which outlines 6 measures, http://links.lww.com/SIH/A517 ); and psychological constructs 4 , 6 , 28 , 30 , 78 , 111 , 126 – 140 (see Table 5, Supplemental Digital Content 3, which outlines 7 measures, http://links.lww.com/SIH/A518 ).…”

A systematic review of simulation-based training tools for technical and non-technical skills in ophthalmology

“…One study in this review, the Virtual Mentor e-learning programme, included cognitive components of cataract surgery training [ 141 ]. A pilot study by Saleh et al also demonstrated the feasibility of using high-fidelity, immersive simulation for cataract surgery, using scenarios based on previous patient safety incidents and evaluating the cross-validity and reliability of four established assessment tools (OTAS, NOTECHS, ANTS and NOTSS) [ 144 ].…”

Consensus on procedures to include in a simulation‐based curriculum in ophthalmology: a national Delphi study

“…Saleh et al (2016) have noticeably demonstrated that simulation-based training of nontechnical skills, such as teamwork and communication, is also applicable in ophthalmology. Other competencies are equally important.…”

“…Other competencies are equally important. Saleh et al (2016) have noticeably demonstrated that simulation-based training of nontechnical skills, such as teamwork and communication, is also applicable in ophthalmology. Their findings are promising for further incorporation of simulationbased training of nontechnical skills in the future.…”