Simulation to Implement a Novel System of Care for Pediatric Critical Airway Obstruction

Johnson, Kaalan; Geis, Gary L.; Oehler, Jennifer; Meinzen‐Derr, Jareen; Bauer, Jerome; Myer, Charles M.; Kerrey, Benjamin T.

doi:10.1001/2013.jamaoto.216

Cited by 28 publications

(22 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Some institutions have created a critical airway assessment team with supporting bronchoscopic equipment in the ED to facilitate management in cases of critical airway obstruction. 16 With the advancement of simulation as an educational tool, institutions are encouraged to develop simulation programs for the assessment of acute stridor requiring urgent intervention. 17 Most children present with chronic or gradual onset stridor in which the airway is restricted but stable and allows the physician to conduct a methodical evaluation.…”

Section: Evaluation Of the Stridorous Patient Historymentioning

confidence: 99%

Pediatric Stridor

Ida

Thompson

2014

Otolaryngologic Clinics of North America

View full text Add to dashboard Cite

Pediatric stridor is an important symptom of upper airway obstruction, and must be recognized early by evaluating physicians. Proper evaluation and management, both acutely and chronically, can provide improved outcomes and better quality of life for patients. This article discusses the physiology of stridor and its intimate relation to airway anatomy, the work-up of the stridorous child, and recent advances in treatment, and provides illustrative examples of common lesions.

show abstract

Section: Evaluation Of the Stridorous Patient Historymentioning

confidence: 99%

Pediatric Stridor

Ida

Thompson

2014

Otolaryngologic Clinics of North America

View full text Add to dashboard Cite

show abstract

“…Previous studies have demonstrated that five to six iterations were required to fulfil system testing requirements. 36 47 For us, the eight iterations required to reach saturation for system improvement were comparable, and the higher number of repetitions required could be explained by the complexity of combining the needs of individual learning and system improvement. This finding may be useful for future system integration studies, and certainly in the current time-sensitive climate, it shows that system improvement can be accomplished within an achievable time frame.…”

Section: Discussionmentioning

confidence: 99%

Rapid cycle system improvement for COVID-19 readiness: integrating deliberate practice, psychological safety and vicarious learning

Chan

Rudolph²,

Lau

et al. 2020

BMJ STEL

View full text Add to dashboard Cite

IntroductionIn the face of a rapidly advancing pandemic with uncertain pathophysiology, pop-up healthcare units, ad hoc teams and unpredictable personal protective equipment supply, it is difficult for healthcare institutions and front-line teams to invent and test robust and safe clinical care pathways for patients and clinicians. Conventional simulation-based education was not designed for the time-pressured and emergent needs of readiness in a pandemic. We used ‘rapid cycle system improvement’ to create a psychologically safe learning oasis in the midst of a pandemic. This oasis provided a context to build staff technical and teamwork capacity and improve clinical workflows simultaneously.MethodsAt the Department of Anaesthesia and Intensive Care in Prince of Wales Hospital, a tertiary institution, in situ simulations were carried out in the operating theatres and intensive care unit (ICU). The translational simulation design leveraged principles of psychological safety, rapid cycle deliberate practice, direct and vicarious learning to ready over 200 staff with 51 sessions and achieve iterative system improvement all within 7 days. Staff evaluations and system improvements were documented postsimulation.Results/FindingsStaff in both operating theatres and ICU were significantly more comfortable and confident in managing patients with COVID-19 postsimulation. Teamwork, communication and collective ability to manage infectious cases were enhanced. Key system issues were also identified and improved.DiscussionTo develop readiness in the rapidly progressing COVID-19 pandemic, we demonstrated that ‘rapid cycle system improvement’ can efficiently help achieve three intertwined goals: (1) ready staff for new clinical processes, (2) build team competence and confidence and (3) improve workflows and procedures.

show abstract

“…Simulations can be conducted in situ (in real patient care areas) to enhance realism for the participants or to study the patient care environment, particularly with respect to identifying system factors that may affect healthcare delivery. The learning objectives and debriefing could be focused on assessing the care environment and looking for ways to improve the systems that affect how we work, thereby addressing systems‐based practice 23 . Finally, feedback and debriefing are essential components of learning from simulation‐enhanced learning opportunities.…”

Section: Discussionmentioning

confidence: 99%

Simulation Activity in Otolaryngology Residencies

Deutsch

Wiet

Seidman

et al. 2015

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

Most respondents from otolaryngology residency programs have incorporated some simulation into their curriculum. Interest among program directors to participate in future multicenter trials appears high. Future research efforts in this area should aim to determine optimal simulators and simulation activities for training and assessment as well as how to best incorporate simulation into otolaryngology residency training programs.

show abstract

Simulation to Implement a Novel System of Care for Pediatric Critical Airway Obstruction

Cited by 28 publications

References 19 publications

Pediatric Stridor

Pediatric Stridor

Rapid cycle system improvement for COVID-19 readiness: integrating deliberate practice, psychological safety and vicarious learning

Simulation Activity in Otolaryngology Residencies

Contact Info

Product

Resources

About