Simulation trainer for practicing emergent open thoracotomy procedures

Hamilton, Allan J.; Prescher, Hannes; Biffar, David; Poston, Robert

doi:10.1016/j.jss.2015.04.037

Cited by 19 publications

(14 citation statements)

References 38 publications

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“…Additionally, the training and experience of the individual surgeon performing the procedure likely contributes to outcomes. To that end, even a modest amount of simulation training has been demonstrated to significantly improve times to achieve defined emergent thoracotomy procedure milestones (1) in simulation studies with cardiac surgery trainees. The role of simulation in training for complex procedures is well studied in the medical literature (30-33) and has been shown to improve provider speed during other resuscitative procedures (34).…”

Section: Discussionmentioning

confidence: 99%

“…These studies typically focus on high-impact low-frequency (HILF) procedures such as aortic reconstruction, pneumonectomy and oncologic resections in elective settings. In settings where HILF procedures may be emergent, simulation-based training has been used as a means to support provider and team readiness (1). As a general principle, higher institutional volume is associated with improved patient outcomes for HILF procedures such as major abdominal, thoracic (2-4), and vascular surgical interventions (5, 6).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The epidemiology of emergency department thoracotomy in a statewide trauma system: Does center volume matter?

Dumas¹,

Seamon

Smith

et al. 2018

J Trauma Acute Care Surg

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The epidemiology of emergency department thoracotomy in a statewide trauma system: Does center volume matter?

Dumas¹,

Seamon

Smith

et al. 2018

J Trauma Acute Care Surg

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show abstract

“…After the application of inclusion and exclusion criteria on the screening of titles and abstracts, 468 articles were excluded. Both screeners reviewed the remaining 32 articles at full text, and 18 articles were then excluded as follows: five were related to a noncardiac surgery specialty [27][28][29][30][31], four were conference proceedings [32][33][34][35], three were nontechnical skills simulation training [36][37][38], three used simulation to establish validity for the simulator [9,39,40] but no actual training, two had no trainee participation [41,42], and one met the inclusion criteria but was excluded because it had only self-reported confidence data [43]. After manual screening and search for citations, two additional articles were included [14,44].…”

Section: Study Selectionmentioning

confidence: 99%

Simulation-Based Skill Training for Trainees in Cardiac Surgery: A Systematic Review

Ribeiro

Ngu

Lam

et al. 2018

The Annals of Thoracic Surgery

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Of 16 studies that met the criteria, only four (25%) randomized controlled trials were identified, and the remaining were observational studies. Seven observational studies (43.7%) were single-group pre-post tests. The mean number of trainees was 20.4 (SD, 14.1). Low-fidelity simulators were used in 13 studies (81.2%). Most of the studies (81.3%) were high quality based on a Medical Education Research Study Quality Instrument score of 12 or more. Evidence of assessment tool validation was absent among all studies. No study outcome measures were directed to skills transfer to the operating room or patient outcomes. Overall learning outcomes' effect sizes were consistently high (2.2; SD, 1.6), with junior residents benefitting most (effect size, 2.8; SD, 2.2) CONCLUSIONS: Simulation-based skill training is associated with improved learning outcomes for cardiac surgery trainees with large effect sizes, but more behavior-level outcomes are required to fully assess its value.

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“…Ten studies were Pre / Post observational studies which included ISS interventions, two were prospective cohort studies, two RCTs, one observational study with a control and one multicomponent quality improvement project. Studies were conducted in emergency and resuscitation teams and departments [ 79 – 86 ], paediatric and neonatal care settings [ 87 – 89 ], in-patient ward settings [ 90 – 92 ], coronary care [ 93 ], an obstetric unit [ 94 ] and a mental healthcare setting [ 2 ]. Where reported, ISS interventions frequency varied from single training sessions delivered over one day to repeat ISS training lasting 18 months.…”

Section: Resultsmentioning

confidence: 99%

GENESISS 2—Generating Standards for In-Situ Simulation project: a systematic mapping review

et al. 2022

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Background In-situ simulation is increasingly employed in healthcare settings to support learning and improve patient, staff and organisational outcomes. It can help participants to problem solve within real, dynamic and familiar clinical settings, develop effective multidisciplinary team working and facilitates learning into practice. There is nevertheless a reported lack of a standardised and cohesive approach across healthcare organisations. The aim of this systematic mapping review was to explore and map the current evidence base for in-situ interventions, identify gaps in the literature and inform future research and evaluation questions. Methods A systematic mapping review of published in-situ simulation literature was conducted. Searches were conducted on MEDLINE, EMBASE, AMED, PsycINFO, CINAHL, MIDIRS and ProQuest databases to identify all relevant literature from inception to October 2020. Relevant papers were retrieved, reviewed and extracted data were organised into broad themes. Results Sixty-nine papers were included in the mapping review. In-situ simulation is used 1) as an assessment tool; 2) to assess and promote system readiness and safety cultures; 3) to improve clinical skills and patient outcomes; 4) to improve non-technical skills (NTS), knowledge and confidence. Most studies included were observational and assessed individual, team or departmental performance against clinical standards. There was considerable variation in assessment methods, length of study and the frequency of interventions. Conclusions This mapping highlights various in-situ simulation approaches designed to address a range of objectives in healthcare settings; most studies report in-situ simulation to be feasible and beneficial in addressing various learning and improvement objectives. There is a lack of consensus for implementing and evaluating in-situ simulation and further studies are required to identify potential benefits and impacts on patient outcomes. In-situ simulation studies need to include detailed demographic and contextual data to consider transferability across care settings and teams and to assess possible confounding factors. Valid and reliable data collection tools should be developed to capture the complexity of team and individual performance in real settings. Research should focus on identifying the optimal frequency and length of in-situ simulations to improve outcomes and maximize participant experience.

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Simulation trainer for practicing emergent open thoracotomy procedures

Cited by 19 publications

References 38 publications

The epidemiology of emergency department thoracotomy in a statewide trauma system: Does center volume matter?

The epidemiology of emergency department thoracotomy in a statewide trauma system: Does center volume matter?

Simulation-Based Skill Training for Trainees in Cardiac Surgery: A Systematic Review

GENESISS 2—Generating Standards for In-Situ Simulation project: a systematic mapping review

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