The use of a hybrid mannequin for the modern high-fidelity simulation in the labor ward: the Italian experience of the Ecografia Gestione Emergenze Ostetriche (EGEO) group

Ghi, T.; Rizzo, Giuseppe; Aloisio, Filomena; Bellussi, Federica; Masturzo, Bianca; Kiener, Arianne; Suprani, Alice

doi:10.1016/j.ajog.2019.07.023

Cited by 16 publications

(6 citation statements)

References 35 publications

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“…Although most medical simulation training uses manikins, the use of live mock patients was especially helpful for testing our protocol because of the difficulty of maneuvering a real patient, as opposed to a stiff manikin, through the turning steps. 28 This was especially true when determining how far to pull the patient laterally in order to complete the maneuver with the fewest readjustments.…”

Section: Discussionmentioning

confidence: 99%

Using In Situ Simulation to Develop a Prone Positioning Protocol for Patients With ARDS

Montanaro¹

2021

Critical Care Nurse

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Background Acute respiratory distress syndrome carries a 40% mortality rate. Prone positioning remains underused owing to clinicians’ low degree of confidence, concern about the risk of adverse outcomes, and lack of staff competency training. Local Problem and Purpose A prone positioning protocol and educational program were needed in an intensive care unit to achieve compliance with best practices for treating acute respiratory distress syndrome patients. Methods An initial survey was conducted to measure staff confidence and competency in prone positioning. A literature review was performed, and a plan-do-study-act approach was used to develop a protocol through in situ simulation involving mock patients. A training video and a simulation scenario using a high-fidelity manikin were developed to facilitate staff education. Staff were surveyed again after training. Interventions During the simulation scenario, interdisciplinary clinicians learned to apply the protocol and resupinate the patient during a simulated emergency. The training video was later used for “just in time” education minutes before actual prone positioning events. Results A total of 25 critical care nurses, 11 respiratory therapists, and 10 physicians completed the initial survey and simulation training. The survey showed that staff lacked confidence and competency in prone positioning. Staff demonstrated competence during the simulation sessions, and posttraining surveys indicated increased confidence. After the educational program, prone positioning was successfully used for 6 critically ill acute respiratory distress syndrome patients. Conclusions In situ simulation and interdisciplinary collaboration increase standardization of high-risk, underused procedures, improving staff confidence and competence as well as patient safety.

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Section: Discussionmentioning

confidence: 99%

Using In Situ Simulation to Develop a Prone Positioning Protocol for Patients With ARDS

Montanaro¹

2021

Critical Care Nurse

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“…Not surprisingly, our data showed that the accuracy and the precision in measuring both the AoP and the HPD was increased following the practical part of the course while the quality of the ultrasound images obtained at transperineal scanning was not better among the midwives who were exposed to the practical training on the simulator. This may be due to the fact that the IUSim-TM simulator used for this study is composed by a PC sys-tem displaying previously acquired transperineal ultrasound video clips from a library of different clinical cases from which the fetal head station can be measured [20]. Therefore, while extremely useful for the visual interpretation of the ultrasound findings and for the practical calculation of the AoP and the HPD, this type of simulator does not teach how to acquire the sonographic images on the correct plane.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, our study is the first which has been conducted with the use of a dedicated simulator for transperineal ultrasound. The potential usefulness of this ultrasound-friendly mannequin in the simulated management of intrapartum complications has been recently highlighted [20]. The use of a simulator obviates the need of patient participation and avoids bedside live training which may either create discomfort to the woman in active labor or embarrass the practitioner with a low confidence in transperineal ultrasound examination [24,25].…”

Section: Simulation In Obstetrics 125mentioning

confidence: 99%

“…There is scarcity of data on the use of intrapartum ultrasound by the midwives, and it would seem appropriate to encourage a specific training in order to improve their technical skills in transperineal scanning. A dedicated mannequin for intrapartum ultrasound simulation has been recently made available for such aim [20]. Simulation-based training provides the opportunity to acquire confidence and knowledge and to have an immediate feedback without leading discomfort to patients [21].…”

Section: Introductionmentioning

confidence: 99%

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Usefulness of an Intrapartum Ultrasound Simulator (IUSim™) for Midwife Training: Results from an RCT

Pasquo¹,

Zegarra²,

Kiener³

et al. 2020

Fetal Diagn Ther

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Introduction: We conducted a randomized study to determine whether a training session on a dedicated simulator (IUSim™) would facilitate the midwives in learning the technique of transperineal intrapartum ultrasound. Methods: Following a 30-min multimedia presentation including images and videos on how to obtain and measure the angle of progression (AoP) and the head-perineum distance (HPD), 6 midwives with no prior experience in intrapartum ultrasound were randomly split into 2 groups: 3 of them were assigned to the “training group” and 3 to the “control group.” The midwives belonging to the former group were taught to measure the 2 sonographic parameters during a 3-h practical session conducted on IUSim™ under the supervision of an expert obstetrician. In the following 3 months, all the 6 midwives were asked to independently perform transperineal ultrasound during their clinical practice and to measure on the acquired images either the AoP or the HPD. The sonographic images were examined in blind by the teaching obstetrician who assigned a 0–3 score to the image quality (IQS) and to the measurement quality (MQS). Results: A total of 48 ultrasound images (24 patients) from 5 midwives were acquired and included in the study analysis. A midwife of the “training group” declined participation after the practical session. Independently from the randomization group, the image quality score (IQS + MQS) was significantly higher for the HPD compared with the AoP (2.5 ± 0.66 vs. 1.79 ± 1.14; p = 0.01). In the training group, the MQS of either AoP (2.66 ± 0.5 vs.1.46 ± 1.45. p = 0.038) and the HPD (2.9 ± 0.33 vs. 1.87 ± 0.83 p = 0.002) was significantly higher in comparison with the control group, while the IQS of both measurements was comparable between the 2 groups (1.91 ± 1.24 vs. 2.25 ± 0.865; p = 0.28). Conclusion: The use of a dedicated simulator may facilitate the midwives in learning how to measure the AoP and the HPD on transperineal ultrasound images.

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“…The structure of emergency capability of unconventional emergencies in colleges and universities refers to the composition and proportion of each element of the emergency capability of unconventional emergencies in colleges and universities [ 4 ]. The elements of emergency response capability of unconventional emergencies in colleges and universities and their proportional interaction effect determine the state of emergency response capability of unconventional emergencies in colleges and universities [ 5 ]. The influencing factors of emergency response ability of unconventional emergencies in colleges and universities mainly focus on personnel quality, resource support, cooperative response, management ability, and so on.…”

Section: Introductionmentioning

confidence: 99%

Emergency Decision‐making Method of Unconventional Emergencies in Higher Education Based on Intensive Learning

Zhou

2022

Journal of Environmental and Public Health

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In order to improve the emergency decision-making and management ability of unconventional emergencies in Colleges and universities, an emergency decision-making method for unconventional emergencies in Colleges and Universities based on reinforcement learning is proposed. The function of the emergency decision-making model of unconventional emergencies in Colleges and universities is constructed, and the optimal control of the emergency decision-making process of unconventional emergencies in Colleges and universities is realized by using the queuing theory model. Based on the sub-sequence decomposition method, the reinforcement learning function is optimized. Combined with big data scheduling and the empirical mode decomposition method, the effective probability density function of emergency decision-making for unconventional emergencies in higher education is calculated, and the optimal solution vector analysis of emergency management and scheduling decision-making for unconventional emergencies in Colleges and universities is realized according to parameter estimation and quantitative optimization results. The test results show that this method has a good ability to optimize and schedule the emergency decision-making of unconventional emergencies in higher education, and has strong convergence. This method improves the emergency response-ability, and the time cost is short.

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The use of a hybrid mannequin for the modern high-fidelity simulation in the labor ward: the Italian experience of the Ecografia Gestione Emergenze Ostetriche (EGEO) group

Cited by 16 publications

References 35 publications

Using In Situ Simulation to Develop a Prone Positioning Protocol for Patients With ARDS

Using In Situ Simulation to Develop a Prone Positioning Protocol for Patients With ARDS

Usefulness of an Intrapartum Ultrasound Simulator (IUSim™) for Midwife Training: Results from an RCT

Emergency Decision‐making Method of Unconventional Emergencies in Higher Education Based on Intensive Learning

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