Navigation Links
Rhode Island Hospital simulation center examines benefits and applications of medical simulation
Date:11/3/2008

PROVIDENCE, RI Emergency medicine physicians and simulation experts from Rhode Island Hospital discuss the benefits of advanced medical simulation in five manuscripts appearing in the November 2008 issue of Academic Emergency Medicine (now available online). The articles describe how simulation centers, along with new portable simulation technology, offer unique training opportunities for dynamic, complex and unanticipated medical situations in acute care fields. At the same time, the authors show how to guide team training and create new tools to measure teamwork effectiveness.

New advances are taking standard simulation techniques and manikin technologies currently used in simulation centers to a portable platform. In the first article, "Educational and Research Implications of Portable Human Patient Simulation in Acute Care Medicine," the researchers describe the adaptation of simulation techniques and manikin technologies for portable function. These new programs can relieve some limitations of traditional simulation, with an emphasis on the effects on acute care and disaster training. For example, mobile portable simulation allows on-site training in highly specialized clinical practice such as critical care transport medicine. Progressive simulations, i.e., longer-duration events that follow a simulated patient through sequential care environments, are also highlighted. These create an opportunity to study healthcare systems integration, continuity of care and transitions as well as the medical care delivered at each point of care. Lead author Leo Kobayashi, MD, notes, "Areas of education and research in acute care medicine are expanded by portable simulation's introduction of new topics, fresh perspectives and innovative methods."

The second article focuses on team performance in emergency medicine − "Defining Team Performance: Methodology, Metrics and Opportunities for Emergency Medicine." Rhode Island Hospital physicians Marc Shapiro, MD, and Gregory Jay, MD, PhD, led a consensus panel which identifies that "teamwork is a complex construct requiring metrics broad enough to capture the cycles of performance and yet sensitive and precise enough to assess a single behavior. No single measure can capture overall individual or team performance; it is helpful to measure both team process and outcomes to avoid the pitfalls in relying on 'one single inadequate criterion.'"

With this in mind, the panel reviews existing team performance metrics in health care, proposes a scientific methodology for simulation-based training (SBT) (including development of simulation scenarios and evaluation tools), and focuses on leadership as a target for SBT team training. Four core principles are proposed for effective team training and assessment:

  1. Team-based competencies must be established in advance for effective training and assessment.
  2. Carefully crafted simulation scenarios must be offered for guided teamwork practice.
  3. Team performance, strengths and weaknesses must be objectively diagnosed.
  4. Feedback must be linked to learning outcomes to develop effective debriefing protocols following a simulation exercise.

In a third article, "Advanced Medical Simulation Applications for Emergency Medicine Microsystems Evaluation and Training," a consensus panel led by Kobayashi and Frank Overly, MD, examines the role of simulation-based exercises in the assessment and improvement of small-scale clinical systems (microsystems) in emergency medicine. The panel suggests that focusing simulation on these microsystems creates distinct benefits: it introduces the possibility of working on higher-order, acute care functions while also enhancing system capabilities to respond to situations that are highly dynamic, unanticipated, incompletely specified, or otherwise problematic. Kobayashi comments, "Quality by design is made possible through use of simulation methods that create an engineered window on the system."

RIH simulation experts were also instrumental in developing two other manuscripts for the consensus conference. Shapiro contributed substantially to "Toward a Definition of Teamwork in Emergency Medicine," while Kobayashi served on the panel that generated "Defining Systems Expertise: Effective Simulation at the Organizational Level--Implications for Patient Safety, Disaster Surge Capacity, and Facilitating the Systems Interface." David G. Lindquist, MD, Mary L. Salisbury, RN, MSN, and Andrew Sucov, MD, are among the additional physicians and staff from the simulation center at Rhode Island Hospital involved in developing the recently published articles.

Led by emergency medicine physicians from Rhode Island Hospital and the Warren Alpert Medical School of Brown University, the region's first simulation center opened in 2002. Since then, the center's staff have served as leaders in simulation-based training for Lifespan and its affiliates, the Alpert Medical School, other health care providers in the community, and at national and international venues.


'/>"/>

Contact: Nancy Cawley
ncawley@lifespan.org
Lifespan
Source:Eurekalert

Related biology news :

1. Rhode Island Hospital study finds link between obesity, type 2 diabetes and neurodegeneration
2. UC Riverside scientist to explore how vegetation affects urban heat islands
3. Study of islands reveals surprising extinction results
4. Sky islands: metaphor or misnomer?
5. Smithsonian coral biodiversity survey of Panamas Pearl Islands
6. Rare North Island brown kiwi hatches at the Smithsonians National Zoo
7. Rats on islands disrupt ecosystems from land to sea, researchers find
8. First wind turbines on Galapagos Islands will halve diesel imports, reduce risk of future oil spills
9. Island monkeys do not recognize big cat calls
10. Ancient whale fall from Californias Ao Nuevo Island one of youngest, most complete known
11. Ancient whale fall from Californias Año Nuevo Island one of youngest, most complete known
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:4/11/2017)... 2017 Research and Markets has announced the ... to their offering. ... eye tracking market to grow at a CAGR of 30.37% during ... Market 2017-2021, has been prepared based on an in-depth market analysis ... and its growth prospects over the coming years. The report also ...
(Date:4/5/2017)... April 5, 2017 Today HYPR Corp. ... the server component of the HYPR platform is officially ... the end-to-end security architecture that empowers biometric authentication across ... has already secured over 15 million users across the ... of connected home product suites and physical access represent ...
(Date:3/30/2017)... HONG KONG , March 30, 2017 ... developed a system for three-dimensional (3D) fingerprint identification by adopting ground ... technology into a new realm of speed and accuracy for use ... applications at an affordable cost. ... ...
Breaking Biology News(10 mins):
(Date:10/10/2017)... Philadelphia, PA (PRWEB) , ... October 10, 2017 ... ... University City Science Center’s FirstHand program has won a US2020 STEM Mentoring Award. ... accept the award for Excellence in Volunteer Experience from US2020. , US2020’s mission ...
(Date:10/10/2017)... -- International research firm Parks Associates announced today that ... TMA 2017 Annual Meeting , October 11 in Scottsdale, Arizona ... market and how smart safety and security products impact the competitive landscape. ... Parks Associates: Smart Home Devices: Main Purchase ... "The residential security market has experienced continued growth, ...
(Date:10/10/2017)... ... October 10, 2017 , ... USDM ... firm for the life sciences and healthcare industries, announces a presentation by Subbu ... , The presentation, “Automating GxP Validation for Agile Cloud Platforms,” will present a ...
(Date:10/9/2017)... , Oct. 9, 2017  BioTech Holdings ... mechanism by which its ProCell stem cell therapy ... limb ischemia.  The Company, demonstrated that treatment with ... of limbs saved as compared to standard bone ... molecule HGF resulted in reduction of therapeutic effect.  ...
Breaking Biology Technology: