New vistas in patient safety and simulation:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
2007
|
| Schriftenreihe: | Anesthesiology clinics
25,2 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XIX S., S. 209 - 389 Ill., graph. Darst. |
| ISBN: | 9781416042792 1416042792 |
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| adam_text | NEW VISTAS IN PATIENT SAFETY AND SIMULATION
CONTENTS
Foreword xiii
Lee A. Fleisher
Preface xv
W. Andrew Kofke and Vinay M. Nadkarni
Anesthesiology National CME Program and ASA
Activities in Simulation 209
Elizabeth H. Sinz
This article traces the history of anesthesiology s role in simulation
from Resusci Anne and Sim One to the use of simulation today for
introducing new products and techniques to otherwise fully
trained, practicing physicians. The article also describes the latest
efforts of the American Society of Anesthesiologists (ASA) to pro¬
mote simulation based instruction. The article focuses in particular
on the activities of the ASA Committee on Simulation Education.
Many predict that simulation based teaching will generate the next
revolution in health care education. The ASA is hoping to capita¬
lize on anesthesiology s long involvement and leadership in simu¬
lation based health care education to help bring about this
revolution.
Does Simulation Improve Patient Safety?: Self Efficacy,
Competence, Operational Performance, and Patient Safety 225
Akira Nishisaki, Ron Keren, and Vinay Nadkarni
Simulation training is an essential educational strategy for health
care systems to improve patient safety. The strength of simulation
training is its suitability for multidisciplinary team training. There
is good evidence that simulation training improves provider and
team self efficacy and competence on manikins. There is also good
evidence that procedural simulation improves actual operational
VOLUME 25 • NUMBER 2 • JUNE 2007 vii
performance in clinical settings. However, no evidence yet shows
that crew resource management training through simulation, de¬
spite its promise, improves team operational performance at the
bedside. Also, no evidence to date proves that simulation training
actually improves patient outcome. Even so, confidence is growing
in the validity of medical simulation as the training tool of the fu¬
ture. The use of medical simulation will continue to grow in the
context of multidisciplinary team training for patient safety.
Simulation Applications for Human Factors and Systems
Evaluation 237
Stephen D. Small
Simulation applications have become increasingly common in
health care. A convergence of factors has stimulated this growth, in¬
cluding the rapid advance of enabling technologies, demand for im¬
proved outcomes and objectively assessed competencies, and
translation of lessons learned from other high risk industries as a
function of the patient safety and quality movements. The bulk of
the experience gained and resources expended has been focused
on education, training, and assessment of clinicians knowledge,
skills, and attitudes. Simulation methods lend themselves to sup¬
porting human factors and systems level investigations, yet work
in health care has, to a large degree, been limited to a few experienced
centers, interdisciplinary research teams, and isolated novel studies.
Credentialing and Certifying with Simulation 261
Amitai Ziv, Orit Rubin, Avner Sidi, and Haim Berkenstadt
Assessment and evaluation are integral parts of any educational
and training process, and students at all levels of training respond
by studying more seriously for the parts of the course or training
that are assessed. To promote and enhance effective learning suc¬
cessfully, simulation and other teaching methods should be both
formative and summative, because the ultimate goal is to ensure
professional competence. This article describes a model of medical
competence, and focuses on the use of medical simulation in as¬
sessment and evaluation of different levels of clinical competence
using examples from experience.
Statewide Simulation Systems: The Next Step
for Anesthesiology? 271
Michael Seropian, Dawn Dillman, and David Farris
Statewide simulation networks afford not only the possibility of
meeting capacity needs for anesthesiologists, but also provide a ve¬
nue for training trainers, setting standards, and bringing academic
and nonacademic practices together. Furthermore, a statewide
network that is appropriately designed opens the door to interdis¬
ciplinary activity. Oregon is the first state to implement simulation
viii CONTENTS
education across disciplines throughout the state. The model pro¬
vides an example of how simulation can be successfully applied
across a large and diverse area. The article details the benefits of
statewide simulation networks, discusses challenges to implement¬
ing such networks, and describes Oregon s statewide efforts.
Crew Resource Management and Team Training 283
Eswar Sundar, Sugantha Sundar, John Pawlowski,
Richard Blum, David Feinstein, and Stephen Pratt
This article reviews medical team training using the principles of
crew resource management (CRM). It also briefly discusses crisis
resource management, a subset of CRM, as applied to high acuity
medical situations. Guidelines on setting up medical team training
programs are presented. Team training programs are classified and
examples of simulation based and classroom based programs are
offered and their merits discussed. Finally, a brief look at the future
of team training concludes this review article.
Simulation: Translation to Improved Team Performance 301
Elizabeth A. Hunt, Nicole A. Shilkofski,
Theodora A. Stavroudis, and Kristen L. Nelson
Traditional medical education has emphasized autonomy, and
until recently issues related to teamwork have not been explicitly
included in medical curriculum. The Institute of Medicine
highlighted that health care providers train as individuals, yet
function as teams, creating a gap between training and reality
and called for the use of medical simulation to improve teamwork.
The aviation industry created a program called Cockpit and later
Crew Resource Management that has served as a model for team
training programs in medicine. This article reviews important con¬
cepts related to teamwork and discusses examples where simula¬
tion either could be or has been used to improve teamwork in
medical disciplines to enhance patient safety.
Virtual Worlds and Team Training 321
Parvati Dev, Patricia Youngblood, W. LeRoy Heinrichs,
and Laura Kusumoto
An important component of all emergency medicine residency pro¬
grams is managing trauma effectively as a member of an emer¬
gency medicine team, but practice on live patients is often
impractical and mannequin based simulators are expensive and re¬
quire all trainees to be physically present at the same location. This
article describes a project to develop and evaluate a computer
based simulator (the Virtual Emergency Department) for distance
training in teamwork and leadership in trauma management. The
virtual environment provides repeated practice opportunities with
life threatening trauma cases in a safe and reproducible setting.
CONTENTS ix
Virtual Reality Simulations 337
P. Pat Banerjee, Cristian J. Luciano, and Silvio Rizzi
The current virtual reality and haptic technologies being researched
for potential use in high fidelity simulations in anesthesiology are
attempting to overcome a number of limitations, such as low reso¬
lution, low visual acuity, and lack of robust haptics graphics collo¬
cation. A new prototype device invented by the authors, known as
ImmersiveTouch, addresses how to overcome these technologic
limitations.
Procedural Simulation 349
Aalpen A. Patel, Craig Glaiberman, and Derek A. Gould
In the past few decades, medicine has started to look at the poten¬
tial use of simulators in medical education. Procedural medicine
lends itself well to the use of simulators. Efforts are under way
to establish national agendas to change the way medical education
is approached and thereby improve patient safety. Universities, cre
dentialing organizations, and hospitals are investing large sums of
money to build and use simulation centers for undergraduate and
graduate medical education.
Debriefing with Good Judgment: Combining Rigorous
Feedback with Genuine Inquiry 361
Jenny W. Rudolph, Robert Simon, Peter Rivard,
Ronald L. Dufresne, and Daniel B. Raemer
Drawing on theory and empirical findings from a 35 year research
program in the behavioral sciences on how to improve professional
effectiveness through reflective practice, we develop a model of
debriefing with good judgment. The model specifies a rigorous
reflection process that helps trainees surface and resolve pressing
clinical and behavioral dilemmas raised by the simulation. Based
on the authors own experience using this approach in approxi¬
mately 2000 debriefings, it was found that the debriefing with
good judgment approach often sparks self reflection and behavior
change in trainees.
Integration of Standardized Patients into Simulation 377
Mary J. Cantrell and Linda A. Deloney
Standardized participants (SPs) can greatly enhance high fidelity
simulation. The educational experience becomes more realistic than
by simply using a simulator. There is very limited literature about
the use of SPs with high fidelity simulation. This article provides
an overview of SP methodology and offers suggestions for inte¬
grating SPs into medical simulation scenarios.
Index 385
x CONTENTS
|
| adam_txt |
NEW VISTAS IN PATIENT SAFETY AND SIMULATION
CONTENTS
Foreword xiii
Lee A. Fleisher
Preface xv
W. Andrew Kofke and Vinay M. Nadkarni
Anesthesiology National CME Program and ASA
Activities in Simulation 209
Elizabeth H. Sinz
This article traces the history of anesthesiology's role in simulation
from Resusci Anne and Sim One to the use of simulation today for
introducing new products and techniques to otherwise fully
trained, practicing physicians. The article also describes the latest
efforts of the American Society of Anesthesiologists (ASA) to pro¬
mote simulation based instruction. The article focuses in particular
on the activities of the ASA Committee on Simulation Education.
Many predict that simulation based teaching will generate the next
revolution in health care education. The ASA is hoping to capita¬
lize on anesthesiology's long involvement and leadership in simu¬
lation based health care education to help bring about this
revolution.
Does Simulation Improve Patient Safety?: Self Efficacy,
Competence, Operational Performance, and Patient Safety 225
Akira Nishisaki, Ron Keren, and Vinay Nadkarni
Simulation training is an essential educational strategy for health
care systems to improve patient safety. The strength of simulation
training is its suitability for multidisciplinary team training. There
is good evidence that simulation training improves provider and
team self efficacy and competence on manikins. There is also good
evidence that procedural simulation improves actual operational
VOLUME 25 • NUMBER 2 • JUNE 2007 vii
performance in clinical settings. However, no evidence yet shows
that crew resource management training through simulation, de¬
spite its promise, improves team operational performance at the
bedside. Also, no evidence to date proves that simulation training
actually improves patient outcome. Even so, confidence is growing
in the validity of medical simulation as the training tool of the fu¬
ture. The use of medical simulation will continue to grow in the
context of multidisciplinary team training for patient safety.
Simulation Applications for Human Factors and Systems
Evaluation 237
Stephen D. Small
Simulation applications have become increasingly common in
health care. A convergence of factors has stimulated this growth, in¬
cluding the rapid advance of enabling technologies, demand for im¬
proved outcomes and objectively assessed competencies, and
translation of lessons learned from other high risk industries as a
function of the patient safety and quality movements. The bulk of
the experience gained and resources expended has been focused
on education, training, and assessment of clinicians' knowledge,
skills, and attitudes. Simulation methods lend themselves to sup¬
porting human factors and systems level investigations, yet work
in health care has, to a large degree, been limited to a few experienced
centers, interdisciplinary research teams, and isolated novel studies.
Credentialing and Certifying with Simulation 261
Amitai Ziv, Orit Rubin, Avner Sidi, and Haim Berkenstadt
Assessment and evaluation are integral parts of any educational
and training process, and students at all levels of training respond
by studying more seriously for the parts of the course or training
that are assessed. To promote and enhance effective learning suc¬
cessfully, simulation and other teaching methods should be both
formative and summative, because the ultimate goal is to ensure
professional competence. This article describes a model of medical
competence, and focuses on the use of medical simulation in as¬
sessment and evaluation of different levels of clinical competence
using examples from experience.
Statewide Simulation Systems: The Next Step
for Anesthesiology? 271
Michael Seropian, Dawn Dillman, and David Farris
Statewide simulation networks afford not only the possibility of
meeting capacity needs for anesthesiologists, but also provide a ve¬
nue for training trainers, setting standards, and bringing academic
and nonacademic practices together. Furthermore, a statewide
network that is appropriately designed opens the door to interdis¬
ciplinary activity. Oregon is the first state to implement simulation
viii CONTENTS
education across disciplines throughout the state. The model pro¬
vides an example of how simulation can be successfully applied
across a large and diverse area. The article details the benefits of
statewide simulation networks, discusses challenges to implement¬
ing such networks, and describes Oregon's statewide efforts.
Crew Resource Management and Team Training 283
Eswar Sundar, Sugantha Sundar, John Pawlowski,
Richard Blum, David Feinstein, and Stephen Pratt
This article reviews medical team training using the principles of
crew resource management (CRM). It also briefly discusses crisis
resource management, a subset of CRM, as applied to high acuity
medical situations. Guidelines on setting up medical team training
programs are presented. Team training programs are classified and
examples of simulation based and classroom based programs are
offered and their merits discussed. Finally, a brief look at the future
of team training concludes this review article.
Simulation: Translation to Improved Team Performance 301
Elizabeth A. Hunt, Nicole A. Shilkofski,
Theodora A. Stavroudis, and Kristen L. Nelson
Traditional medical education has emphasized autonomy, and
until recently issues related to teamwork have not been explicitly
included in medical curriculum. The Institute of Medicine
highlighted that health care providers train as individuals, yet
function as teams, creating a gap between training and reality
and called for the use of medical simulation to improve teamwork.
The aviation industry created a program called Cockpit and later
Crew Resource Management that has served as a model for team
training programs in medicine. This article reviews important con¬
cepts related to teamwork and discusses examples where simula¬
tion either could be or has been used to improve teamwork in
medical disciplines to enhance patient safety.
Virtual Worlds and Team Training 321
Parvati Dev, Patricia Youngblood, W. LeRoy Heinrichs,
and Laura Kusumoto
An important component of all emergency medicine residency pro¬
grams is managing trauma effectively as a member of an emer¬
gency medicine team, but practice on live patients is often
impractical and mannequin based simulators are expensive and re¬
quire all trainees to be physically present at the same location. This
article describes a project to develop and evaluate a computer
based simulator (the Virtual Emergency Department) for distance
training in teamwork and leadership in trauma management. The
virtual environment provides repeated practice opportunities with
life threatening trauma cases in a safe and reproducible setting.
CONTENTS ix
Virtual Reality Simulations 337
P. Pat Banerjee, Cristian J. Luciano, and Silvio Rizzi
The current virtual reality and haptic technologies being researched
for potential use in high fidelity simulations in anesthesiology are
attempting to overcome a number of limitations, such as low reso¬
lution, low visual acuity, and lack of robust haptics graphics collo¬
cation. A new prototype device invented by the authors, known as
ImmersiveTouch, addresses how to overcome these technologic
limitations.
Procedural Simulation 349
Aalpen A. Patel, Craig Glaiberman, and Derek A. Gould
In the past few decades, medicine has started to look at the poten¬
tial use of simulators in medical education. Procedural medicine
lends itself well to the use of simulators. Efforts are under way
to establish national agendas to change the way medical education
is approached and thereby improve patient safety. Universities, cre
dentialing organizations, and hospitals are investing large sums of
money to build and use simulation centers for undergraduate and
graduate medical education.
Debriefing with Good Judgment: Combining Rigorous
Feedback with Genuine Inquiry 361
Jenny W. Rudolph, Robert Simon, Peter Rivard,
Ronald L. Dufresne, and Daniel B. Raemer
Drawing on theory and empirical findings from a 35 year research
program in the behavioral sciences on how to improve professional
effectiveness through reflective practice, we develop a model of
"debriefing with good judgment." The model specifies a rigorous
reflection process that helps trainees surface and resolve pressing
clinical and behavioral dilemmas raised by the simulation. Based
on the authors' own experience using this approach in approxi¬
mately 2000 debriefings, it was found that the "debriefing with
good judgment" approach often sparks self reflection and behavior
change in trainees.
Integration of Standardized Patients into Simulation 377
Mary J. Cantrell and Linda A. Deloney
Standardized participants (SPs) can greatly enhance high fidelity
simulation. The educational experience becomes more realistic than
by simply using a simulator. There is very limited literature about
the use of SPs with high fidelity simulation. This article provides
an overview of SP methodology and offers suggestions for inte¬
grating SPs into medical simulation scenarios.
Index 385
x CONTENTS |
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| spelling | New vistas in patient safety and simulation guest ed. W. Andrew Kofke ... Philadelphia [u.a.] Saunders 2007 XIX S., S. 209 - 389 Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Anesthesiology clinics 25,2 Anästhesie (DE-588)4001833-7 gnd rswk-swf Patientenüberwachung (DE-588)4115513-0 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Anästhesie (DE-588)4001833-7 s Patientenüberwachung (DE-588)4115513-0 s b DE-604 Kofke, W. Andrew Sonstige (DE-588)173945716 oth Anesthesiology clinics 25,2 (DE-604)BV021538977 25,2 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=015756773&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | New vistas in patient safety and simulation Anesthesiology clinics Anästhesie (DE-588)4001833-7 gnd Patientenüberwachung (DE-588)4115513-0 gnd |
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| title | New vistas in patient safety and simulation |
| title_auth | New vistas in patient safety and simulation |
| title_exact_search | New vistas in patient safety and simulation |
| title_exact_search_txtP | New vistas in patient safety and simulation |
| title_full | New vistas in patient safety and simulation guest ed. W. Andrew Kofke ... |
| title_fullStr | New vistas in patient safety and simulation guest ed. W. Andrew Kofke ... |
| title_full_unstemmed | New vistas in patient safety and simulation guest ed. W. Andrew Kofke ... |
| title_short | New vistas in patient safety and simulation |
| title_sort | new vistas in patient safety and simulation |
| topic | Anästhesie (DE-588)4001833-7 gnd Patientenüberwachung (DE-588)4115513-0 gnd |
| topic_facet | Anästhesie Patientenüberwachung Aufsatzsammlung |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=015756773&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| volume_link | (DE-604)BV021538977 |
| work_keys_str_mv | AT kofkewandrew newvistasinpatientsafetyandsimulation |