Simulation – Evidence Update
November -2011
Welcome to the November bulletin on Simulation being produced by the HEFT Library
Services. This bulletin is produced to support Simulation training carried out in the Harry
Hollier Simulation Centre at Good Hope. This issue will highlight evidence published in
the previous 8 weeks. Full text articles can be accessed via your HEFT Athens ID.
Human factors
Title: The effect of a graphical interpretation of a statistic trend indicator (Trigg's Tracking
Variable) on the detection of simulated changes.
Citation: Anaesthesia & Intensive Care, September 2011, vol./is. 39/5(881-6), 0310057X;0310-057X (2011 Sep) Author(s): Kennedy RR, Merry AF
Abstract: The authors examined the effect of a graphical indication of the magnitude of
Trigg's Tracking Variable, a simple statistically based trend detection algorithm, on the
accuracy and latency of the detection of changes in a micro-simulation.
Title: Simulation: Moving from Technology Challenge to Human Factors Success.
Citation: Cardiovasc Intervent Radiol. 2011 Sep 13. [Epub ahead of print] Authors: Gould
DA, Chalmers N, Johnson SJ, Kilkenny C, White MD, Bech B, Lonn L, Bello F.
Abstract: The article states that Human factors research is central to simulator model
development that is relevant to real-world imaging-guided interventional tasks and to the
credentialing programs in which it would be used.
Medical errors and patient safety
Title : Multimodal system designed to reduce errors in recording and administration of
drugs in anaesthesia: prospective randomised clinical evaluation.
Citation: BMJ. 2011 Sep 22;343:d5543. doi: 10.1136/bmj.d5543. Authors: Merry AF,
Webster CS, Hannam J, Mitchell SJ, Henderson R, Reid P, Edwards KE, Jardim A, Pak N,
Cooper J, Hopley L, Frampton C, Short TG.
Abstract: The study aims to clinically evaluate a new patented multimodal system
(SAFERSleep) designed to reduce errors in the recording and administration of drugs in
anaesthesia. Full text: Available in full text via PubMed Central
Title: Reducing drug errors in anaesthesia.
Citation: BMJ, 2011, vol./is. 343/(d6885), 0959-535X;1468-5833 (2011) Author(s): Board P
Full Text: Available in fulltext at Highwire Press
Title: FDA Initiative on Preventing Surgical Fires
The U.S. Department of Health and Human Services’ Food and Drug Administration (FDA)
and its partners have launched an initiative and website to increase awareness of factors
2
that contribute to surgical fires, to disseminate surgical fire prevention tools, and to promote
the adoption of risk reduction practices throughout the health care community. For more
information
on
the
Preventing
Surgical
Fires
initiative,
please
visit
www.fda.gov/preventingsurgicalfires.
Title: Increasing medication error reporting rates while reducing harm through simultaneous
cultural and system-level interventions in an intensive care unit.
Citation: BMJ Quality & Safety, November 2011, vol./is. 20/11(914-22), 2044-5415;20445423 (2011 Nov) Author(s): Abstoss KM, Shaw BE, Owens TA, Juno JL, Commiskey EL,
Niedner MF
Abstract: This study analyses patterns in reporting rates of medication errors, rates of
medication errors with harm, and responses to the Safety Attitudes Questionnaire (SAQ), all
in the context of four cultural and three system-level interventions for medication safety in an
intensive care unit. Full Text: Available in fulltext at Highwire Press
Title: Standard operating procedures for anaesthetic emergencies: Designing and testing
using simulation
Citation: Anaesthesia, September 2011, vol./is. 66/(60), 0003-2409 (September 2011)
Author(s): Mellanby E., Arrow K., Wallis C., Morton J.
Abstract: The authors state that the introduction of SOPs intends to minimise error,
standardise management & improve communication in a crisis situation. Creation of highly
realistic scenarios using simulation allowed them to test and refine our SOPs and is a model
they hope will be used for implementation of future guidelines.
Title: Simulation to enhance patient safety: why aren't we there yet?.
Citation: Chest, October 2011, vol./is. 140/4(854-8), 0012-3692;1931-3543 (2011 Oct)
Author(s): Aggarwal R, Darzi A
Abstract: The article highlights that evidence suggests that an unacceptably high number of
patients currently experience suboptimal care as the result of adverse events and medical
error. Simulation-based training reduces medical error, enhances clinical outcomes, and
reduces the cost of clinical care. Full Text: Available in fulltext at MD Consult; Note: You will
need to register (free of charge) with MD Consult the first time you use it.
Title: Safety and errors: a lesson from the airlines.
Citation: Journal of Urology, October 2011, vol./is. 186/4(1177-8), 0022-5347;1527-3792
(2011 Oct) Author(s): Erickson DR
Full Text: Available in fulltext at Ovid
Title: Critical incident reports concerning anaesthetic equipment: analysis of the UK National
Reporting and Learning System (NRLS) data from 2006-2008*.
Citation: Anaesthesia, October 2011, vol./is. 66/10(879-88), 0003-2409;1365-2044 (2011
Oct) Author(s): Cassidy CJ, Smith A, Arnot-Smith J
Abstract: The authors aimed to explore the national picture by reviewing patient safety
incidents relating to anaesthetic equipment from the National Reporting and Learning
System for England and Wales between 2006 and 2008.
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Medical debriefing
Title: Research regarding debriefing as part of the learning process.
Citation: Simulation in Healthcare: The Journal of The Society for Medical Simulation,
August 2011, vol./is. 6 Suppl/(S52-7), 1559-2332;1559-713X (2011 Aug) Author(s): Raemer
D, Anderson M, Cheng A, Fanning R, Nadkarni V, Savoldelli G
Abstract: Debriefing is a process involving the active participation of learners, guided by a
facilitator or instructor whose primary goal is to identify and close gaps in knowledge and
skills. A review of existing research and a process for identifying future opportunities was
undertaken. Full text: Available in Print from Good Hope Simulation Centre.
Title: Briefings, debriefings: path to safer care.
Citation: Or Manager, September 2011, vol./is. 27/9(24-6), 8756-8047;1944-8198 (2011
Sep) Author(s): Patterson P
Full Text: Available in fulltext at EBSCO Host Available in fulltext at ProQuest (Legacy
Platform)
Simulation and medical training
AHRQ Funded Projects Focus on Improving Patient Safety Through Simulation
Research
AHRQ-funded simulation research creates a safe learning environment in which researchers
and practitioners can test new clinical processes and enhance their individual and team
skills. A new fact sheet released by AHRQ summarizes grant awards for simulation research
projects funded in fiscal year 2011. In 2011, AHRQ funded 11 multi-year demonstration
grants to evaluate the use and effectiveness of various simulation approaches and the role
they can play in improving the safety and quality of health care delivery. Grant research
topics include simulations of cardiac surgery, pediatric resuscitation methods, steps to
recognize sepsis, and techniques for teaching femoral arterial access used for coronary
artery stent placement. These newly funded projects will inform providers, health educators,
payers, policymakers, patients, and the public about the effective use of simulation in
improving
patient
safety.
For
more
information,
select:
http://www.ahrq.gov/qual/simulproj11.htm
Title: Why we need open simulation to train surgeons in an era of work-hour restrictions.
Citation: Vascular, August 2011, vol./is. 19/4(175-7), 1708-5381;1708-5381 (2011 Aug)
Author(s): Bath J, Lawrence P
Abstract: This article highlights the growing need for open vascular simulation as exposure
to complex open vascular operations diminishes. The culture of, 'see one, do one, teach one'
is fast becoming replaced by 'do many on a simulator, attain competency then perform under
supervision in the operating room'. This will only be successfully achieved by the widespread
incorporation of open vascular simulation into current vascular training programs if work
hours remain limited and endovascular modalities continue to replace traditional open
operations.
Title: Use of simulation for annual resident assessments is both effective and educational
Citation: Annals of Emergency Medicine, October 2011, vol./is. 58/4 SUPPL. 1(S337),
0196-0644 (October 2011) Author(s): Sunga K.L., Luke A., Gordon D.C., Goyal Dg.
Abstract: The aim of this study was to measure the efficacy of assessing and educating
residents through the use of Objective Structured Simulated Evaluation (OSSE).
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Full Text: Available in fulltext at MD Consult; Note: You will need to register (free of charge)
with MD Consult the first time you use it.
Title: Assessment of advanced cardiac life support competency by emergency medicine
residents using a simulation-based curriculum
Citation: Annals of Emergency Medicine, October 2011, vol./is. 58/4 SUPPL. 1(S335),
0196-0644 (October 2011) Author(s): McCrea M.J.
Abstract: This instructional module was developed to correct resident deficiencies with
ACLS-based care and to aid proficient residents in becoming familiar with the 2010 ACLS
update. The impact of this curriculum on resident performance will be compared with prior
simulation ACLS competency evaluation.
Full Text: Available in fulltext at MD Consult; Note: You will need to register (free of charge)
with MD Consult the first time you use it.
Title: Self instructional module for simulation elective in emergency medicine
Citation: Annals of Emergency Medicine, October 2011, vol./is. 58/4 SUPPL. 1(S331),
0196-0644 (October 2011) Author(s): Anderson B.B.
Abstract: The goal of this 1-week elective is to instruct senior emergency medicine
residents how to create their own SIM (high-fidelity simulation) scenarios, run them for
secondary learners (junior emergency medicine residents and 3rd year medical students on
emergency medicine clerkship) and debrief the participants in a small group (SG) learning
format in an effective manner. Full Text: Available in fulltext at MD Consult; Note: You will
need to register (free of charge) with MD Consult the first time you use it.
Title: Full-scale human simulation is effective in educating preclinical medical students on
basic acute care skills
Citation: Annals of Emergency Medicine, October 2011, vol./is. 58/4 SUPPL. 1(S192),
0196-0644 (October 2011) Author(s): Yashar M.D., Clarke S.O., Uijtdehaage S., Coates
W.C.
Abstract: The primary objective of this study was to assess the efficacy of a human
simulator module in teaching preclinical medical students how to approach an
undifferentiated, critically ill patient. Secondary objectives included an assessment of the
module's effects on preclinical student interest in, and understanding of, acute care fields.
Full Text: Available in fulltext at MD Consult; Note: You will need to register (free of charge)
with MD Consult the first time you use it.
Title: Improved performance of maternal-fetal medicine staff after maternal cardiac arrest
simulation-based training.
Citation: American Journal of Obstetrics & Gynecology, September 2011, vol./is.
205/3(239.e1-5), 0002-9378;1097-6868 (2011 Sep) Author(s): Fisher N, Eisen LA, Bayya
JV, Dulu A, Bernstein PS, Merkatz IR, Goffman D
Abstract: To determine the impact of simulation-based maternal cardiac arrest training on
performance, knowledge, and confidence among Maternal-Fetal Medicine staff.
Full Text: Available in fulltext at MD Consult; Note: You will need to register (free of charge)
with MD Consult the first time you use it.
Title: A simulation-based program to train medical residents to lead and perform advanced
cardiovascular life support.
Citation: Hospital practice (1995) Hospital practice, November 2011, vol./is. 39/4(63-9),
2154-8331;2154-8331 (2011 Nov) Author(s): Stefan MS, Belforti RK, Langlois G, Rothberg
MB
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Abstract: In this article, the authors describe the design and implementation in their
institution of a formative curriculum aimed at improving residents' readiness for being
leaders of ACLS teams using human patient simulation. They discuss the limitations of the
program and the challenges encountered in implementation. They also provide a description
of the initiation and organization of the program. Full text: Available in full text through the
Journal website.
Title: Deliberate Practice Using Simulation Improves Neonatal Resuscitation Performance.
Citation: Simulation in Healthcare: The Journal of The Society for Medical Simulation, 2011
Sep 21. [Epub ahead of print] Authors: Sawyer T, Sierocka-Castaneda A, Chan D, Berg B,
Lustik M, Thompson M.
Abstract: The objective of this study was to evaluate the effectiveness of DP using
simulation on improving NRP performance. Full text: Available in Print from Good Hope
Simulation Centre
Title: Education in neonatology by simulation: between reality and declaration of intent.
Citation: Journal of Maternal-Fetal & Neonatal Medicine, October 2011, vol./is. 24 Suppl
1/(97-8), 1476-4954;1476-4954 (2011 Oct) Author(s): Cuttano A, Scaramuzzo RT, Gentile
M, Ciantelli M, Sigali E, Boldrini A
Abstract: The authors state that after a decade of experience in "traditional" training
courses, they started testing a new strategy of continuous education in Neonatology by
means of high fidelity simulation. This model has been proposed to the Italian Society of
Neonatology and it has been decided to create a Task Force to discuss ther model and
encourage to use it in other Italian areas.
Title: Setting standards for simulation in anesthesia: The role of safety criteria in
accreditation standards
Citation: Canadian Journal of Anesthesia, September 2011, vol./is. 58/9(846-852), 0832610X;1496-8975 (September 2011) Author(s): Riem N., Boet S., Chandra D.
Abstract: The authors report an incident with the potential of harming trainees and staff
which occurred during a full-scale simulation. The episode raised the question of training
safety in simulation centres.
Title: B-blockade affects simulator scores.
Citation: Ophthalmology, September 2011, vol./is. 118/9(1893-1893.e3), 0161-6420;15494713 (2011 Sep) Author(s): Pointdujour R, Ahmad H, Liu M, Smith E, Lazzaro D
Full Text: Available in fulltext at Elsevier; Note: You will need to register (free of charge) with
Science Direct the first time you use it.
Title: A framework-based approach to designing simulation-augmented surgical education
and training programs.
Citation: American Journal of Surgery, September 2011, vol./is. 202/3(344-51), 00029610;1879-1883 (2011 Sep) Author(s): Cristancho SM, Moussa F, Dubrowski A
Abstract: In this report, the authors present a process called "Aim - FineTune FollowThrough" to enable the connection of the identified problems to solutions, using
frameworks from psychology, motor learning, education and experimental design.
Full Text: Available in fulltext at MD Consult; Note: You will need to register (free of charge)
with MD Consult the first time you use it.
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Title: Impact of laparoscopy simulator training on the technical skills of future surgeons in
the operating room: a prospective study.
Citation: American Journal of Surgery, September 2011, vol./is. 202/3(265-72), 00029610;1879-1883 (2011 Sep) Author(s): Beyer L, Troyer JD, Mancini J, Bladou F, Berdah
SV, Karsenty G
Abstract: This was a comparative prospective study that evaluated the impact of simulator
training on technical competence during a real surgical procedure. Full Text: Available in
fulltext at MD Consult; Note: You will need to register (free of charge) with MD Consult the
first time you use it.
Title: Technology-enhanced simulation for health professions education: a systematic
review and meta-analysis.
Citation: JAMA, September 2011, vol./is. 306/9(978-88), 0098-7484;1538-3598 (2011 Sep
7) Author(s): Cook DA, Hatala R, Brydges R, Zendejas B, Szostek JH, Wang AT, Erwin PJ,
Hamstra SJ
Abstract: The objective of the study was to summarize the outcomes of technologyenhanced simulation training for health professions learners in comparison with no
intervention. Full Text: Available in fulltext at Highwire Press
Team training
Title: Determination of the psychometric properties of a behavioural marking system for
obstetrical team training using high-fidelity simulation.
Citation: BMJ Qual Saf. 2011 Oct 12. [Epub ahead of print] Authors: Morgan PJ, Tregunno
D, Pittini R, Tarshis J, Regehr G, Desousa S, Kurrek M, Milne K.
Abstract: To determine the effectiveness of high-fidelity simulation for team training, a valid
and reliable tool is required. This study investigated the internal consistency, inter-rater
reliability and test-retest reliability of two newly developed tools to assess obstetrical team
performance.
Title: Impact of an embedded simulation team training programme in a paediatric intensive
care unit: a prospective, single-centre, longitudinal study.
Citation: Intensive Care Med. 2011 Oct 1. [Epub ahead of print] Authors: Stocker M, Allen
M, Pool N, De Costa K, Combes J, West N, Burmester M.
Abstract: The purpose was to evaluate the impact of an embedded simulation-based team
training programme on perceived performance and to compare the effect over different
phases of the programme.
Title: The effect of a simulation-based training intervention on the performance of
established critical care unit teams.
Citation: Crit Care Med. 2011 Jul 14. [Epub ahead of print] Authors: Frengley RW, Weller
J, Weller JM, Torrie J, Dzendrowskyj P, Yee B, Paul AM, Shulruf B, Henderson KM.
Abstract: The authors evaluated the effectiveness of a simulation-based intervention on
improving teamwork in multidisciplinary critical care teams managing airway and cardiac
crises and compared simulation-based learning and case-based learning on scores for
performance.
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Title: In situ, multidisciplinary, simulation-based teamwork training improves early trauma
care.
Citation: Journal of Surgical Education, November 2011, vol./is. 68/6(472-7), 18787452;1878-7452 (2011 Nov) Author(s): Steinemann S, Berg B, Skinner A, Ditulio A,
Anzelon K, Terada K, Oliver C, Ho HC, Speck C
Abstract: To evaluate the impact of a team training curriculum for residents and
multidisciplinary trauma team members on team communication, coordination and clinical
efficacy of trauma resuscitation.
Title: Targeted Crisis Resource Management Training Improves Performance Among
Randomized Nursing and Medical Students.
Citation: Simul Healthc. 2011 Sep 21. [Epub ahead of print] Authors: Jankouskas TS,
Haidet KK, Hupcey JE, Kolanowski A, Murray WB.
Abstract: In this study designed with adequate statistical power to detect relevant training
effects, investigators evaluated Crisis Resource Management (CRM) training during a
simulated patient crisis. This study is guided by the Team Effectiveness Conceptual Model
by Kozlowski and Ilgen. Full text: Available in Print from Good Hope Simulation Centre.
Title: Perceived stress and team performance during a simulated resuscitation
Citation: Intensive Care Medicine, September 2011, vol./is. 37/9(1473-1479), 03424642;1432-1238 (September 2011) Author(s): Hunziker S., Laschinger L., PortmannSchwarz S., Semmer N.K., Tschan F., Marsch S.
Abstract: The aim of this study was to investigate whether mental stress and different
perceived emotions have a negative impact on the performance of rescuers.
Further information:
Multiple sources – websites, journals and healthcare databases – have been searched for
evidence published in the previous four weeks are identified and highlighted here. For a
detailed
list
of
sources
that
have
been
scanned,
please
contact
Preeti.Puligari@heartofengland.nhs.uk
To access the full text links in this bulletin, login with your HEFT Athens ID at
http://www.evidence.nhs.uk/nhs-evidence-content/journals-and-databases ‘before’ clicking
on them in order to make them seamless
For more information on how to register for Athens, access the Athens Registration leaflet
via HEFT Library website www.heftlibrary.nhs.uk
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your journals and healthcare databases