How Clean Are You Really? A Simulation Study of Droplet Splash Using an Acrylic Box During Cardiopulmonary Resuscitation
Summary Statement In light of the COVID-19 pandemic, protocols to reduce risk of exposure to healthcare teams have been implemented. The use of an acrylic box during intubation and cardiopulmonary resuscitation has been adopted worldwide. A study was conducted to assess the effectiveness of an acrylic box in limiting contamination. The findings indicate that healthcare workers are still vulnerable to exposure despite the use of personal protective equipment (PPE) and an acrylic box. The causes of contamination were related to improper PPE donning and doffing and incomplete coverage by the acrylic box. Institutions shou...
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - April 1, 2021 Category: Medical Devices Tags: COVID-19 Brief Reports Source Type: research

A Discrete Event Simulation-Based Model to Optimally Design and Dimension Mobile COVID-19 Saliva-Based Testing Stations
Summary Statement The present COVID-19 brief report addresses: (1) the problem of optimal design and resource allocation to mobile testing stations to ensure rapid results to the persons getting tested; (2) the proposed solution through a newly developed discrete event simulation model, experienced in on-campus saliva-based testing stations at the University of Illinois at Urbana-Champaign; and (3) the lessons learned on how 10,000 samples (from noninvasive polymerase chain reaction COVID-19 tests) can be processed per day on campus, as well as how the model could be reused or adapted to other contexts by site managers...
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - April 1, 2021 Category: Medical Devices Tags: COVID-19 Brief Reports Source Type: research

Enhanced Experiential Learning in Airway Management: Surgical Modification of Cadavers
Conclusions Cadavers can be modified to simulate pathologies associated with difficult airways. These models can be used to enhance experiential learning and the management of difficult airways. (Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare)
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - April 1, 2021 Category: Medical Devices Tags: Technical Reports Source Type: research

Do Gender-Based Disparities in Authorship and Editorship Exist in Healthcare Simulation Journals? A Bibliometric Review of the Research
Summary Statement Publication in peer-reviewed journals, and serving on editorial boards, is considered an indicator of academic productivity and success, and a means of influencing discourse and practice in a field. This bibliometric review explored gender in authorship, and editorship, across the 3 existing English language, nonspecialty specific healthcare simulation journals. In total, 40.4% of publications had women first authors and 34.4% had women senior authors. There were no differences by journal and no apparent changes over time. Poor participation of women on editorial boards (38.1% of editorial board membe...
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - April 1, 2021 Category: Medical Devices Tags: Concepts and Commentary Source Type: research

Learning Curves in Health Professions Education Simulation Research: A Systematic Review
Summary Statement Learning curves are used in health professions education to graphically represent paths to competence and expertise. However, research using learning curves often omit important information. The authors conducted a systematic review of the reporting quality of learning curves in simulation-based education research to identify specific areas for improvement. Reviewers extracted information on graphical, statistical, and conceptual elements. The authors identified 230 eligible articles. Most learning curve elements were reported infrequently, including use of an optimal linking function, detailed descri...
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - April 1, 2021 Category: Medical Devices Tags: Review Article Source Type: research

“Ready SIM Go”: An Adapted Simulation “Service Line” for Patients and Caregivers
This article describes the development of a hospital-based simulation service line for PCs, leveraging lessons learned from training for 250 patients and 450 caregivers in 14 different departments and subspecialties, and explains adaptations of standard simulation methods necessary for safe and effective use of simulation with this unique population. Process blueprint, examples of specific programs, as well as feedback from participants and clinicians are included. (Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare)
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - April 1, 2021 Category: Medical Devices Tags: Special Article Source Type: research

Effect of Emotional Response on the Performance of a Simulated Laparoscopic Task
Introduction An emotional state impacts task performance and cognition. However, evidence of the effect of an induced emotional state on laparoscopic performance has not yet been documented. We investigated whether surgical residents in whom a positive emotion had been induced would produce a better laparoscopic task performance than residents in whom a negative emotional state had been induced. Methods This controlled laboratory study recruited a total of 53 junior surgical residents who were divided into 3 groups. Each group was required to watch 1 of 3 ten-minute videos designed to evoke a positive, neutral, ...
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - April 1, 2021 Category: Medical Devices Tags: Empirical Investigations Source Type: research

Are Simulation Learning Objectives Educationally Sound? A Single-Center Cross-Sectional Study
Conclusions There was a disconnect between simulation accreditation standards and current practices at McMaster University's simulation center. Most objectives were classified at lower stages of Bloom's Taxonomy. The majority followed SMART guidelines, with the exception of specificity and mention of time frames. A minority of learning objectives contained inappropriate verbs. Given the costs associated with simulation-based education, educators should focus simulation learning objectives on higher levels of Bloom's Taxonomy and include references to time frames. (Source: Simulation in Healthcare: The Journal of the So...
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - April 1, 2021 Category: Medical Devices Tags: Empirical Investigations Source Type: research

Assessing Medical Students' Nontechnical Skills Using Immersive Simulation: What Are the Essential Components?
Conclusions Evidence for completeness and content validity of Medi-StuNTS has been demonstrated. There is a far wider range of NTS that seem to be essential for medical students than those assessed by tools developed before Medi-StuNTS. Medi-StuNTS provides comprehensive cover of the essential NTS required by medical students, with specific reference to the skill categories “self-awareness” and “escalating care,” which do not feature in other tools for assessing NTS in this group. (Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare)
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - April 1, 2021 Category: Medical Devices Tags: Empirical Investigations Source Type: research

The Impact of a Comprehensive Simulation-Based Training and Certification Program on Resident Central Venous Catheter Complication Rates
Introduction Millions of central venous catheters (CVCs) are placed annually in the United States, many by resident physicians. Simulation training has been proposed as a means to increase resident physician competence with CVC placement and decrease the incidence of line-associated mechanical complications. We aimed to evaluate the impact of a novel simulation-based CVC training program for resident physicians on CVC-associated mechanical complication rates. We hypothesized that the CVC-related mechanical complication rates would be lower among simulation-trained residents (STRs) compared with nonsimulation, tradition...
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - April 1, 2021 Category: Medical Devices Tags: Empirical Investigations Source Type: research

Influence of Socioeconomic Bias on Emergency Medicine Resident Decision Making and Patient Care
Conclusions Although quantitative analyses showed that SES did not affect clinical behavior within simulated scenarios, qualitative analyses uncovered 3 themes believed important to physician decision-making processes. Overt diagnostic focus may have resulted from the study environment in addition to organizational factors, policies, and training. Discharge planning, which was not explicitly studied, was often tailored to SES with emphasis placed on risks for patients of low SES. Further research is needed to uncover the nuances of bias, SES, and physician decision making throughout the patient care continuum and withi...
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - April 1, 2021 Category: Medical Devices Tags: Empirical Investigations Source Type: research

Echo Chamber, Cámara de Ecos: Navigating Barriers to Ethical Informed Consent Through Simulation Observership
No abstract available (Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare)
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - April 1, 2021 Category: Medical Devices Tags: Reflections on Simulation Source Type: research

Breaking the COVID-19 Barriers to Health Professional Team Training With Online Simulation
Summary Statement The COVID-19 pandemic led to disruption of most interprofessional simulation workshops in our center, including the obstetric and neonatal emergency simulation or ONE-Sim workshops for medical, nursing, midwifery students, and health professional staff in Australia and overseas. (Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare)
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - February 1, 2021 Category: Medical Devices Tags: COVID-19 Brief Reports Source Type: research

Using Simulation to Develop Solutions for Ventilator Shortages From the Epicenter
Summary Statement The COVID-19 pandemic threatened to overwhelm the medical system of New York City, and the threat of ventilator shortages was real. Using high-fidelity simulation, a variety of solutions were tested to solve the problem of ventilator shortages including innovative designs for safely splitting ventilators, converting noninvasive ventilators to invasive ventilators, and testing and improving of ventilators created by outside companies. Simulation provides a safe environment for testing of devices and protocols before use on patients and should be vital in the preparation for emergencies such as the COVI...
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - February 1, 2021 Category: Medical Devices Tags: COVID-19 Brief Reports Source Type: research

Effectiveness of Flow Volume Measurement Training Using a Custom-Made Doppler Flow Simulator
Conclusions The accuracy and reproducibility of FV measurements markedly improved after training with the simulator; it may be helpful for medical practitioners involved in AV access for HD treatment. (Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare)
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - February 1, 2021 Category: Medical Devices Tags: Technical Reports Source Type: research