Update on Simulation in Neurocritical Care – Current Applications and Future Directions

IF 2 4区医学 Q1 Medicine

Current Treatment Options in Neurology Pub Date : 2024-09-09 DOI:10.1007/s11940-024-00810-w

Nicholas A. Morris, Sherri Braksick, Jenna Ford, J. Palmer Greene, Hera A. Kamdar, Hannah Kirsch, Nina Massad, Melissa B. Pergakis, Shivani Ghoshal

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Abstract

Purpose of review

This review presents a critical appraisal of the current state of simulation-based education in neurocritical care, including a brief summary of its supporting conceptual frameworks and its emergence as a tool for quality improvement and patient safety. We discuss technological developments that will expand the uses of simulation within the field and/or lower entry costs.

Recent findings

Simulation-based educational interventions have improved learner performance in simulation-based assessments of interpretation of continuous electroencephalography ( as well as management of acute stroke and status epilepticus. Three recent studies demonstrate improved door-to-needle times for thrombolytics in acute ischemic stroke after simulation-based training, especially when such training focuses on interprofessional teamwork. Simulation can also be used to teach safety analysis and to identify patient safety threats.

Summary

Access to simulation and its application is growing in neurocritical care. More rigorous, multicenter studies are required to demonstrate translational outcomes for improved patient care.

Abstract Image

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神经重症监护模拟的最新进展--当前应用和未来方向

综述目的本综述对神经重症监护领域模拟教育的现状进行了批判性评估，包括对其支持性概念框架及其作为质量改进和患者安全工具的出现进行了简要总结。最近的研究结果基于模拟的教育干预提高了学习者在基于模拟的连续脑电图解读评估（以及急性中风和癫痫状态管理）中的表现。最近的三项研究表明，经过模拟训练后，急性缺血性脑卒中溶栓治疗的 "门到针 "时间得到了改善，尤其是当这种训练侧重于跨专业团队合作时。模拟还可用于教授安全分析和识别威胁患者安全的因素。需要进行更严格的多中心研究，以展示改善患者护理的转化成果。

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来源期刊

Current Treatment Options in Neurology CLINICAL NEUROLOGY-

CiteScore

4.00

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： This journal aims to review the most important, recently published treatment option advances in the field of neurology. By presenting clear, insightful, balanced contributions by international experts, the journal intends to facilitate worldwide approaches to the treatment of neurologic conditions. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as epilepsy, headache, neurologic ophthalmology and otology, neuromuscular disorders, psychiatric manifestations of neurologic disease, and sleep disorders. Section Editors select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. We also provide commentaries from well-known neurologists, and an international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research.