Simulation in Healthcare-Journal of the Society for Simulation in Healthcare最新文献

{"title":"Robotic Instructional Platform for Surgery on the Abdominal Wall: A Validation Study for a Novel Simulation Model.","authors":"K Stransky, H Meyer, C Tallant, P Liacouras, W Sweeney, B Franklin","doi":"10.1097/SIH.0000000000000885","DOIUrl":"https://doi.org/10.1097/SIH.0000000000000885","url":null,"abstract":"<p><strong>Introduction: </strong>Ventral hernia repair is a common procedure performed by general surgeons, with approximately 400,000 performed each year in the United States. Robotic ventral hernia repairs (rVHRs) continue to increase, and simulation is vital for robotic skills acquisition; however, a realistic rVHR training platform does not currently exist. The goal of this study was to assess a novel rVHR model for robotic simulation training and to compare baseline rVHR experience with performance of rVHR simulated tasks.</p><p><strong>Methods: </strong>The Robotic Instructional Platform for Surgery on the Abdominal Wall (RIP SAW) was developed via an iterative process for use with the da Vinci Surgical System. Staff general surgeons, surgical residents, and medical students were recruited at a single military academic institution. All participants completed an assessment trial designed to mimic rVHR. Staff surgeons answered questions about model fidelity and realism. Performances on the tasks were compared between subgroups based on time and composite score.</p><p><strong>Results: </strong>All staff surgeons who participated reported that the model was acceptable for rVHR simulation training. There was a significant difference in composite scores between groups (F(2,21) = 66.75, P < 0.001, η2 = 0.86). There was also a significant difference in operative times between groups (F(2,21) = 17.34, P < 0.001, η2 = 0.62). A linear regression using total career rVHRs performed as a predictor demonstrated a significant correlation between rVHR cases and composite score (F(1,22) = 6.55, P = 0.018).</p><p><strong>Conclusions: </strong>The RIP SAW is a novel cost-effective model for rVHR simulation training. Pilot testing demonstrated evidence of fidelity and validity and provides a unique nonvirtual reality option for robotic surgery training.</p>","PeriodicalId":49517,"journal":{"name":"Simulation in Healthcare-Journal of the Society for Simulation in Healthcare","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Simulation-Based Education for Extracorporeal Membrane Oxygenation and Strategies for Implementation: A Systematic Scoping Review.","authors":"Ryan Ruiyang Ling, Anamaria Milas, Jeremy King Wang, Kollengode Ramanathan, Guillaume Alinier, Lindsay C Johnston, Marta Velia Antonini, Peter Chi Keung Lai, Elizabeth A Moore, Rodrigo Diaz, Jose Alfonso Rubio Mateo-Sidron, Jenelle Badulak, Mark T Ogino, Kiran Shekar, Bishoy Zakhary","doi":"10.1097/SIH.0000000000000884","DOIUrl":"https://doi.org/10.1097/SIH.0000000000000884","url":null,"abstract":"<p><strong>Summary statement: </strong>Simulation-based education (SBE) in health care is expanding in both scope and relevance. As on-the-job training is challenging in extracorporeal membrane oxygenation (ECMO), SBE features strongly in its curricula, yet little is known regarding its efficacy. We searched 4 databases through May 13, 2022 and conducted a narrative synthesis of 28 studies investigating SBE in ECMO. Notably, there were no standardized SBE ECMO curricula among studies. Nonetheless, taken together, these articles suggest that simulation improves competency scores, confidence, teamwork, troubleshooting emergencies, and times to critical actions and cannulation. Though the reporting of SBE in ECMO is heterogeneous, simulation may be comparable to, or more effective than, conventional training methods. Retention of knowledge and skills over time remains unclear though regular simulation training may be beneficial. There is a need to establish standardized ECMO curricula, of which SBE should be a core component.</p>","PeriodicalId":49517,"journal":{"name":"Simulation in Healthcare-Journal of the Society for Simulation in Healthcare","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reflections on Confronting a Capacity Challenge With an AI-Powered Patient Simulator (SimPatient).","authors":"Andrew O'Malley","doi":"10.1097/SIH.0000000000000890","DOIUrl":"https://doi.org/10.1097/SIH.0000000000000890","url":null,"abstract":"","PeriodicalId":49517,"journal":{"name":"Simulation in Healthcare-Journal of the Society for Simulation in Healthcare","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Achieving Reliable Mastery of Emergency Airway Management Skills Through 4-Component Instructional Design: A Mixed Methods Pilot Evaluation.","authors":"Fil Gilic, Robert McGraw, Joseph Newbigging, Elizabeth Blackmore, Matthew Stacey, Colin Mercer, Troy Neufeld, Erika Johannessen, Wilson Lam, Ryan Hall, Heather Braund","doi":"10.1097/SIH.0000000000000847","DOIUrl":"10.1097/SIH.0000000000000847","url":null,"abstract":"<p><strong>Introduction: </strong>We used cognitive load theory to design the Queen's University Airway Mastery (QUMAC) pilot course to work toward reliable mastery of Emergency Airways Management elements in all participants.</p><p><strong>Methods: </strong>We describe the process of designing QUMAC using 4-Component Instructional Design to harness the cognitive load theory as a learning tool. We evaluated the effectiveness of QUMAC using an outcome-based mixed-methods approach including Objective Structured Assessment of Technical Skills (OSATS) and 2 Objective Structured Clinical Examinations (OSCEs) at course completion using blinded expert video review. We also conducted semistructured interviews at course completion and after 6 months of independent practice. Interviews were analyzed thematically.</p><p><strong>Results: </strong>Mean OSCE Global Performance Scores were 4.1 (±0.56) of 5 for both OSCE scores; and 4.0-4.4 (±0.48-0.89) on OSATS. At course completion, 4 themes were identified: Overall Experience with the Course, Facilitators of Performance, Recommendations, and Transfer to Practice. At 6 months of independent practice 5 themes emerged: Level of Confidence, Management of Cognitive Load, Persistence, Barriers to Application, and Recommendations.</p><p><strong>Conclusions: </strong>All participants demonstrated a high degree of competence when assessed by OSCEs and majority did so with the OSATS. All noticed an increase in confidence and reduced cognitive load while managing airways. These persisted over 6 months of independent practice where the participants were actively managing airways as staff physicians in new workplaces. High performance expectations, automation, schemas, spaced repetition, and homework were the elements most associated with better performance and more confidence. Decreased cognitive load freed up resources for higher order thinking, while the overall sense of competence reduced the anxiety of going to work as a new emergency department staff.</p>","PeriodicalId":49517,"journal":{"name":"Simulation in Healthcare-Journal of the Society for Simulation in Healthcare","volume":" ","pages":"297-306"},"PeriodicalIF":2.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and Validation of a Novel, User-Friendly Simulation Phantom for Ultrasound-Guided Transvaginal Pelvic Abscess Drainage.","authors":"Rafael S Savaris, Michele S Savaris, Leandro A Scaffaro, Ricardo F Savaris","doi":"10.1097/SIH.0000000000000848","DOIUrl":"10.1097/SIH.0000000000000848","url":null,"abstract":"<p><strong>Background: </strong>The increasing integration of point-of-care ultrasound into clinical practice necessitates effective training tools. One such practice is pelvic abscess drainage using a vaginal probe, where an appropriate training model does not exist.</p><p><strong>Objective: </strong>To develop and evaluate an economical, user-friendly phantom for simulating pelvic abscess drainage.</p><p><strong>Methods: </strong>The phantom was constructed using readily available materials, including ballistic gel and a simulant for purulent material. The phantom was designed to simulate pelvic abscess drainage through a vaginal probe. Ten independent investigators and 2 authors evaluated the phantom's realism and utility using a visual analog scale (VAS), ranging from \"not realistic and useful\" (0) to \"very realistic and useful\" (10) for anatomical fidelity, material suitability, and ease of performing the examination. Three evaluators with previous experience in abscess drainage compared the phantom to real-life scenarios using the same VAS scale. The median time required for each health care professional to perform the procedure was also measured.</p><p><strong>Results: </strong>The phantom was constructed at a cost of approximately US$ 30.00. Evaluators scored the phantom highly for realism and utility, with mean VAS values of 8.75, 9, and 9.2 for anatomical fidelity, material properties, and ease of performing the examination, respectively. Three senior radiologists, each with extensive experience in real-life abscess drainage procedures, compared the phantom to their clinical experiences. They rated the phantom as highly realistic, assigning it a mean VAS score of 9.8. The median time to perform the procedure was 1 minute and 51 seconds.</p><p><strong>Conclusion: </strong>The developed phantom effectively simulates pelvic abscess drainage, providing a realistic and practical training tool. This phantom fills a significant gap in current medical simulation resources, offering a cost-effective solution for training health care professionals in essential ultrasound-guided procedures.</p>","PeriodicalId":49517,"journal":{"name":"Simulation in Healthcare-Journal of the Society for Simulation in Healthcare","volume":" ","pages":"331-336"},"PeriodicalIF":2.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Virtual Monitoring Technician Performance in High-Fidelity Simulations of Remote Patient Monitoring: An Exploratory Study.","authors":"Harsh Sanghavi, Yuhao Peng, Emmanuel Tetteh, Sarah Henrickson Parker, Laurie D Wolf","doi":"10.1097/SIH.0000000000000843","DOIUrl":"10.1097/SIH.0000000000000843","url":null,"abstract":"<p><strong>Introduction: </strong>Virtual Monitor Technicians (VMTs) are crucial in remotely monitoring inpatient telemetry. However, little is known about VMT workload and intratask performance changes, and their potential impact on patient safety. This exploratory study used a high-fidelity simulation aimed to evaluate VMTs' workload and performance changes over time in telemetry monitoring and identify future research directions for performance improvement.</p><p><strong>Methods: </strong>The research team created a simulation of the current remote telemetry stations with 36 patient waveforms across 3 screens alongside a documentation screen, replicating VMTs' work. Twelve VMTs participated in a 1-hour session, and time-to-escalate and detection accuracy to auditory/visual alerts were recorded. Workload was measured using the NASA-Task Load Index.</p><p><strong>Results: </strong>The post-task NASA-Task Load Index score showed an increased workload score of 64 of 100 from a prescore of 38 of 100, with mental and temporal demands being the largest contributors. The performance of VMTs did not change significantly over time, with a 52% correct response rate. Participants' ability to detect signals was slightly better than chance ( d ' = 0.477), and they tended to be cautious in their responses, β ( M = 1.989, SD = 1.635). Urgent, Warning, and Medium audiovisual alerts were recognized in 9, 35, and 39 seconds, respectively, whereas advisory alerts (visual only) were recognized in 13 minutes.</p><p><strong>Conclusion: </strong>This study sets a foundation for future work on VMT workload expectations. Although our work is exploratory, the results indicate a significant increase in VMT workload with no decline in performance; VMTs responded most quickly and accurately to urgent alerts, whereas overall response accuracy to nonurgent alerts was marginally better than chance. Future research needs to explore techniques to improve response accuracy rate beyond the 52% measured in this study.</p>","PeriodicalId":49517,"journal":{"name":"Simulation in Healthcare-Journal of the Society for Simulation in Healthcare","volume":" ","pages":"279-289"},"PeriodicalIF":2.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evolving With the Science of Simulation: Updated Guidelines for Authors.","authors":"Nicole Harder","doi":"10.1097/SIH.0000000000000888","DOIUrl":"https://doi.org/10.1097/SIH.0000000000000888","url":null,"abstract":"","PeriodicalId":49517,"journal":{"name":"Simulation in Healthcare-Journal of the Society for Simulation in Healthcare","volume":"20 5","pages":"277-278"},"PeriodicalIF":2.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"When Simulation Becomes Reality.","authors":"Harry D Kuperstein, Meenu Johnkutty","doi":"10.1097/SIH.0000000000000844","DOIUrl":"10.1097/SIH.0000000000000844","url":null,"abstract":"","PeriodicalId":49517,"journal":{"name":"Simulation in Healthcare-Journal of the Society for Simulation in Healthcare","volume":" ","pages":"344"},"PeriodicalIF":2.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Herding Cats: Reflections on Designing and Implementing an Interprofessional Education Simulation.","authors":"Valerie M Wright, Antony R Joseph","doi":"10.1097/SIH.0000000000000853","DOIUrl":"10.1097/SIH.0000000000000853","url":null,"abstract":"","PeriodicalId":49517,"journal":{"name":"Simulation in Healthcare-Journal of the Society for Simulation in Healthcare","volume":" ","pages":"347-348"},"PeriodicalIF":2.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Where to Begin: Utilizing In Situ Simulation as a Tool for Rapid Assessment of Current Practices in Trauma Management.","authors":"Jodie Pritchard, Svetlana Sirbu","doi":"10.1097/SIH.0000000000000846","DOIUrl":"10.1097/SIH.0000000000000846","url":null,"abstract":"<p><strong>Summary statement: </strong>The Republic of Moldova identified a desire to strengthen emergency and trauma care given its proximity to the war in Ukraine. We utilized in-situ simulation (ISS) as a rapid tool to assess the current trauma management practices in a tertiary care Emergency Department. We conducted three simulations, utilizing peer-reviewed scenarios, over the course of one day. Emergency Department teams managed the simulated patient according to their usual practice, involving General Surgery, Orthopedics, and Neurosurgery consultants. The ISS identified challenges in clear leadership, established roles, and team communication to ensure situational awareness and prioritization of interventions for patient resuscitation. Other patient care findings included no availability of mass transfusion protocols and inconsistent approach to secondary ATLS survey. Overall, we found ISS to be an effective method of assessing the current state of trauma care and identified areas on which to focus our initial efforts during the formation of a trauma Team.</p>","PeriodicalId":49517,"journal":{"name":"Simulation in Healthcare-Journal of the Society for Simulation in Healthcare","volume":" ","pages":"337-339"},"PeriodicalIF":2.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}