The second full day of the 2020 International Meeting for Simulation in Healthcare began today in San Diego California. Before reading on, be sure to also check out yesterday’s coverage of the World’s largest medical simulation conference.
Session Share Updates
Outcome-centered Scenario Design: Starting with the End in Mind presented by David Meguerdichian and Jamie Roberston from Brigham and Women’s Hospital. This interactive session took the learner through writing goals and learning outcome statements by starting with the end result in mind. Goals are the larger idea, non specific broad generalized statements about what is to be learned. Learning outcome have clear specific outcomes for the learner.
Outcome statements should include action, subject component and measurement component. Assessment tools that can be included in the outcome statement if they are available. Once the goals and learning outcomes have been met, a story board is created that visually creates an outline of the scenario. The storyboard is then shared with all sim team members so that every staff member is on the same page. In this fun presentation, participants worked together to create scenario goals, outcomes and storyboards for various clinical situations.
GCRME Session Shares About Advanced Stroke Life Support (ASLS) program: In the US about 610,000 new strokes occur every year and in China, stroke is the leading cause of death. Rapid intervention not only save lives but prevents life transforming disability. Physiologically, the goal of rapid intervention is to save the penumbra of cells surrounding the main stroke and restore circulation (oxygen supply) to still viable cells. Dr. Ivette Motola of the Michael S. Gordon Center for Simulation and Innovation in Medical Education presented the center’s Advanced Stroke Life Support (ASLS) program and shared examples of how standardized patients can be used to mimic stroke patients.
The program was developed in 1998, is nationally accredited and meets the training requirement for designated Stroke Center certification. Currently there 127 training centers and 1262 certified instructors. The protocol is updated every 5 years with the next update occurring later this year (2020). A key feature of the ASLS curriculum is hands-on skills training, during which instructors simulate stroke syndromes, and learners perform the MEND Examination, a unique neurologic assessment tool developed with the course. Computer-based multimedia skills training, interactive discussions, and didactic sessions are also components of the curriculum.
Simulated Team Briefings for Critical Care: This IMSH session focused on prebriefing before a critical care intervention as a method of improving team performance during the intervention. Victoria Brazil and Eve Purdy suggested that a brief conversation amongst the team prior to the intervention sets the overall goal for the team and helps identify what steps will be needed to reach the desired outcome. Prebriefing has an added benefit in that it links team members with varying cultures and values together to share in the common goal of achieving a successful patient outcome. By hearing from all team members, mutual respect is created as each participant is valued for what they bring to the situation. Brazil and Purdy suggest setting up huddles with simulated case studies at the beginning of each shift in which the day’s team discusses a simple patient scenario. The team briefly identifies available human, equipment and system resources, missing resources and the role of each team member. The briefing may be organized as follows:
- WHAT we KNOW
- WHAT we EXPECT
- What might change – if the patient’s condition changes or intervention fails.
- Roles – who is what and also what each team member is thinking
- What equipment, staff or system components are missing.
Brazil and Purdy concluded that “the second intubation of the day always goes better than the first, so why not make the first intubation of the day a simulation”!
Additional Key Medical Simulation Vendor Updates
SonoSim Advances Pediatric Care and Targets Reducing Procedural Complications: SonoSim announces the launch of its SonoSim LiveScan Neonatal & Infant Neurosonography Package, the first in a series of pediatric ultrasound training products. SonoSim is also releasing three training modules in Ultrasound-Guided Pericardiocentesis, Thoracentesis, and Paracentesis, which will help decrease needle-based procedure complications. “We are excited to improve pediatric care by empowering medical professionals with the knowledge and ability to use ultrasound for faster diagnoses,” states Nicole Durden, SonoSim’s Chief Operating Officer. “Additionally, our newest training in ultrasound-guided procedures will decrease needle-based complications in patients resulting in better outcomes and reduced costs.”
SOURCE: HealthySimulation.com, January 21, 2020; https://www.healthysimulation.com/22410/international-meeting-for-simulation-in-healthcare-2020/