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  • 1
    Online Resource
    Online Resource
    Health Care Simulation in Person and at a Distance : A Systematic Review
    Ovid Technologies (Wolters Kluwer Health) ; 2024
    In:  Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare Vol. 19, No. 1S ( 2024-1), p. S65-S74
    Details
    In: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare, Ovid Technologies (Wolters Kluwer Health), Vol. 19, No. 1S ( 2024-1), p. S65-S74
    Abstract: Distance simulation is a method of health care training in which the learners and facilitators are in different physical locations. Although methods of distance simulation have existed in health care for decades, this approach to education became much more prevalent during the COVID-19 pandemic. This systematic review studies a subset of distance simulation that includes combined in-person and distance simulation elements, identified here as “mixed- distance simulation.” A review of the distance simulation literature identified 10,929 articles. Screened by inclusion and exclusion criteria, 34 articles were ultimately included in this review. The findings of this review present positive and negative aspects of mixed-distance simulation formats, a description of the most frequent configurations related to delivery, terminology challenges, as well as future directions including the need for faculty development, methodological rigor, and reporting details.
    Type of Medium: Online Resource
    ISSN: 1559-713X , 1559-2332
    URL: Article
    DOI: 10.1097/SIH.0000000000000763
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2024
    detail.hit.zdb_id: 2223429-9
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  • 2
    Online Resource
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    Society for Simulation in Healthcare Guidelines for Simulation Training
    Ovid Technologies (Wolters Kluwer Health) ; 2024
    In:  Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare Vol. 19, No. 1S ( 2024-1), p. S4-S22
    Details
    In: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare, Ovid Technologies (Wolters Kluwer Health), Vol. 19, No. 1S ( 2024-1), p. S4-S22
    Abstract: Simulation has become a staple in the training of healthcare professionals with accumulating evidence on its effectiveness. However, guidelines for optimal methods of simulation training do not currently exist. Methods Systematic reviews of the literature on 16 identified key questions were conducted and expert panel consensus recommendations determined using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology. Objective These evidence-based guidelines from the Society for Simulation in Healthcare intend to support healthcare professionals in decisions on the most effective methods for simulation training in healthcare Results Twenty recommendations on 16 questions were determined using GRADE. Four expert recommendations were also provided. Conclusions The first evidence-based guidelines for simulation training are provided to guide instructors and learners on the most effective use of simulation in healthcare.
    Type of Medium: Online Resource
    ISSN: 1559-713X , 1559-2332
    URL: Article
    DOI: 10.1097/SIH.0000000000000776
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2024
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  • 3
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    Understanding the Effects of Health Care Distance Simulation : A Systematic Review
    Ovid Technologies (Wolters Kluwer Health) ; 2024
    In:  Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare Vol. 19, No. 1S ( 2024-1), p. S57-S64
    Details
    In: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare, Ovid Technologies (Wolters Kluwer Health), Vol. 19, No. 1S ( 2024-1), p. S57-S64
    Abstract: The use of distance simulation has rapidly expanded in recent years with the physical distance requirements of the COVID-19 pandemic. With this development, there has been a concurrent increase in research activities and publications on distance simulation. The authors conducted a systematic review of the peer-reviewed distance health care simulation literature. Data extraction and a risk-of-bias assessment were performed on selected articles. Review of the databases and gray literature reference lists identified 10,588 titles for review. Of those, 570 full-text articles were assessed, with 54 articles included in the final analysis. Most of these were published during the COVID-19 pandemic (2020–2022). None of the included studies examined an outcome higher than a Kirkpatrick level of 2. Most studies only examined low-level outcomes such as satisfaction with the simulation session. There was, however, a distinction in studies that were conducted in a learning environment where all participants were in different locations (“distance only”) as compared with where some of the participants shared the same location (“mixed distance”). This review exclusively considered studies that focused solely on distance. More comparative studies exploring higher level outcomes are required to move the field forward.
    Type of Medium: Online Resource
    ISSN: 1559-713X , 1559-2332
    URL: Article
    DOI: 10.1097/SIH.0000000000000760
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2024
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  • 4
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    Closing the gap: a call for a common blueprint for remote distance telesimulation
    BMJ ; 2021
    In:  BMJ Simulation and Technology Enhanced Learning
    Details
    In: BMJ Simulation and Technology Enhanced Learning, BMJ
    Abstract: The physical requirements mandated by the COVID-19 pandemic have presented a challenge and an opportunity for simulation educators. Although there were already examples of simulation being delivered at a distance, the pandemic forced this technique into the mainstream. With any new discipline, it is important for the community to agree on vocabulary, methods and reporting guidelines. This editorial is a call to action for the simulation community to start this process so that we can best describe and use this technique.
    Type of Medium: Online Resource
    ISSN: 2056-6697
    URL: Article
    DOI: 10.1136/bmjstel-2021-000875
    Language: English
    Publisher: BMJ
    Publication Date: 2021
    detail.hit.zdb_id: 2799014-X
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  • 5
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    Cost-effectiveness of a video game versus live simulation for disaster training
    BMJ ; 2020
    In:  BMJ Simulation and Technology Enhanced Learning Vol. 6, No. 5 ( 2020-09), p. 268-273
    Details
    In: BMJ Simulation and Technology Enhanced Learning, BMJ, Vol. 6, No. 5 ( 2020-09), p. 268-273
    Abstract: Disaster triage training for emergency medical service (EMS) providers is unstandardised. We hypothesised that disaster triage training with the paediatric disaster triage (PDT) video game ‘60 s to Survival’ would be a cost-effective alternative to live simulation-based PDT training. Methods We synthesised data for a cost-effectiveness analysis from two previous studies. The video game data were from the intervention arm of a randomised controlled trial that compared triage accuracy in a live simulation scenario of exposed vs unexposed groups to the video game. The live simulation and feedback data were from a prospective cohort study evaluating live simulation and feedback for improving disaster triage skills. Postintervention scores of triage accuracy were measured for participants via live simulations and compared between both groups. Cost-effectiveness between the live simulation and video game groups was assessed using (1) A net benefit regression model at various willingness-to-pay (WTP) values. (2) A cost-effectiveness acceptability curve (CEAC). Results The total cost for the live simulation and feedback training programme was $81 313.50 and the cost for the video game was $67 822. Incremental net benefit values at various WTP values revealed positive incremental net benefit values, indicating that the video game is more cost-effective compared with live simulation and feedback. Moreover, the CEAC revealed a high probability ( 〉 0.6) at various WTP values that the video game is more cost-effective. Conclusions A video game-based simulation disaster triage training programme was more cost-effective than a live simulation and feedback-based programme. Video game-based training could be a simple, scalable and sustainable solution to training EMS providers.
    Type of Medium: Online Resource
    ISSN: 2056-6697
    URL: Article
    DOI: 10.1136/bmjstel-2019-000497
    Language: English
    Publisher: BMJ
    Publication Date: 2020
    detail.hit.zdb_id: 2799014-X
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  • 6
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    Pediatric Readiness in the Emergency Department and Its Association With Patient Outcomes in Critical Care: A Prospective Cohort Study
    Ovid Technologies (Wolters Kluwer Health) ; 2020
    In:  Pediatric Critical Care Medicine Vol. 21, No. 5 ( 2020-05), p. e213-e220
    Details
    In: Pediatric Critical Care Medicine, Ovid Technologies (Wolters Kluwer Health), Vol. 21, No. 5 ( 2020-05), p. e213-e220
    Abstract: Pediatric mortality in Latvia remains one of the highest among Europe. The purpose of this study was to assess the quality of pediatric acute care and pediatric readiness and determine their association with patient outcomes using a patient registry. Design: This was a prospective cohort study. Pediatric readiness was measured using the weighted pediatric readiness score based on a 100-point scale. The processes of care were measured using in situ simulations to generate a composite quality score. Clinical outcome data—including PICU and hospital length of stay as well as 6-month mortality—were collected from the Pediatric Intensive Care Audit Network registry. The associations between composite quality score and weighted pediatric readiness score on patient outcomes were explored with mixed-effects regressions. Setting: This study was conducted in all Latvian Emergency Departments and in the national PICU. Patients: All patients who were transferred into the national PICU were included. Interventions: None. Measurements and Main Results: All (16/16) Latvian Emergency Departments participated with a mean composite quality score of 35.3 of 100 and a median weighted pediatric readiness score of 31 of 100. A total of 254 patients were included in the study and followed up for a mean of 436 days, of which nine died (3.5%). Higher weighted pediatric readiness score was associated significantly with lower length of stay in both the PICU and hospital (adjusted ß, –0.06; p = 0.021 and –0.36; p = 0.011, respectively) and lower 6-month mortality (adjusted odds ratio, 0.93; 95% CI, 0.88–0.98). Conclusions: These data provide a national assessment of pediatric emergency care in a European country. Pediatric readiness in the emergency department was associated with patient outcomes in this population of pediatric patients transferred to the national PICU.
    Type of Medium: Online Resource
    ISSN: 1529-7535
    URL: Article
    DOI: 10.1097/PCC.0000000000002255
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2020
    detail.hit.zdb_id: 2052349-X
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  • 7
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    Readiness for and Response to Coronavirus Disease 2019 Among Pediatric Healthcare Providers: The Role of Simulation for Pandemics and Other Disasters*
    Ovid Technologies (Wolters Kluwer Health) ; 2021
    In:  Pediatric Critical Care Medicine Vol. 22, No. 6 ( 2021-06), p. e333-e338
    Details
    In: Pediatric Critical Care Medicine, Ovid Technologies (Wolters Kluwer Health), Vol. 22, No. 6 ( 2021-06), p. e333-e338
    Abstract: Early preparation for the training and education of healthcare providers, as well as the continuation or modification of routine medical education programs, is of great importance in times of the coronavirus disease 2019 pandemic or other public health emergencies. The goal of this study was to characterize these self-reported efforts by the pediatric simulation community. DESIGN: This was a global, multicenter survey developed via a Delphi process. SETTING: International survey study. SUBJECTS: The survey was sent to 555 individual members of the three largest international pediatric simulation societies (The International Pediatric Simulation Society, International Network for Simulation-based Pediatric Innovation, Research & Education, and Netzwerk Kindersimulation e.V.) between April 27, 2020, and May 18, 2020. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Description of coronavirus disease 2019 pandemic simulation-based preparation activities of pediatric acute and critical care healthcare providers. The Delphi process included 20 content experts and required three rounds to reach consensus. The survey was completed by 234 participants (42.2%) from 19 countries. Preparation differed significantly between the geographic regions, with 79.3% of Anglo-American/Anglo-Saxon, 82.6% of Indian, and 47.1% of European participants initiating specifically coronavirus disease 2019-related simulation activities. Frequent modifications to existing simulation programs included the use of telesimulation and virtual reality training. Forty-nine percent of institutions discontinued noncoronavirus disease 2019-related simulation training. CONCLUSIONS: The swift incorporation of disease-specific sessions and the transition of standard education to virtual or hybrid simulation training modes occurred frequently. The approach used, however, depended heavily on local requirements, limitations, and circumstances. In particular, the use of telesimulation allowed education to continue while maintaining social distancing requirements.
    Type of Medium: Online Resource
    ISSN: 1529-7535
    URL: Article
    DOI: 10.1097/PCC.0000000000002649
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2021
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  • 8
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    Comparison of Two Telemedicine Delivery Modes for Neonatal Resuscitation Support: A Simulation-Based Randomized Trial
    S. Karger AG ; 2020
    In:  Neonatology Vol. 117, No. 2 ( 2020), p. 159-166
    Details
    In: Neonatology, S. Karger AG, Vol. 117, No. 2 ( 2020), p. 159-166
    Abstract: 〈 b 〉 〈 i 〉 Introduction: 〈 /i 〉 〈 /b 〉 Previous research has described technical aspects of telemedicine and the clinical impact of provider-to-patient telemedicine; however, little is known about provider-to-provider telemedical interventions. 〈 b 〉 〈 i 〉 Objective: 〈 /i 〉 〈 /b 〉 The primary aim of this study was to compare two telemedicine delivery modes on the quality of a simulated neonatal resuscitation. Our secondary aim was to evaluate the providers’ task load. 〈 b 〉 〈 i 〉 Methods: 〈 /i 〉 〈 /b 〉 This was a prospective, single-center, randomized, simulation-based trial comparing a remote neonatal team leader (“teleleader”) versus a remote consultant (“teleconsultant”). Participants resuscitated a simulated, apneic, and bradycardic neonate. Performance was assessed by video review and task load was measured by the self-reported NASA task load index (NASA-TLX) tool. In the teleleader group, one remote neonatal specialist assumed the role of team leader in the resuscitation. In the teleconsultant group, the same remote specialist assumed the role of teleconsultant. 〈 b 〉 〈 i 〉 Results: 〈 /i 〉 〈 /b 〉 Twenty-two participants were included in the analyses. The teleleader group was associated with a higher overall checklist score compared to teleconsultants (median score 68%, interquartile range [IQR]: 66–69 vs. 58%, IQR: 42–62; 〈 i 〉 p 〈 /i 〉 = 0.016). No significant difference was seen in overall subjective workload as measured by the NASA-TLX tool. However, mental demand and frustration were significantly greater with teleconsultants compared to teleleaders (mean mental demand: 14.1 vs. 17.0 out of 21; frustration: 7.9 vs. 14.7 out of 21). 〈 b 〉 〈 i 〉 Conclusions: 〈 /i 〉 〈 /b 〉 Simulated neonates randomized to teams with teleleaders received significantly better resuscitative care compared to those randomized to teams with teleconsultants. Mental demand and frustration were higher for providers in the teleconsultant compared to teleleader teams.
    Type of Medium: Online Resource
    ISSN: 1661-7800 , 1661-7819
    URL: Article
    DOI: 10.1159/000504853
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2020
    detail.hit.zdb_id: 2403535-X
    detail.hit.zdb_id: 2266911-5
    SSG: 12
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  • 9
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    Setting an Agenda : Results of a Consensus Process on Research Directions in Distance Simulation
    Ovid Technologies (Wolters Kluwer Health) ; 2023
    In:  Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare Vol. 18, No. 2 ( 2023-4), p. 100-107
    Details
    In: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare, Ovid Technologies (Wolters Kluwer Health), Vol. 18, No. 2 ( 2023-4), p. 100-107
    Abstract: The COVID-19 pandemic forced rapid implementation and refinement of distance simulation methodologies in which participants and/or facilitators are not physically colocated. A review of the distance simulation literature showed that heterogeneity in many areas (including nomenclature, methodology, and outcomes) limited the ability to identify best practice. In April 2020, the Healthcare Distance Simulation Collaboration was formed with the goal of addressing these issues. The aim of this study was to identify future research priorities in the field of distance simulation using data derived from this summit. Methods This study analyzed textual data gathered during the consensus process conducted at the inaugural Healthcare Distance Simulation Summit to explore participant perceptions of the most pressing research questions regarding distance simulation. Participants discussed education and patient safety standards, simulation facilitators and barriers, and research priorities. Data were qualitatively analyzed using an explicitly constructivist thematic analysis approach, resulting in the creation of a theoretical framework. Results Our sample included 302 participants who represented 29 countries. We identified 42 codes clustered within 4 themes concerning key areas in which further research into distance simulation is needed: (1) safety and acceptability, (2) educational/foundational considerations, (3) impact, and (4) areas of ongoing exploration. Within each theme, pertinent research questions were identified and categorized. Conclusions Distance simulation presents several challenges and opportunities. Research around best practices, including educational foundation and psychological safety, are especially important as is the need to determine outcomes and long-term effects of this emerging field.
    Type of Medium: Online Resource
    ISSN: 1559-713X , 1559-2332
    URL: Article
    DOI: 10.1097/SIH.0000000000000663
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2023
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  • 10
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    Debriefing Methods for Simulation in Healthcare : A Systematic Review
    Ovid Technologies (Wolters Kluwer Health) ; 2024
    In:  Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare Vol. 19, No. 1S ( 2024-1), p. S112-S121
    Details
    In: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare, Ovid Technologies (Wolters Kluwer Health), Vol. 19, No. 1S ( 2024-1), p. S112-S121
    Abstract: Debriefing is a critical component in most simulation experiences. With the growing number of debriefing concepts, approaches, and tools, we need to understand how to debrief most effectively because there is little empiric evidence to guide us in their use. This systematic review explores the current literature on debriefing in healthcare simulation education to understand the evidence behind practice and clarify gaps in the literature. The PICO question for this review was defined as “In healthcare providers [P], does the use of one debriefing or feedback intervention [I] , compared to a different debriefing or feedback intervention [C], improve educational and clinical outcomes [O] in simulation-based education?” We included 70 studies in our final review and found that our current debriefing strategies, frameworks, and techniques are not based on robust empirical evidence. Based on this, we highlight future research needs.
    Type of Medium: Online Resource
    ISSN: 1559-713X , 1559-2332
    URL: Article
    DOI: 10.1097/SIH.0000000000000765
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2024
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