GE Partners with Saudi Arabia’s Princess Nourah University to Expand Simulation Training

GE, PNU to team up in healthcare and clinical simulation at KAAUH

From the Saudi Gazette:

Princess Nourah bint Abdulrahman University (PNU), the largest all-female university in the world, has signed two Memorandums of Understanding (MoU) with GE with two overarching goals that will see GE moving its Saudi headquarters to the PNU Academic Complex in Riyadh, and the two entities undertaking joint work in Healthcare skills development and clinical simulations at King Abdullah bin Abdulaziz University Hospital (KAAUH).



The MoUs were signed at a ceremony at PNU by Dr Ahmed Mohammed Abuabah, CEO of KAAUH; Eng. Ahmed Nasser Albedaie, CEO PNU Endowment Company; and Hisham Al Bahkali, GE President & CEO, for Saudi Arabia & Bahrain. The ceremony took place in the presence of Dr. Hoda bint Mohamed Al-Ameel, Rector of PNU; Dr Saleh Abdullah Almezel, Vice Rector of PNU; and John Rice, GE Vice Chairman, along with other senior officials of PNU, KAAUH and GE.

As per the first MoU with PNU, GE will move all its operations in Riyadh to its new Saudi headquarters in PNU Academic Complex in 2018. A new state-of-the-art office will be designed to the highest standards of sustainability to accommodate all GE operations under one roof.


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News Agency Covers the Leadership Behind the Healthcare Simulation Success Story

J. Cedar Wang, MSN, RN, GNP-BC, CHSE

NorthJersey.com recently did a profile of  J. Cedar Wang, director of simulation education at Holy Name Medical Center in Teaneck. HealthySim really appreciates that this news agency did a piece sharing the professional career of a healthcare simulation champion — which helps to get the word out about the progress and power of simulation to the general community! Usually such news articles focus on the center and the equipment of simulation — so we thought this was a different and much needed angle on the people who make healthcare simulation work!

NorthJersey Excerpt:

J. Cedar Wang oversees the only hospital-based health care simulation training center in north Jersey. The Institute for Simulation Learning “seeks to train anyone along the continuum of care, including physicians, nurses, social workers, first responders, even the front desk staff,” she says. Essentially, simulation learning is the process of recreating real-life medical scenarios for training purposes. It has long been used the by the military and aeronautics industries, but it’s increasingly being tapped by health care professionals who see the life-saving potential of training in a hands-on, high-pressure environment that mirrors typical and extreme emergency situations.

“We’ve come to realize that we can do better,” she says, referencing the opportunity to “improve both the collective medical response to an emergency situation and the patient experience through compassionate communication and other soft skills.”

Since the institute opened in 2013, Wang and her team have trained more than 5,000 people, averaging 400 “learner encounters” a month, in areas ranging from cardiac arrest to dementia sensitivity training. In Wang, Holy Name could hardly have found a better person for the job. A highly trained advanced practice nurse, gifted communicator and passionate educator, she possesses such a unique skill set that she easily balances simulation training with other duties ranging from grant writing and fundraising to marketing and, incredibly, construction management.

In 2016, Wang oversaw a 4,800-square-foot expansion of the simulation program, which was made possible by a $5 million grant from the Russell Berrie Foundation. The facility now features new simulated settings, including an apartment and a doctor’s office, as well as additional patient care rooms and a dual-purpose room that can be staged as an operating room or emergency room. “From cardiac arrest to seizures and childbirth, we are able to simulate every type of situation,” says Wang, explaining the crises her team of six full-team staff members (and their high-fidelity simulators) are capable of portraying.

Free ICU Healthcare Simulation Scenarios & Debriefing Guide

free medical simulation icu scenarios

ICU-IS-SIM is The Alfred ICU’s In Situ Simulation program, coordinated by Dr Chris Nickson. Each week we aim to involved at least 10-20 staff members as active participants in our in situ simulation sessions. This is typically performed within the unit, using real equipment, with team members performing their usual roles. Physical fidelity is achieved using simulation manikins or simulated patients in conjunction with iPads running the iSimulate ALSi software.

The sessions are designed to help staff develop the technical and non-technical skills required to function as a effective team in critical situations. An emphasis is placed on inter-professional communication and teamwork. Scenarios are based on core knowledge requirements, perceived knowledge gaps identified in other parts of the educational program, known high risk situations and sentinel events. Simulation-based education is also used in other aspects of The Alfred ICU Education program, including Tuesday teaching for senior registrars and regular sessions at the Center for Health Innovation simulation center (using SimMan 3G) during Wednesday afternoon teaching for all junior medical staff. We also use simulation to develop and fine tune processes within the ICU, such as our ECPR program and checklist development for emergency intubation and patient transport.

Scenarios from the ICU-IS-SIM program are provided as free-to-view google documents so that others can use and modify for their own education purposes. The scenarios are continually being revised and improved. Current free scenarios include:

Airway scenarios

  • Traumatic brain injury (TBI) and previous burns
  • Recognition of endotracheal tube dislodgement

Cardiac and cardiothoracic ICU

  • Pericardial tamponade post-cardiac surgery
  • Emergency intubation of a patient with dilated cardiomyopathy and cardiogenic shock

End of life and organ donation scenarios

  • Determination of Death for Donation after Circulatory Death (DCD)

Haemodynamics / Shock and vasopressors

  • Hypotension due to disconnected inotropes
  • Hypertension due to measurement error
  • Hypotension in a trauma patient in ICU

Neurocritical care

  • Deteriorating GCS and raised ICP in a TBI patient (pending)
  • Intubation of a patient with myasthaenia gravis (pending)
  • Intubation of a patient with Guillain-Barre Syndrome (pending)

Renal

  • Hyperkalemia and cardiac arrest due to acute kidney injury (AKI)

Respiratory

  • Emergency intubation of severe asthma

Resuscitation

  • Unanticipated VF arrest in the ICU

Sedation and delirium

  • Delirium, physical restraints and aspiration
  • Management of an agitated patient with delirium

Sepsis and infectious diseases

  • Intubation of a patient with septic shock and severe metabolic acidosis

Tracheostomy emergencies

  • Respiratory distress in a patient with a tracheostomy following traumatic brain injury (TBI)
  • Respiratory distress in a tracheotomized obese patient with tetanus

Trauma and Burns

  • Hypotension in a trauma patient in ICU
  • Emergency intubation of a patient with Traumatic Brain Injury (TBI) and Burns
  • Airway emergency in a patient with facial burns and a wired ETT

Toxicology

  • Unverified overdose with occult calcium channel toxicity

Get access to all these free ICU scenarios, the Alfred ICU FAST-PAGE guide to debriefing, and more on the ICU-IS-Sim Website today!


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Comprehensive List of Journals for Game-Based Learning, Simulations, Serious Games & VR Immersive Learning

learning journals for simulation and game based learning

Leading expert Dr. Michael Sutton, PhD ended 2016 by compiling and awesome list of 45 journals for those interested in the latest research regarding:

  • Game Based Learning
  • Simulations
  • Serious Games
  • Gamification
  • Virtual Reality
  • Immersive Learning

Dr. Sutton introduces the free content hosted on LinkedIn by saying: “My quest for high quality research associated with these topics has been quite a challenge. In attempting to scour the Inet looking for useful material, I have compiled a definitive of journal sources, current to December 31st, 2016. I am sharing this with my readers in the hope that you will find this information very useful and this information will save your significant time and resources.”

Each source has a lengthy details explaining the benefits of the particular journal — what a great resource from Dr. Sutton!

Read the comprehensive list of Journals here!

How Realistic Can Environments Get in VR?

photorealism medical simulation vr

Last week HealthySimulation was on hand at the VR Fest at CES to learn more about the latest in AR/VR technologies– over the next few weeks we will be recapping some of the highlights from those events as well as related content that we believe will have an impact into medical simulation in the future. “Forget 360 Videos, Photogrammetric Virtual Reality Is Where It’s At” suggests Leif Johnson from VICE.

Today we start with a video highlighting the opportunity for photorealistic environments in VR scenes from Realities.io. You won’t believe the level of detail that is possible in complete 3D as you move about these interior spaces. The implications for healthcare simulated environments should be obvious!

FAQ from the Website:

  • What does realities do? Realities lets you explore a growing library of interesting and mesmerizing places from all around the globe in virtual reality that are explorable in photorealistic quality. Travel to places that were out of reach before, e.g. famous tourist sites, archeological and cultural heritages sites and lost places.
  • How do you create the VR environments? Most of our scans are based on photogrammetry. We also use other scanning techniques like LiDAR when necessary.
  • What do I need to experience Realities? Currently we only support HTC Vive, Oculus Rift support will be added soon. Further you need a computer fulfilling the recommended specs for VR (Intel i5 / 4GB RAM / GeForce GTX 970 or equivalent)

Learn more about these environments and download some examples for the HTC and Oculus on the Realities.io Website!

INACSL Offers Simulation Fellowship with Support from CAE Healthcare

cae healthcare simulation fellowship inacsl

Furthering the professional development support of simulation champions around the world, the International Nursing Association for Clinical Simulation and Learning (INACSL) organization has partnered with CAE Healthcare to develop a powerful Fellowship training program!

About the Simulation Fellowship Program

This course has been co-developed by INACSL and CAE Healthcare Academy and offers global participants the opportunity to design, facilitate and debrief a Simulated Clinical Experience (SCE) using the INACSL Standards of Best Practice: Simulation for use in all areas of healthcare education.

The Fellowships are designed for new simulation educators, existing simulation educators who need additional support, and directors overseeing a simulation center. The course is experiential and interactive in nature and utilizes seminars, discussion groups, plenary sessions and “hands on” activities to deliver course content. Each Fellowship is a three-part program consisting of webinars, workshops and mentoring. Cohort will consist of no more than 30 participants and three facilitators. Facilitators are simulation experts with five or more years of experience creating and delivering effective simulation education globally.

Each Fellowship is limited to 30 participants and consists of the following elements. Registrations possible for IMSH and INACSL 2017 events covering the below:

Course Details:

  • Length of Course: 8 Months
  • Credits: 26 CEUs
  • Price: $2000 ($250 non-refundable)
Module One:
Introductory Pre-Recorded Webinar
  • Focus on the History of Simulation
  • Introduction to the INACSL Standards of Best Practice: Simulation
  • Overview of the Fellowship

Introductory Live Webinar

  • Cohort Welcome and Introduction/Experiences
  • Expectations for Fellowship
  • Overview of First Workshop Details

Educational Revolution: Two-Day Workshop

  • Introduction to Educational Psychology
  • Implementing the INACSL Standards of Best Practice: Simulation
  • Educational design of simulation activities
  • Creation of your own educational strategy using any form of simulation pedagogy (e.g., Mannequins, SPs etc.)
Module Two: 
How to Communicate to Facilitate Live Webinar
  • Introduction to communication strategies
  • Overview of facilitation, debriefing and evaluation

Immersive Faculty Development

  • Pre-brief, facilitation and debrief strategies
  • Evaluation tools
  • Role-play facilitation and debriefing of your own simulation activity
  • Peer review and feedback
  • Facilitation and debriefing in challenging situations
Module Three:
Mentoring Program: Monthly online activities with designated facilitator and peers of fellowship cohort to include:
  • Professional chat room
  • Case Studies
  • Journal article review
  • Teaching strategies
  • Research methodologies
  • Peer review of facilitation/debriefing
  • Reflective Journaling

Participants are invited to a special fellowship reception to be held during the annual HPSN World and INACSL conferences.

Learn more on the CAE Healthcare website!

Upcoming Military Healthcare Summit Looks to Connect Simulation Industry to DoD

military healthcare simulation conference

The Military Healthcare Conference Feb. 27th –  March 1st 2017 in Washington D.C. promises to provide a forum to examine the complex construct of the Military Healthcare System and determine the best courses of action to address current operational and readiness challenges while maintaining the excellent standard of care U.S. Service members and their families deserve. Some of these discussions will focus on whether the community should rely on Military MTF’s to provide beneficiary care while maintaining military deployable readiness, or outsource more of the Military Healthcare construct. They will also examine critical focus areas such as new tools and techniques for clinical and combat education and training, combat medicine facility readiness, and new advances in medical research and development – truly addressing the full spectrum of Military Healthcare Operations. Don’t miss the opportunity to understand and support the current and future requirements of our medical stakeholders as they commit to the continuous improvement of healthcare delivery to our troops and their families!

With the DoD Unified Medical Budget expected to be $48.8 billion this year, military execs are now looking to invest Military Health Systems and advance in areas such as:

  • Medical Education/Training
  • Medical/Patient Simulation
  • EHR
  • Medical Technology
  • Clinical Care Innovation
  • Combat & Amputee Care

The Military Healthcare Summit, this February 27th-March 1st is the industry platform designed to elevate your organization and provide you with the opportunity to connect with key U.S. military healthcare executives including our lead speaking faculty:

  • Stacy Cummings, Program Executive Officer, PEO Defense Health Management Systems
  • Matt Hepburn, Program Manager, Biological Technologies Office, DARPA
  • Christopher Ivany, Chief, Army Behavioral Health, U.S. Army
  • James Dienst, Director, Education and Training Directorate, Defense Health Agency
  • …and much more!

Sponsorship and Exhibition Opportunities Still Available via contact Stephen Aponte on the website!

Learn more at the Military Healthcare IQPC website today!

SIMCharacters Launches New Campaign to Showcase Paul, World’s First High Emotion Preterm Simulator

high fidelity preterm simulator

#WelcomePaul, the World’s First High Emotion Preterm Simulator — developed by SIMCHaracters and their CEO, Dr. Jens Schwindt — a leading expert in neonatology and healthcare simulation education. For the past three months I have spent extensive time with Jens and the amazing SIMCharacters team in Vienna as their Marketing and Strategy Consultant to learn more about this “Beyond High Fidelity” product, which advances the field of healthcare simulation with never before seen technologies — all of which fit neatly inside a completely wireless simulated body of a 27 week old infant!

Key Features of Paul:

  • Preterm baby born in 27+3 week of gestation
  • Highly realistic external anatomy
  • Weight: 1000g, length: 35cm, head circumference: 26 cm
  • Pathological breathing patterns (nasal flaring, paradoxical respiration, substernal retractions, and grunting).
  • Highly realistic upper airway ideal for practicing endotracheal intubation and special neonatological care strategies (MIST, INSURE)
  • Mechanical ventilation using bag-mask and Perivent® systems
  • Automatic tube position detection during intubation
  • Physiological and pathological lung parameters for machine-assisted ventilation
  • Palpable pulse on the umbilical cord and all four limbs
  • Sensors to detect the correct position and depth of an umbilical venous catheter (UVC)
  • Auscultatory respiratory, heart and intestinal noises
  • Cyanosis and hyperoxia
  • Completely wireless product with 1.5 hours of battery use

Working alongside Jens and the team, we helped to craft the demonstrative materials necessary to help you see Paul in action! Today I would like to share with you this awesome video that shares the story of SIMCharacters, Paul, and Jens:

And Download the New Brochure here:
paul premature simulator brochure

Having spent time seeing Paul in action and intubating him, I can say without a doubt that his technologies will forever change the way neonatology trains!

Are you attending IMSH in a few weeks? Email me and I will help to schedule a time with you and the SIMCharacters Team at the SimAlliance Booth to learn more about this amazing new product and company!

In the meantime, visit the new SIMCharacters Website to learn more about Paul and his amazing Features

Eight Critical Factors in Creating and Implementing a Successful Simulation Program from Joint Commission Journal on Quality and Patient Safety

critical sim program success factors

Having just wrapped up our free posting of the HealthySimAdmin videos (8 recorded sessions focusing on the administration of medical simulation programs), we thought we might continue the series sharing other external resources on the topic, today sharing “Eight Critical Factors in Creating and Implementing a Successful Simulation Program” from The Joint Commission Journal on Quality and Patient Safety which was produced by Elizabeth H. Lazzara, PhD; Lauren E. Benishek; Aaron S. Dietz, MA; Eduardo Salas, PhD; and David J. Adriansen, EdD, NREMT.

Background: Recognizing the need to minimize human error and adverse events, clinicians, researchers, administrators, and educators have strived to enhance clinicians’ knowledge, skills, and attitudes through training. Given the risks inherent in learning new skills or advancing underdeveloped skills on actual patients, simulation-based training (SBT) has become an invaluable tool across the medical education spectrum. The large simulation, training, and learning literature was used to provide a synthesized yet innovative and “memorable” heuristic of the important facets of simulation program creation and implementation, as represented by eight critical “S” factors—science, staff, supplies, space, support, systems, success, and sustainability. These critical factors advance earlier work that primarily focused on the science of SBT success, to also include more practical, perhaps even seemingly obvious but significantly challenging components of SBT, such as resources, space, and supplies.

Conclusion: The eight factors—science, staff, supplies, space, support, systems, success, and sustainability—represent a synthesis of the most critical elements necessary for successful simulation programs. The order of the factors does not represent a deliberate prioritization or sequence, and the factors’ relative importance may change as the program evolves.

Consider specifically number 6: Systems

Systems should match fidelity requirements to training needs and ensure that technological infrastructure is in place! This is why considering events like SimGHOSTS is so important for your program!

For example, some simulators emphasize physical fidelity, in which the physical components of the task environment are replicated in the simulation. Physical fidelity, which can include not only equipment but even simulated patients, enables clinicians to practice technical and nontechnical skills in a safe environment that mirrors real-world conditions. Such simulators are most appropriate when trainees are learning how to use specific equipment or conduct specific procedures. The Center for Medical Simulation (Boston), for example, enhanced the physical realism of a critical care setting by including actual medical equipment and integrating oxygen and nitrogen systems. The center also uses a mannequin that has locking mechanisms to enable the instructor to control the positioning of the jaw and neck. Other types of simulations, such as personal computer–based systems, emphasize cognitive fidelity—the extent to which the skill in the real task is duplicated in the simulated task—over physical realism. High-cognitive-fidelity simulations are equally useful when the goal of training is to foster nontechnical skills such as problem solving and decision making that are needed in the task environment. For example, in a low-fidelity simulation, in which researchers at the Keck School of Medicine at the University of Southern California (Los Angeles) used material purchased from a craft store to develop a Total Abdominal Hysterectomy (TAH) teaching model, the simulation improved both knowledge and confidence among gynecology residents— illustrating that physical and cognitive fidelity are not necessarily mutually exclusive. Best practices for SBT in health care call for matching fidelity specifications to training requirements.

When determining the level of physical realism to incorporate in a simulation, system developers should partner with subject matter experts (for example, clinicians, nurses, administrators) and training experts to ensure that program objectives are realized. In addition to selecting the right type of simulator to employ during training, it is of paramount importance to ensure that the technological and organizational infrastructure is in place to support the training. For example, training systems that use laptops may require periodic software updates and are prone to all the familiar ills and frustrations of personal computers. Issues related to signal strength, server errors, and network security are also important considerations when using a local area network (LAN) or when using the Internet.

Read the full 8 Critical Factors Article here the Patient Safety Journal Website!

New Healthcare Simulation Podcast Interviews HealthySimulation Founder Regarding Benefits of Video Production

medical simulation podcast

Hey Sim Champs! An awesome new healthcare simulation resource for you to check out today from our friends at Simulcast: Victoria Brazil and Jesse Spur! In these ad hoc mini-episodes the team attempts to “pause and discuss” a topic of interest in the simulation community, highlight upcoming conferences, grab vox pop style interviews with great simulationistas and generally stop, take five and appraise the landscape.

Victoria is an emergency physician and medical educator. Victoria is an enthusiast in the social media and FOAM world and a keen runner. Jesse is founder and editor of injectableorange.com blog and podcast, the Director of Simulation Education for the Teaching Institute, and a novice social media, simulation, and quality assurance researcher. Together they are providing audio interviews around the world with those engaging in healthcare simulation.

From Victoria & Simulcast:

On Day 2 of APMSH I attended a fascinating workshop with Lance Baily of SimGHOSTS.org and HealthySimulation.com fame. Lance works out of Las Vegas and has established a global reputation in the technical aspects of conducting simulation, for maximal learning effect. Some of these skills are drawn from his previous life working in Hollywood, and our workshop was based on some of those:

  • Getting the right camera angle
  • Using tripods
  • Thinking about sound

Other Simulcast Resources include the Simulcast Journal Club, which is a monthly series heavily inspired by the ALiEM MEdIC Series. It aims to encourage simulation educators to explore and learn from publications on Healthcare Simulation Education. Each month we will publish a case and link a paper with associated questions for discussion. We will moderate and summarise the discussion at the end of the month, including exploring the opinions of experts from the field.

You can check out Lance’s interview there and connect with additional resources on the Simulcast website!