Hospital Simulations Inspire Student Engineering Innovators at Stanford

Hospital simulations inspire student innovators

The trend to combine bio-engineering departments with or within an institution’s healthcare simulation program is contiuing to grow. All around the world, engineering departments are recognizing the growing opportunities for product development within healthcare through simulated innovations.

Today we share another such story out of Stanford from the School of Medicine website:

In order to invent new medical devices to address problems in health care, the doctors and engineers in Stanford Biodesign ’s year-long fellowship program spend up to six weeks immersed in the hospital or other health-care facilities, watching procedures and asking questions. For undergraduate and graduate students in Biodesign’s introductory classes, firsthand observation is much harder to accomplish because of time constraints and privacy issues.



To solve this problem, Lyn Denend , Biodesign’s director for academic programs, teamed up with emergency room doctor Alexei Wagner , MD, to develop a new approach for an introductory Biodesign Innovation class, which I describe in a recent Stanford News article . Drawing on the resources at the School of Medicine’s Center for Immersive and Simulation-Based Learning , Wagner developed three realistic scenarios around the class’s focus on health care needs related to aging. The scenarios included a chaotic, five-bed ER; a quiet palliative care room where an elderly woman lay dying; and a physical therapy consultation with an older fall victim and his wife.

The goal was to expose students to real problems in health care, an essential part of the Biodesign process for developing medical devices and other technology-based solutions. On the first night of the class, students were randomly assigned roles as patients, caregivers, or observers, and plunged into these scenarios. Each one featured real doctors and nurses, high-tech mannequin patients with voices controlled by simulation staff, standardized patients (actors trained to play specific roles) and, most importantly, real problems in care delivery. As each simulation played out, the students struggled to offer appropriate care and make critical medical decisions against a frustrating backdrop of financial limitations, overburdened providers and conflicting family wishes.


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Gaumard Unveils New Higher Fidelity Eyes for Victoria

gaumard patient simulation eyes

Gaumard is following a new industry trend to increase the fidelity of patient simulator eyes with the new Interactive Eye Movement and Tracking Features for their Victoria S2200 product. Watch the video below to see them in action!



Gaumard shares that “Victoria’s new eye movement and automatic tracking features can illustrate signs of stress, stroke, head trauma, drug use, nerve impairment, and many other diseases and conditions.”

New Eye Features:

  • Accommodation test: automatic horizontal tracking and manual vertical tracking
  • Strabismus: exotropia, esotropia, and crossed-eyes
  • Nystagmus: eyeball twitching
  • Blepharospasm: eyelid twitching
  • Ptosis: eyelid droop
  • Realistic idle eye movement
  • Independent pupillary light reflex
  • Mydriasis: blown pupil
  • Anisocoria: unequal pupil sizes
  • Programmable blinking rate
  • Consensual pupillary light reflex
  • Real-time eye movement control via software joystick

Learn more at Gaumard’s Victoria page!

Society for ‘Simulation In Healthcare’ Journal Volume 12 Released

simulation in healthcare journal
Just a brief update today to share that the latest Simulation in Healthcare journal edition Volume 12 – April 2017 – Issue 2 pp: 67-134 from the Society for Simulation in Healthcare has come out with these important articles:
  • Evaluation of a Simpler Tool to Assess Nontechnical Skills During Simulated Critical Events Watkins, Scott C.; Roberts, David A.; Boulet, John R.; McEvoy, Matthew D.; Weinger, Matthew B.
  • Cricothyroidotomy In Situ Simulation Curriculum (CRIC Study): Training Residents for Rare Procedures Petrosoniak, Andrew; Ryzynski, Agnes; Lebovic, Gerald; Woolfrey, Karen
  • The Effect of Force Feedback in a Virtual Learning Environment on the Performance and Satisfaction of Dental Students de Boer, Ilse R.; Lagerweij, Maxim D.; de Vries, Merlijn W.; Wesselink, Paul R.; Vervoorn, Johanna M.
  • Design and Validation of a Three-Dimensional Printed Flexible Canine Otoscopy Teaching Model Nibblett, Belle Marie D.; Pereira, Mary Mauldin; Sithole, Fortune; Orchard, Paul A.D.; Bauman, Eric B.
  • Developing Team Cognition: A Role for Simulation Fernandez, Rosemarie; Shah, Sachita; Rosenman, Elizabeth D.; Kozlowski, Steve W. J.; Parker, Sarah Henrickson; Grand, James A.
  • The Effectiveness of Medical Simulation in Teaching Medical Students Critical Care Medicine: A Systematic Review and Meta-Analysis Beal, Matthew David; Kinnear, John; Anderson, Caroline Rachael; Martin, Thomas David; Wamboldt, Rachel; Hooper, Lee Beyond Fidelity: Deconstructing the Seductive Simplicity of Fidelity in Simulator-Based Education in the Health Care Professions Schoenherr, Jordan Richard; Hamstra, Stanley J.
  • Developing a Conversational Virtual Standardized Patient to Enable Students to Practice History-Taking Skills Maicher, Kellen; Danforth, Douglas; Price, Alan; Zimmerman, Laura; Wilcox, Bruce; Liston, Beth; Cronau, Holly; Belknap, Laurie; Ledford, Cynthia; Way, David; Post, Doug; Macerollo, Allison; Rizer, Milisa
  • National Clinical Skills Competition for Medical Students in China Liu, Jing; Jiang, Guanchao; Zhou, Qinghuan; Chen, Hong; Wang, Shan; Wang, Qiming; Chi, Baorong; He, Qingnan; Xiao, Haipeng

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Operative Experience Expands Portfolio of Realistic Surgical and Team Training Simulators | IMSH 2017 Video Interview with CEO

realistic skin surgical simulator

At IMSH 2017, HealthySimulation.com had the opportunity to interview Mick Navin, CEO of Operative Experience Inc (OEI) about their expanded range of hyper-realistic surgical simulators with engaging anatomy, as well as to learn about the recent investments and support by Lou Oberndorf — who lead the growth of METI which was acquired by CAE Healthcare. Mick shared that OEI is on a mission to revolutionize surgical and medical team training using medical simulators with unprecedented anatomical and surgical fidelity within a rigorous experiential instructional paradigm. HealthySim provided a video interview about OEI during the 2012 IMSH event, suggesting it would only be a matter of time before the technology was expanded by investment support — and we are glad to see it was by one of our industries commercial pioneers!



OEI provides a range of simulation-based systems for surgery and pre-hospital training:

  • Fetal Extraction Simulator
  • Postpartum Hemorrhage Control Trainer
  • Emergency Hysterectomy Trainer
  • Emergency C-Section Delivery Simulator
  • C-Section Skills Trainer
  • Emergency Thoracotomy
  • Craniotomy
  • Fasciotomy
  • Disaster Legs
  • Surgical Legs
  • Various Tactical Casualty Care Simulator

HealthySim also spent some time learning from Mick about how the company has grown since our 2012 interview, following years of prototype development and testing, collaboration with materials expert Jeffrey Ellis led to the creation of the world’s first physical simulators upon which major surgical hands-in-the-body operations could be performed using standard surgical instruments. A series of SBIR grants from the U.S. Army Medical Research and Material Command capitalized the company and enabled Operative Experience Inc. to advance its product development.  OEI products offer a different type of simulator, providing unique surgical experiences that mimic combat or other trauma based emergencies with realistic anatomical feeling.

Learn more at the OEI website!

KbPort’s simCabRx Provides Realistic Medical Cart Simulated Training | IMSH 2017 Video Interview

med cart simulator from kbport

During the recent IMSH 2017, HealthySimulation.com learned more about the simCabRx med card simulator from Kbport which was located at the Pocket Nurse booth. KbPort’s Simplicity solution combines medication dispensation with the power of SimLabConnect and SimEMR to provide a more complete, more realistic simulation experience. The integration of medical simulation devices provides a critical context for the data generated, in the form of patient history and patient records, which form the foundation for support for future treatment. Improve bedside medication administration education with KbPort SimCartRx mobile medication cart solutions — which you can see in our video interview below!

SimCartRx works as part of the KbPort simplicity Solutions System!

Both SimCartRx, Kbport’s mobile medication dispensing solution, and SimCabRx their decentralized medication dispensing solution, integrate with SimEMR, allowing students to access patient records during simulations, which is a critical component of real patient care. The temporal capability of Simplicity, with SimLabConnect and SimEMR, adds an invaluable, true-to-life dimension to your simulation-based training, advancing your program’s effectiveness while promoting proper communication and patient safety.

Begin simulations with SimEMR for realistic med cart learning experiences:



  • Log in/out with student cart credentials (LDAP compatible)
  • Patient record lookup via barcode scan
  • Medication scanning

Control medication dispensation through SimEMR and view cart/cabinet events within SimEMR & ETC FusionHD

  • Log in/out
  • Patient lookup via barcode scan
  • Drawer open/close
  • Medication scanning
  • Administer via bedside with SimCartRx

Log simulator vitals into SimEMR patient record in real time

• Creates an accurate, complete and evolving patient history
• Improves critical thinking by presenting and integrating comprehensive patient data

Certainly those programs looking to integrate EMR, medcart, and patient charting into one system across the learning program should check out KbPort’s simplicity systems!

Learn more on the Kbport website today!


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DiaMedical USA Partners with SimUSuit to Offer Bariatric Patient Simulation | IMSH Video Interview

obesity healthcare simulation suit

During IMSH 2017 HealthySim.com was on hand to learn more about the Bariatric trainers created by Sim-U-Suit and distributed by DiaMedical.

The Adult Full Body Sim-U-Suit was created to enhance simulations for the future generation of doctors and nurses to properly prepare for the bariatric patient! The Full Body Sim U Suit is the ONLY full body obesity suit that including both arms and legs in one piece! This revolutionary simulation product can fit almost any manikin or can be worn by a standardized patient! Multiple access holes are implanted throughout the suit for simple IV, peri care, enema and catheterization simulations. With the growing bariatric patient population in the US, the Sim U Suit is an absolute necessity for every simulation lab.



SIM-U-SUIT obesity suits let your program simulate true-to-life size, look, and weight of bariatric patients. Their suits can be worn by real people, or used on manikins and human patient simulators. You can make the suit as heavy or light as your scenario dictates. The Sim-U-Suit products enable your simulation program to teach safe/proper care for the growing number of overweight patients in the healthcare system today.

Obesity training systems are also available as:

  • Adult Edema Simulation Leg Sleeves
  • Adult Edema Simulation Arm Sleeves
  • Pediatric Obesity Suit

Learn more about the Obesity Suit on the DiaMedical Website today!

ECS Leads the Way with VR Training for Healthcare Simulation | IMSH 2017 Video Interview

ecs clinical skills medical simulation

Rounding out HealthySim’s interviews from the IMSH 2017 trade show floor, today we are taking a look at the VR learning system “Clinical Skills” from Engineering & Computer Simulations (ECS). Clinical Skills training application provides medical professionals the ability to easily access scenario-based learning and practice their clinical skills within a clinical environment. Watch the video below to see it in action through the HTC Vive:



The Clinical Skills Mobile App uses a variety of conversation-based scenarios in a deep learning environment, which prompts learners to use specific approaches while conducting patient interviews. The mobile app includes essential environmental cues, such as patient feedback, as well as instructional feedback. The user is evaluated at each step of the clinical exam and cannot progress until the correct action is performed.

Benefits to medical professionals:

  • Interact with medical inventory items to take vital signs and perform physical examinations on realistic patient avatars
  • Proper sequencing of events
  • Reinforces patient interview techniques
  • Incorporates productive patient dialogue
  • Helps hone diagnostic reasoning skills that can be applied to a number of situations — both in regular checkups and even in more severe cases, where extreme sensitivity is required

Learn more about Clinical Skills on the ECS Website today!


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HybridLab Provides Distance and eLearning Solutions for Medical Simulation | IMSH 2017 Interview

hybridlab

At IMSH 2017 HealthySim interviewed the team from HybridLab to learn more about their learning platform, designed to “overcome issues when teaching resources are limited by enabling access for medical training and simulation to almost any location around the World”.



Hybrid Training was created “To Make the Learning World Better” by creating better training solutions, that are easier to access and more convenient to provide. HybridLab training and simulation does not need the direct participation of instructor and can be set up at any preferred location. Students prepare using pre made e-learning systems before coming to HybridLab. At the location, they get orders and instructions of what and how to do using our specifically designed algorithms with any training equipment. Instructor monitors and evaluates students’ performance from distance at any time while students train in HybridLab classroom.

HybridLab can enable any simulation center to run 24/7 by helping to create a completely autonomous training environment, simulation experiences without supervision, and distance monitoring. High-Impact Hybrid models include:

  • E-learning
  • Hands on simulation
  • Peer to peer teaching
  • Based on success learning algorithms
  • Automatically Personalized learning

Learn more on the HybridLab Website today!

Tobii Pro Brings New Learner Perspectives to Healthcare Simulation Experiences and Research with Eye Tracking Glasses

eye tracking systems healthcare simulation

Continuing our coverage of IMSH 2017 with video interviews, today we are sharing a demonstration of the eye tracking systems available from tobiipro! tobii pro helps medical simulation programs gain real insights into human behavior with leading eye tracking solutions and services. Imagine rewatching your healthcare simulation experience from the first person perspective of the learner AS they engage with your simulator? Not only that but the device provides a realtime indicator of exactly what the wearer is focusing on during the recording!

About the Tobii Pro Glasses 2



The Tobii Pro Glasses 2 are a wearable eye tracker designed to capture natural viewing behavior in any real-world environment while ensuring outstanding eye tracking robustness and accuracy. It is also possible to combine these glasses with biometric devices for even deeper insights into human behavior. The Tobii Pro Glasses 2 gives researchers deep and objective insights into human behavior by showing exactly what a person is looking at in real time as they move freely in any real-world setting . Understand how people interact with their environment, what catches their attention, drives their behavior, and influences decision making. Wearable eye tracking opens up entirely new opportunities for behavioral studies.

With a unique first-person perspective and true measurement of visual attention and cognitive engagement, Pro Glasses 2 can be also used as a tool for training, skills transfer, and performance enhancement. The real-time observation of participants’ gaze data provides quick and actionable insights. Whether the eye tracking study is conducted in a lab, shopping mall, manufacturing facility, home, or sports field, you will achieve accurate and reliable results in human behavior research. Quickly and easily analyze large volumes of the eye tracking data with the automated Real-World Mapping tool available in our Tobii Pro Lab software.

Learn more by visiting the Tobiipro website!

Intelligent Video Solutions Creates VALT for Simulation Recording & Debriefing

valt from ivs healthcare learning

IVS recently shared a new video showcasing VALT, aka the Video Audio Learning Tool, for Healthcare Simulation programs. Valt is an innovative software solution that enables users to be able to create and manage their own video database.

About VALT

Video is a proven tool to better educate, train, connect and protect organizations everywhere, which is why IVS has developed Valt. This powerful tool helps organizations increase the use of video to improve the effectiveness of a wide variety of programs. Valt can scale to support any number of cameras, users, and departments while the intuitive browser-based interface provides each user with a unique and secure experience. The application empowers users to quickly and easily view, record and manage video events without extensive IT support headaches.

The Valt solution is being used in a wide array of applications including Medical Simulations, Interview Recording, Corporate Training, Treatment Sessions, Lecture Video Recording, Police Interrogations, Government Meetings, Clinical Observation and many other simulation-based and active learning applications.



The Valt application has been designed from the ground up to allow users to easily view live audio-video sessions in a secure fashion. VALT employs enterprise-class video streaming technology allowing for the connection of up to 50 HD IP video cameras and capability to serve out hundreds of simultaneous video streams from a single Valt server appliance. Rooms are displayed in an easy to find list and are labeled according to user preference. PTZ control is performed via mouse by simply clicking in the video window. Users are able to use and create presets to help quickly position PTZ cameras.

Observers are able to create “markers” during the recording process which indexes important video points allowing users to quickly access important events. Markers may be named or created via drop down box. Observers are able to “talk back” to students/clinicians via computer microphone or USB headset by simply clicking on the talk icon in the video window when optional talk back hardware is purchased. User rights allow a unique login ID for students, faculty and administrators providing for customizable security rights for viewing, recording and playback.

A matrix view allows the observer to view up to 9 simultaneous sessions on a single display. Client software runs in browser simplifying viewing and rollout of software upgrades. All major web browsers are supported including Apple and tablet versions, letting users use Valt to observe live or recorded video anywhere.

The IVS team let HealthySim know they will soon be sharing a helpful case study of Mt. Royal’s Nursing, Child Development Studies, and Athletics Therapy teams use VALT to help them improve their learning outcomes — so stay tuned!

Learn more about VALT on the IVS website today!