Cedars-Sinai Women’s Guild Simulation Center For Advanced Clinical Skills Empowers Team to Achieve Legendary Vision

Since starting my career in medical simulation in 2008 I have had the pleasure of touring hundreds of healthcare simulation centers around the world. As a simulation enthusiast I am always excited to tour these learning healthcare education technology spaces to capture the unique aspects that come together from different teams, cultures, needs assessments, budgets and styles. Very rarely, however, do I come across such magnificent healthcare simulation design innovations that my jaw drops while goosebumps crawl up my arms. The Women’s Guild Simulation Center For Advanced Clinical Skills at Cedars-Sinai of Los Angeles provided several of such spine-tingling moments.

women's guild simulation center

Does this look like a Healthcare Simulation Lab?

When Russell D. Metcalfe-Smith, Manager of the Women’s Guild Simulation Center For Advanced Clinical Skills, rounded the corner with me into their high-fidelity simulation hall I could barely believe my eyes. Entering the first room I didn’t feel like I was walking into a sim lab but rather a fully-functional ICU. Every detail was identical to the ICU room across the bridge; from the walls, floors, ceilings, and lights to the equipment, furniture, dressings and supplies — in fact the only item that was simulated was the patient, a Gaumard HAL 3201 wireless manikin. “Russell”, I said staring at the future of healthcare education, “this… this is how simulation is supposed to be look!”. Room after room brought the same quality of detail as we toured through the OB/GYN, ED Trauma, NICU/PICU, Stortz OR and Olympus OR sim lab rooms. The center also includes a fully equipped computerized simulation room with simulators for practice in GI/ bronchoscopy procedures; laparoscopic, hysterscopic, urologic, neurologic and cardiovascular procedures; and ultrasound procedures and robotic surgery.

My tour made it abundantly clear that top leadership of Cedars-Sinai that included Dr. Bruce Gewertz, MD Surgeon-in-Chief, Chair of the Department of Surgery, VP for Interventional Servicess & Vice Dean of Academic Affairs; Dr. Shlomo Melmed, MD, MACP, FRCP Senior Vice President of Academic Affairs & Dean of the Medical Faculty; and Dr. Linda Burnes Bolton, DrPH, RN, FAAN, Vice President of Nursing & Chief Nursing Officer took the investment into a state-of-the-art medical simulation program very seriously. Such vision took an incredible partnership with the Women’s Guild of Cedars-Sinai, a group dedicated to supporting patient care, vital medical programs and equipment, biomedical research, and education at the hospital. The Women’s Guild “provides resources for a wide range of programs, supporting the pursuit of knowledge and the development of diagnosis and treatment methods that will make a difference in the lives of countless patients for generations to come”. By constantly improving the skills of clinical staff, Women’s Guild is providing a resource that benefits every department at Cedars-Sinai and the patients they serve. The Guild plans to fulfill a pledge of $10 million to the Simulation Center within five years providing for the ongoing acquisition and maintenance of vital equipment, robotics, and new technology — ensuring the Simulation Center will remain state of the art for generations to come.

While such financial investments can go a long way to ensure that healthcare professionals are utilizing the latest training technology in the most realistic settings, Russell and I both agreed over lunch that the team behind the simulation program is where all the “magic of Hollywood” really happens.

HealthySimulation.com’s Lance Baily (HS): In this managerial role tell us how you utilize your background as an Executive Healthcare Simulation Consultant and the Operational Manager of NHS London’s Resuscitation, Simulation and Clinical Skills Centre as well as extensive experience in resuscitation and paramedic training program development?

Cedars-Sinai’s Russell Metcalfe-Smith (RMS): Expanding upon the knowledge and skills that were already here I was able to see where Cedars-Sinai was and add my experienced perspective to improve upon the design and development plans. Initial misidentifications which occurred before I was hired were corrected by having the team re-examine the end user requirements and then going back to them, again and again. We found we needed a way of translating the leadership’s “plain English” vision of the space to high-level technical jargon. In-house specialist and Media Systems Engineer Thavaro Soeur was instrumental in providing this translation by utilizing his extensive background in a/v production and electronic engineering to convey the leadership’s needs to external hardware installer/integrator Level 3 Healthcare.

HS: I have seen the execution of some incredible visions today, to make simulation as real as possible. Tell me about the simulation program that’s been built here?

RMS: Cedars-Sinai is a 896 bed hospital with approximately 11,000 employees which also focuses on academic research, education, student nurses and residency programs.  The simulation program here mostly focuses on residency and post graduate training with a strong focus on team management and communication practices through proven systems like TEAMSTEPPS, SBAR, SCORE, and CUS.

Cedars-Sinai has been one of the most positive experiences of my career, it’s an exceptional organization to work for as they do want to make a difference for patient safety. Invested leadership is so important to developing a simulation program, as its a two way street where staff and administration must work hand and hand. The goal of the simulation program is to improve patient safety initiatives by bringing teams together from nursing, RT, medicine, residency programs and other allied health staff. While new healthcare learners do utilize the simulation center, the majority of our 1500 people attending training events a month are focused on ongoing training for our qualified healthcare professionals.

Beyond orientations and general ongoing education, we’re doing some very highly complex simulation training scenarios here including congenital heart surgery, hysterectomy, open laparotomy, pediatric thoracotomy, and OR fires / earthquakes with moving floors. To train for these high acuity cases the actual surgical teams will come down to the simulation center and utilize rooms that are carbon copies of their clinical environments to experience the procedure in its entirety, going as far as to utilize our 3d printer technology to build the patient’s unique anatomy. Simulation at The Women’s Guild Simulation Center for Advanced Clinical Skills is special because it is completely real, an exact replica of what our healthcare professionals will be working with. By visualizing reality, talking through the case and then running a nine hour long simulation our surgeons and healthcare teams are better prepared.

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HS: So our audience of healthcare simulation champions is aware, give us the key statistics about the simulation space.

RMS: Of course, the Women’s Guild Simulation Center for Advanced Clinical Skills….

  • Opened October 1st 2013 after 18 months of planning & development by nursing, allied health, medical and administrative stakeholders
  • 10,000 square feet
    • 2 fully equipped and functioning operating rooms
    • 1 intensive care unit
    • 1 obstetrics/genecology room
    • 1 trauma bay
    • 1 prenatal intensive care unit/neonatal intensive care unit
    • Multiple rooms for skills training and development with computerized simulators for practice in gastrointestinal/bronchoscopy procedures; laparoscopic, hyterscopic, urologic, neurologic and cardiovascular procedures; and ultrasound procedures and robotic surgery
    • 3 debriefing rooms equipped to receive and project live video feed from the simulation rooms
  • Approximately 1,500 users per month
  • Operating 6 days per week
  • A/V Installation by Level 3 Healthcare
  • Utilizing B-Line Medical for A/V Recording & Debriefing
  • Holds 13 Gaumard manikins that can blink, bleed, talk, hyperventilate and give birth
  • 1 Syndaver anatomical simulator that looks and feels completely real and allows for the practice of surgical techniques

HS: Seems like the Women’s Guild Simulation Center is already doing so much — where is the program going next?

RMS: There’s two exciting arenas we will be focusing on in the future: Building more research programs specifically examining human-factors using simulation to reduce adverse events and working with healthcare industry to help improve their products with increased reliability.

HS: What advice do you have for others building a healthcare simulation program?

RMS: Every organization needs to look at what their training needs are and hire staff from there. For example, at Cedars-Sinai we have dedicated IT support staff so we hired healthcare simulation technology specialists with stronger backgrounds in areas we were lacking including moulage, A/V, and manikin operation.

HS: An ounce of prevention is worth a pound of cure.

RMS: Exactly. It’s the behind the scenes staff that makes simulation work. Only 10% of simulation is the clinical component, the 90% of simulation work is done by staff “behind-the-scenes”. It’s also crucial to work with an A/V integrator like Level 3 Healthcare where you can make a direct phone call to CEO Brad Peterson and know that even though his team is in another state, they will fly out next day if there is an issue that needs immediate correcting. Because of their assistance, our audio capture is in a premium class — people forget that “audio” is half of “audiovisual”. You need a team of professionals to make simulation work. Fuse the IT, A/V, Medical, Nursing, Allied Health, Administration, Facilities, and simulation staff together and marry their work to the vision.

HS: Steven Spielberg, a major contributor to Cedars-Sinai, once attributed his success to hiring the right people and getting out of their way.

RMS: And not only has Cedars-Sinai leadership hired the best, but they have also endorsed the best with unparalleled support.

Women’s Guild Simulation Center for Advanced Clinical Skills

Learn more about the Cedars-Sinai Women’s Guild Simulation Center For Advanced Clinical Skills through the following links:

Video Highlights Boise State University SSH Simulation Program Accreditation

sim center accreditation

The recently posted video below shares how the College of Health Sciences Simulation Center at Boise State University has received accreditation in the area of teaching and education. The simulation center is the first in Idaho to receive accreditation and is the first simulation center west of St. Louis, Mo., not affiliated with a major medical institution to become accredited. The accreditation comes from the Society for Simulation in Healthcare’s Council for Accreditation of Healthcare Simulation Programs.

From the BSU Simulation Program Website:

Simulation programs must demonstrate compliance with established core and area-specific standards in order to be considered for accreditation. The program must have at least two years of experience in the area in which accreditation is sought. Core standards include mission and governance; organization and management; facilities, technology, simulation modalities and human resources; evaluation and improvement; integrity; security; and work in expanding the field of simulation.

“Accreditation validates all the hard work in establishing a high quality simulation center,” said Becky Bunderson, director of the College of Health Sciences Simulation Center. “It lets the community, faculty and students know that the work in the center is evidence-based and follows standards and best practices, delivering quality educational experiences to students and community partners.”

To achieve accreditation in the area of teaching and education, the College of Health Sciences Simulation Center had to demonstrate that it met the standards for teaching and education. This included the areas of learning activities, qualified educators, curriculum design, learning environment, educational credit, and ongoing curriculum feedback and improvement.

With an accredited simulation center, the College of Health Sciences will be able to further pursue its goal of promoting inter-professional education for Boise State health sciences students. Currently, respiratory care, radiologic sciences and nursing students use the simulation center and practice labs for an inter-professional skills course. An inter-professional disciplinary team approach is used to teach basic patient care skills and interventions to restore and protect health. The college is actively researching additional ways to integrate inter-professional education into all program curriculums.

“Simulation will fundamentally change nursing education, if not health sciences education, as we know it,” said Suzan Kardong-Edgren, Joanna “Jody” DeMeyer Endowed Chair in Nursing and renowned simulation researcher. “Clinicals will be built around a simulation core, then hospital experience for fine tuning.”

SSH Accreditation Provides:

Accreditation accrues value to the organization, the industry and the community. Additional benefits follow:

  • Improving healthcare education through the identification of best practices and recognition of practice
  • Improving healthcare simulation through providing standardization and a pool of knowledge of best practices
  • Strengthening patient safety efforts through support of simulation modalities
  • Supporting education and consultation on good practices and benchmarks to improve business operations
  • Encouraging sharing of best practices through education and consultation
  • Providing external validation of individual simulation programs
  • Strengthened organizational, community and learner confidence in the quality of education and services
  • Garnering local support, resources and commitment
  • Fostering a feedback loop between education and practice by participating in a continuous process of improvement
  • Encouraging performance improvement within the simulation program
  • Providing a competitive edge in the community, program offerings and grant funding
  • Providing a customized, intensive process of review grounded in the unique mission and values of the organization
  • Enhancing staff recruitment and development
  • Recognizing expertise in simulation above and beyond domain expertise

Learn more about the at Boise State University Simulation Program here & the SSH Accreditation here.

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ASPiH UK 2014 Nottingham is MUST-Attend for EU Healthcare Simulation Champions

healthcare simulation uk conference 2014

Having attended last year’s 4th annual event I can attest to the innovative, professional and high-quality learning opportunities put on by the ASPIH team. This year the line-up of speakers and content continues to impress! Early-bird rate ends September 8th so hurry and register for discounted pricing!

From Conference Co-Chairs Simon Edgar and Bryn Baxendale:

Dear Simulation Colleagues,

We are delighted to invite you to the 5th National ASPiH Conference. Last year in Harrogate was a great success when we were joined by 400 delegates. This year we have increased our conference capacity and developed a programme that continues to build on the successful ideas and approach we have introduced in our previous conferences.

The theme of this year’s conference focuses on how simulation and new learning technologies can be used to enhance individual, team and organisational learning and improvement in relation to the integration of human factors within health and social care.

The main programme commences at 6pm on Tuesday 11th November after a day of in-depth preconference courses. Our keynote speakers and conference faculty include international and national experts in professional practice and education, workforce development, organisational learning, healthcare innovation, and public / patient involvement in safety and quality improvement. Their contributions through plenary lectures, expert panels, and roundtable discussions are intended to stimulate and inspire all of us to consider how we can improve our own areas of practice.

In addition this year we have had a record number of abstract submissions which has resulted in over 150 research papers, works in progress, and poster presentations being featured during the conference.

We hope you will be able to join us during this exciting event, which will benefit you and your area of practice as well as enable you to develop friendships and network with many like-minded colleagues.


We are providing a number of full day pre-conference courses and specialist forums on Tuesday 11th November that aim to provide delegates with a more in-depth exposure to specific themes and topics, and providing the unique opportunity to access experienced colleagues and experts in their field. The opening keynote and conference opening reception will be at 6pm Tuesday.

On Wednesday 12th and Thursday 13th November the full conference and scientific programme will include many workshops, oral papers and poster presentations. In addition there will be an expanded Technicians and Innovation Arena, Student sessions, and many opportunities to network with colleagues and establish new connections. The Exhibition Hall will include many displays and demonstrations of the latest resources available in simulation and technology enhanced learning, including an opportunity to visit the Health Education England team who are developing the UK wide TEL Hub. 

East Midlands Conference Centre,
University Park, Nottingham,
Nottingham, United Kingdom, NG7 2RJ

Tuesday 11th 

10am to 4pm – Pre Conference Workshops
6.00pm to 8pm – Conference Opening Address and  Reception
8.30pm to 11pm – Meet the experts and speakers dinner

Wednesday 12th

9am to 5pm – Conference Sessions
6.30pm to 11.30pm – Conference Networking and Buffet Dinner Party

Thursday 13th

9am to 4.30pm – Conference Sessions

Simulation Technology Specialists – TECH TRACK

The TECH room, first introduced at the 2012 conference was considered to be BIGGER AND BETTER last year at Harrogate – attracting many more skills and simulation technicians as both presenters and delegates. This year the TECH room not only has a ‘prime position’ in the atrium of the East Midland Conference Centre in Nottingham from 11th – 13th November 2014, but will also deliver a pre-conference full-day workshop in the Trent Simulation and Clinical Skills Centre on Tuesday 11th November.

Workshops and presentations will run in the TECH room for the full two days of Conference – the programme includes three workshops, nine oral presentations and four product presentations with the added opportunity for a product innovation corner space. Newly introduced this year are two case studies, one planned for each day, to facilitate discussion around ‘new ways of working’ and sharing solutions and the live video booth – see outlines for both conference days in the TECH agenda and justification support document downloadable here.

Download the 2014 conference brochure here and visit the ASPIH 2014 Event Website to register!

Tore Laerdal TEDx Talk “Collaboration Breeds Innovation”

tedx laerdal

Tore Laerdal, Chairman of Laerdal Medical gave this TEDx talk last year in Stavanger on how “Collaboration Breeds Innovation” and opened his presentation by sharing how his life was saved by his father at the age of two after he drowned in a lake. As a plastics toy manufacturer, Tore believes this personal experience of life-saving motivated his father Åsmund S. Lærdal to create the resusci-anne, the worlds leading CPR training manikin which has estimated to save more than 2,000,000 lives. Watch this inspiring presentation to see why Collaboration does indeed breed innovation.

From TEDx:

Tore Laerdal is Chairman of Laerdal Medical, a Norwegian family owned company that since modern lifesaving techniques were developed in 1960, has been a leading supplier of training material and therapeutic equipment for acute medicine.

Tore Laerdal is also Executive Director of the Laerdal Foundation for Acute Medicine. The Foundation has earmarked significant funding for practically oriented MDG 4 and MDG 5 research projects. In recent years, Mr Laerdal has turned his full focus to global health challenges, and established Laerdal Global Health, a not for profit company with the sole purpose of providing highly affordable and culturally sensitive training and therapeutic solutions to help reduce maternal and newborn mortality in low resource settings. For this purpose Laerdal Global Health has partnered with USAID, NIH, Save the Children, the American Academy of Pediatrics and others in the Helping Babies Breathe alliance and the Survive & Thrive alliance. Furthermore, Laerdal Global Health has established the Day of Birth Alliance with Jhpiego and the Center for Bioengineering, Innovation and Design at the Johns Hopkins University. Mr Laerdal serves as Chairman of the Board of two external research foundations in Norway. He holds an MSc degree from the Norwegian School of Economics and Business Administration, and has received an Honorary Doctorate in Science from the University in Hertfordshire in the UK. In the spirit of ideas worth spreading, TEDx is a program of local, self-organized events that bring people together to share a TED-like experience.

At a TEDx event, TEDTalks video and live speakers combine to spark deep discussion and connection in a small group. These local, self-organized events are branded TEDx, where x = independently organized TED event. The TED Conference provides general guidance for the TEDx program, but individual TEDx events are self-organized.* (*Subject to certain rules and regulations)

Mama Natalie

mama natalie birthing simulator

Tore concluded his talk speaking about his own “aha” moments when he visited Africa and learned of the thousands of preventable newborn deaths taking place there — to which lead to the development of the Mama Natalie. An extremely affordable birthing simulator, the device is now used throughout the world to train healthcare teams for the birthing scenario in low resource environments.

MamaNatalie birthing simulator that comes with NeoNatalie helps you create realistic training scenarios easily. It has been designed to facilitate an engaging role play that will make the learning sessions memorable and efficient. MamaNatalie is a birthing simulator that makes it easy to create very compelling simulations of complex or normal birthing scenarios. It is strapped onto the operator, who takes the role of the mother, and manually controls the training scenario and the following features:

  • Bleeding Positioning and delivery of the baby
  • Delivery of placenta
  • Fetal heart sounds
  • Cervix landmark
  • Urine bladder cathetherization
  • Uterine massage
  • Uterine compression

Purchase provides donation: For each MamaNatalie purchased through Laerdal Medical, an additional MamaNatalie is being donated to low-resource countries through Laerdal Global Health and the Helping Mothers Survive initiative!

Learn more about the history of Laerdal here, the Mama Natalie here, and then watch more great TEDx events here.

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50,000 Views of Medical Simulation Videos from HealthySimulation.com

medical simulation videos

HealthySim readers- today I am thrilled to share that the HealthySimulation Youtube Channel has crossed more than 50,000 views! To highlight this achievement I have shared again  here the top six “most watched” videos from our channel, which covers healthcare simulation product demos, conference interviews, tutorials and more! Thanks to all those that helped us achieve this amazing goal.

#6) How to Produce a Sim Lab Video Orientation 

#5) Simulab TraumaMan In-Situ at LSU

#4) Pyxis MedStation 4000 Clinical Educator Reflections From MedicalShipment.com

#3) CAE’s Caesar Manikin 

#2) iSimulate Unveils ALSi Patient Vital Sign Monitor Software 

#1) Laerdal Launches SimPad at IMSH 2012 

Stop by the HealthySimulation Medical Simulation Youtube Channel for over ONE HUNDRED more medical simulation videos, be sure to hit SUBSCRIBE!

Clinical Skills Lab Coordinator Standard Operating Procedures Example

healthcare simulation lab coordinator policies

Recently I shared the Standard Operating Guide developed at the Clinical Simulation Center of Las Vegas for both the IT and Clinical Simulation Technology Specialists. Today, I am sharing the “SOPs” for the position of Skills Lab Coordinator, who was responsible for:

  • Managing supplies for the entire center including
    • Inventory
    • Stocking
    • Location
    • Barcoding
    • Ordering
    • Checkout
    • Disbursement
  • Coordinating with faculty regarding skills lab setups/tear-downs
  • Managing volunteers and student workers
  • Skills labs signups
  • Setting up and taking down lab setups for
    • Ward
    • Two skills labs
    • Classrooms
  • Task trainer maintenance, tracking and storage
  • “Other duties as assigned”

These SOPs act as a guide with regards to the responsibilities breakdown of the position and were developed to help new staff better understand the position as well as help demonstrate policies and procedures to clinical faculty. As a former director of a healthcare simulation space, I highly recommend you have all current staff create such an SOP document in-order to easier deal with staff rotation, as well as annual reviews of job performance and HR salary increases.

Download the Clinical Skills Labs Coordinator Standard Operating Procedure

Then check out the Healthcare Simulation Technology Specialists Standard Operating Procedures

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IMSH Videos: Recap of Medical Simulation Vendor Product Demonstrations & Interviews

medical simulator demos

At IMSH 2014 San Francisco earlier this year, HealthySimulation.com was on hand to learn all the latest from a good number of leading medical simulation vendors. Over the past several months we have released several video interviews, which you can now all watch for free below. Special thanks to Matt Koss for his help editing these pieces, each of which takes several days to produce!














Want more great medical simulation video content?
Check out HealthySimulation.com’s Youtube Channel which now boasts over 100 videos and more than 50,000 views!

Watch the SimGHOSTS 2014 USA Opening Keynote Address at American College of CHEST Physicians Sponsored by Level 3 Healthcare

level 3 healthcare

Level 3 Healthcare sponsored the SimGHOSTS 2014 USA keynote address, presented by SimGHOSTS President James Cypert. This event was broadcast and streamed LIVE Wednesday morning Day 1 of the main event August 6th at the American College of CHEST Physicians in Glenview near Chicago, IL. As the keynote address, Level 3 Healthcare’s sponsorship has guaranteed this presentation will remain permanently available online for free – which you can watch now by visiting the SimGHOSTS website.

SimGHOSTS proudly introduced Level 3 Healthcareas the Platinum Sponsor of 2014 USA Event. Sponsoring both the Opening Keynote address and the Opening Reception at PinStripes Bowling, Level 3 Healthcare is looking to powerfully connect with the SimGHOSTS international community. As well, the SG14 event team  added a special plenary panel Friday morning which dove deeper into the Level 3 Healthcare’s build-out of the Cedars Sinai Simulation program.

SimGHOSTS President James Cypert presented on the importance of bringing in basic research methods in support of the professional development of Simulation Techs. He  began the conversation with a community focus and topics for future research and invite a networking dialog to establish collaboration opportunities for designing, conducting, collecting, writing, and submitting well‑formed research. The goal of this the 2014 USA keynote address was to provide some of the basic tools, resources, and methods for providing evidence‑based practice for simulation technologists, ascertaining cogent research topics, and identifying collaborative opportunities, and establishing working relationships to achieve higher levels of dialog from and with the technician community.

James presented basic research methods that everyone can apply, then begin a conversation about community focus and topics for future research. To wrap up the session the facilitator will invite a networking dialog to establish collaboration opportunities for designing, conducting, collecting, writing, and submitting well‑formed research.

About Level 3 Healthcare:

The healthcare division of Level 3 has been providing advanced multimedia solutions in minimally invasive surgical environments and simulation centers since 2007. This Phoenix based medical engineering group has pioneered designs in telehealth, live HD video distribution, recording, archiving, content management and media retrieval systems for healthcare universities, teaching hospitals and simulation labs. Level 3 Healthcare’s core competency is integrating the myriad of healthcare, simulation, broadcast and professional technology into a seamless, easy to use system or application. Our approach is to work directly with our clients to understand their use case and apply technology to improve efficiency, work flow, profitability and/or learning. Examples of our applications include; intraoperative surgical suites, digital O.R.’s, nursing simulation centers, procedure rooms, 3D visualization facilities, clinical AV networks, campus-wide central recording systems and video conferencing initiatives for collaboration and critical decision making.

Level 3 Healthcare was founded as a division of Level 3 Audio Visual who has been well established in the commercial industry since 1996. Level 3 AV had been working with a major medical university on their classroom presentation technology when they were presented with a challenge from the Dean of Anatomy. Level 3 AV was asked to design and build a cordless, wireless, mobile HD video cart for their anatomy lab. The Dean and his faculty had several uses in mind for this cart but Its main purpose was to capture high definition video from a student’s cadaver, transmit that video to an AV head end, store and meta-tag the captured video while simultaneously transmitting the video back out to twenty, high definition, LCD monitors dispersed around the lab as well as to a secondary lab located across the campus. A secondary purpose of this cart was for the creation of video text books that could be produced and stored online as an additional reference for the healthcare staff and students.

Visit the SG14USA Keynote Address Page to watch the presentation & learn more about Level 3 Healthcare, the 2014 USA Platinum & Opening Reception Sponsor!

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Healthcare Education Assessment Training & Technology Inaugural Conference Opens in Orlando

This morning at the Rosen Shingle Creek Hotel in Orlando, FL the inaugural Healthcare Education Assessment Training & Technology Conference opened its doors to healthcare educators, administrators, innovators, and more.

healthcare education assessment training and technology

Opening the show was Andy Smith of Halldale Media who shared how he began his journey into healthcare education by spending his childhood holidays with his parents who worked in hospitals. As an adult his passion took him into developing businesses which support simulation training in the military and aviation industries — all of which helped him see the stark differences healthcare training when he had to undergo laparoscopic surgery over a decade ago where there was no simulation. For him, the opportunity to help bridge that gap was clear. Andy then mentioned the book Beyond the Checklist by Suzanne Gordon (read my book review here) which obviously mentioned the “Miracle on the Hudson”, to which he suggested “was no miracle” because “prepared pilots executed trained procedures and communication methods that saved the lives of those onboard”. He then reminded us that while there have been about 400,000 deaths and millions of injuries attributed to medical error in the past year alone, there has not been a single death by a US-based airlines carrier in the past four years.

Being a world leader in simulation resources for aviation, Andy clearly brings critical knowledge necessary for the expanded success of simulation in healthcare. Challenges he suggested for our community include: resistance to change, a retiring baby-boomer generation which will create a vacuum of experience, the increased attention of medical errors by Washington DC and the difficulty to have good work in some areas to be adopted elsewhere.

Andy then introduced the event’s keynote speaker John H. Armstrong MD FACES, State Surgeon General and & Secretary of the Florida Department of Health. Dr. Armstrong provided a brief overview of the healthcare needs of Florida to help demonstrate the often-missed identification of exploring actual patient care needs before moving into simulation. He followed that “context” should be the primary driver of healthcare education and included other challenges to simulation champions in healthcare including:

  • Ability to show relevance to quality and ROI of performance outcomes
  • Fragmented business model which was understandably driven by industry but that we have usually invested in before analyzing real needs
  • Culture of “practice on patients” is outdated yet still prevalent and questioned if this was really the best way to evaluate process

Dr. Armstrong then suggested how we can move forward:

  • Re-brand simulation to inspire quality with focus on patient outcomes
  • Develop integrated business model which works between industry, patients, and healthcare providers and focuses on public priorities
  • Focus on curriculum development which follows this pattern: explore needs assessment, define outcomes, select metrics, design instructional content, select appropriate simulator and tools, and then explore evaluation & feedback. (as opposed to starting with simulator selection and then designing instruction content).

He finalized his talk by asking us “Why do we pay 6 billion a year for a premium in inefficiency in healthcare education and training?”, reminding us that we don’t seem to all be on the “same page” in the simulation community, and that we need to reposition education and training through simulation as part of the solution to health system challenges.

Currently David Banks MSW FACHE from Florida Hospital is reminding us that the U.S. Inspector General suggested that of the hundreds of thousands of death attributed to medical error, 44% of them are preventable. Inspired yet? HEATT is lining up to be the event healthcare needs to improve its education and training.

Learn more about the HEATT program here and for more coverage, be sure to follow twitter accounts @HealthySim & @HalldaleMedia.

Still Time To Register for Cincinnati Children’s Regional Simulation Conference September 22nd & 23rd!

pediatric simulation conference

With simulation experts like Dr. Paul Phrampus and Dr. Jennifer Arnold speaking, this is a regional simulation event you don’t want to miss! Taking place next month September 22nd and 23rd, there is still plenty of time for you to register and receive CME and CEU credits from this innovative event.

But HURRY as Cincinnati Children’s 2014 Regional Simulation Conference is rapidly approaching! Their conference will be taking place at Xavier University’s Cintas Center late September for two days (22nd/23rd) and will be targeting adult and pediatric multidisciplinary healthcare providers who are using or are interested in using simulation. The event will provide a forum for the exchange of simulation strategies and innovations to enhance education, patient safety, and quality improvement through plenary sessions, interactive workshops, research, expert panels, and podium presentations. The event hosts have told me they are thrilled to offer many varied and exciting sessions around using simulation in new and innovative ways including the infamous “SimWars” competition in which 3 teams from critical care units will be competing in a simulation competition designed for fun and best-practice learning objectives.

Their keynote speaker Dr. Jennifer Arnold of TLC’s The Little Couple, as part of this conference. Dr. Arnold is a neonatologist at Texas Children’s hospital and is a well-known public figure and highly engaging and inspirational speaker. Click here to visit the event page now!

Event Course Topics Include:

“Speak English!”: Training Innovations for Best Practices in Medical Interpreting
Eloiza Domingo-Snyder, MS – Cincinnati Children’s Hospital and Medical Center

In this session the Linguistic Services and Diversity & Inclusion department will reveal a new era of training medical interpreters using simulation to provide safe and equitable environments and world-class experiences for Cincinnati Children’s patients and families.

Mirroring the Transformation of Healthcare through Simulated Experiences in an Intraprofessional Innovation Collaboratory House
Debi Sampsel – University of Cincinnati

This presentation demonstrates how thinking outside the box can create fun and engaging simulation learning environments for the community at large, the faculty, the students and the workforce team members by creating an Intraprofessional Innovation Collaboratory House where human patient simulators reside.

From the OR table to the Playset:  How Simulation built the foundation for the MCS Program at Cincinnati Children’s

Aimee Gardner CCP; Richard Owens CCP; Angela Lorts MD;  Jamie Shoemaker RN; Gary Geis MD – Cincinnati Children’s Hospital and Medical Center

This session will provide a sampler expo of MCS [Mechanical Circulatory Support] simulations that tell the story of a patient from implant of a device through discharge.  Simulations will include:  CICU Management, Discharge Family Education, Emergency Room MCS Trauma Response and EMS Response.

Actual, in situ, and in center: video assessment of multidisciplinary team performance during simulated and actual pediatric medical emergencies.
Thomaz Bittencourt Couto, MD – Cincinnati Children’s and Hospital Israelita Albert Einstein

In situ versus in center simulation-based teamwork training: a Survey of Pediatric Emergency Providers
Thomaz Bittencourt Couto, MD – Cincinnati Children’s and Hospital Israelita Albert Einstein

Interdisciplinary simulation involving intraoperative neuromonitoring for trainees
Michael Sikora, MD – Cincinnati Children’s Hospital and Medical Center

Leveraging the critical decision method and simulation-based training to accelerate resident recognition of sepsis

Gary Geis, MD – Cincinnati Children’s Hospital and Medical Center

How to Effectively Use Simulations to Develop Clinical Skills
Katie Ondo – Cincinnati Children’s Hospital and Medical Center

The participant will list, define and apply the critical elements of simulation-based education using the 12 steps for planning a simulation from the Society for Simulation in Healthcare. Participants will work collaboratively to create highly effective simulations.

Developing Leadership and Systems Thinking Through Simulation at Cincinnati Children’s Hospital Medical Center
Carol Caldwell, PhD – Cincinnati Children’s Hospital and Medical Center

This session will focus on how Cincinnati Children’s Hospital and Medical Center incorporates a leadership hospital simulation as a means to develop strategic thinking, systems thinking and business and financial acumen.

One Direction for the Newborn
Suzanne Fraiche, BSN, MSN – Cincinnati Children’s Hospital and Medical Center

This session will present the key features involved in initiating an in situ simulation program for the newborn resuscitation and stabilization in Level I and II nurseries.

Deploying New Technologies to Enhance Simulation Experiences throughout the Academic Spectrum: Nursing Undergraduate through Post Master Courses
Debi Sampsel – University of Cincinnati

This session will present how using various types of technology can enhance undergraduate and graduate students’ interactive experiences in an Intraprofessional Innovation Collaboratory simulation setting.

An innovative approach to neurological education using a standardized patient
Nichole Kelsey, BSN – Cleveland Clinic

Participants will participate in an interactive video-based simulation where they will be asked to identify the patient problem through an audience response system, followed by a small group exercise, and reflection on application to individual practice needs.

Implementation of an End of Life Simulation into the Baccalaureate Nursing Program
Gina Fieler RN,MSN – Northern Kentucky University

This presentation will discuss the simulation format, implementation into the baccalaureate program, objectives of the simulation, and evaluations of the simulation experience by students and nursing faculty.

“Sim Wars”
Cincinnati Children’s Hospital and Medical Center Staff

Witness the battle between three departments from Cincinnati Children’s Hospital and Medical Center: Trauma Services, Emergency Services/Medicine main campus, and Emergency Services/Medicine Liberty campus.

Learn more about Cincinnati Children’s Regional Simulation Conference Event!