Performance Analysis Results When Teaching with Simulated EHR

sim-ehr

Sharing this publication that B-Line Medical posted last week entitled Simulated Electronic Health Record (Sim-EHR) Curriculum: Teaching EHR Skills and Use of the EHR for Disease Management and Prevention (Dr. Christina E. Milano, MD, Dr. Joseph A. Hardman, MD, [...], and Dr. Frances E. Biagioli, MD) which found simulated training moderately increased student performance with placing orders and updating charts.  Eventually all aspects of healthcare training will be accomplished through simulated training, from charting to patient communication, skill practice, and everything in between.

Excerpt of the article:

“Identifying strengths and gaps in the status quo:


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In September 2012, we conducted a preliminary analysis of student score data. When comparing data for students who completed the Sim-EHR exercise early versus later in their third year, we identified modest improvement in the more experienced students’ ability to place orders and update the chart, including the allergy section and medication list. However, we found no difference between the earlier and later students’ ability to use a health maintenance tool to create routine disease screening, prevention, and management alerts. We also found no difference in performance between all of the students and incoming interns, but we had data for only a small number of interns.

Such an analysis of score data may serve as a proxy for prioritizing which EHR skills need to be explicitly taught prior to graduation. We found universally low performance among both students and interns on specific objectives related to the knowledge of disease prevention, which suggests that there may be gaps in the predoctoral curriculum relating to the use of clinical decision support tools and the identification of evidence-based prevention guidelines. During our small-group sessions, students practice manipulating commonly used online tools and guidelines such as the World Health Organization’s Fracture Risk Assessment Tool (FRAX) and the University of Edinburgh’s cardiovascular risk calculator. Potential enhancements to the Sim-EHR curriculum include placing an increased emphasis on training students to use these and other similar decision support tools in tandem with their EHR work.”

Read the full article on the The National Center for Biotechnology Website.


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SSH President Announces Passing of Dr. Abrahamson, Medical Simulation Pioneer

From Pam Jeffries, SSH President:

Dr. AbrahamsonDr. Steve Abrahamson, Pioneer in Healthcare Simulation, (1921 – 2014)

July 15, 2014: Dr. Stephen Abrahamson, a pioneer in healthcare simulation who helped to develop Sim One, the first healthcare manikin, passed away Monday, July 14. He was 93.

The path to healthcare simulation started in 1964 when Dr. Abrahamson, then Director of the Division of Research at the University of Southern CaliforniaSchool of Medicine, was challenged to use computers in the medical school. Dr. Abrahamson saw the potential to use computers to help medical school educators improve education and outcomes.  His idea that an anesthesia student could learn from data rather than using a patient was unprecedented.

A collaborative effort among engineers, physicians, researchers and educators, Sim One allowed anesthesiologists to experience life-like interaction with a computer-driven manikin. A 1967 film of Sim One brought Dr. Abrahamson’s work to the attention of national media including interviews by Time Magazine, Life Magazine and Newsweek Magazine. While Sim One made national headlines, the medical community responded negatively, doubting the value of healthcare simulation.

Dr. Abrahamson lived to see his groundbreaking work become standard and widely accepted. Today, healthcare simulation is included in training of healthcare professionals worldwide.

Some notable awards that Dr. Abrahamson had received included:

  • Samuel C Harvey Memorial Lecture Award – 1981 – American Association for Cancer Education
  • Hubbard Award 1986- National Board of Medical Examiners
  • Merrell Flair Award in Medical Education – 1992 – Association of American Medical Colleges
  • Gravenstein award – 2000 -Society for Technology in Anesthesia
  • Simulation Innovation Award -2014 – Society for Simulation in Healthcare

On behalf of SSH and those within the simulation community, we want to express our condolences to the Abrahamsons family and friends.  The Society for Simulation in Healthcare is so pleased to have honored Dr. Abrahamson last year at IMSH in San Francisco.  Personal notes and condolences can be sent to Phil Abrahamson (pabrahamson46@yahoo.com), son of Dr. Abrahamson, who accepted his father’s award last January.


Shown here is the interview which played at IMSH 2014 between Dr. Abrahamson and Dr. Gaba, which highlighted Steve’s amazing story about building SimONE:


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Mount Sinai “Director of Simulation Education” Featured Job Listing

simulation job new york

Institution: Mount Sinai

Job Title: Director of Simulation Education
Job Location: NY

Careers at Mount Sinai: The Possibilities are Limitless Join our extraordinary new world of health care At the Mount Sinai Health System, our passion for excellence and entrepreneurial spirit is providing patients with the best care possible through groundbreaking research, advanced biomedical education and compassionate patient care. Mount Sinai St. Luke’s and Mount Sinai Roosevelt, member hospitals of the Health System, are driven by a shared purpose to heal, teach and advance medicine for the benefit of our local neighbors and global community.

In regards to clinical Quality, Research & Education, people from all walks of life have benefited from the learning and medical discoveries pioneered at our hospitals. We offer a wealth of career opportunities to work with outstanding multidisciplinary clinical research teams, alongside physicians and MDs/PhDs at our highly regarded medical research institutes, centers, laboratories and other member hospitals.

We currently have an opportunity for a Director of Simulation Education to join our interdisciplinary team.

What We Offer:

  • A state-of-the-art Simulation Center with three training labs developed in 2007 that features sophisticated audiovisual (A/V) equipment & several cameras located in various positions to capture accurate and detailed images of all events recorded in the Simulation Lab
  • Several high-fidelity manikins and other task trainers and virtual simulators
  • Designated faculty and simulation center staff with years of experience and a strong commitment to high quality teaching and patient safety
  • An environment that promotes research in quality improvement and patient safety by leveraging technology, education and innovation

What You’ll Do:

  • Spearhead the development, implementation and evaluation of educational programming, and oversee and provide guidance for educational research projects at the Center for Advanced Medical Simulation (CAMS)
  • Promote excellence in teaching through respectful behavior, role modeling and serving as a simulation mentor to clinicians, staff and management team
  • Conduct research in simulation education, as well as collaborate with multidisciplinary faculty to develop innovative research in education including design of study protocol, identification of funding sources, assistance with collection and analysis of data, and reporting results of research projects
  • Work with the CAMS Director and leadership to provide short- and long-range comprehensive strategic and operational planning in support of the center and to refine priorities and implement policies, procedures and practice standards consistent with the mission and educational objectives of the center.

What You Need:

  • Master’s Degree in Education
  • 2 years of experience in simulation (preferred) • Experience in healthcare, higher education will be considered • Demonstrated leadership abilities and exceptional analytical and problem solving skills.

Post and Read More on the HealthySim Medical Simulation Jobs Page

Learn More About this Position at: http://www.wehealny-employment.com/

University of Queensland Simulates Time Travel

simulating time travel

As an interesting aside from medical simulation, Engadget covered the recent publication from University of Queensland faculty on their experimental simulation of time travel. We cover this and similar stories from time to time to point out the increased utilization of simulations in a multitude of disciplines to better convey that simulation is becoming the reality of the future. Take for example, our articles on Simulating the Universe, Simulated Training in Industrial Plants, or the 3D Environment Simulation Possibilities with the Oculus Rift.

Engadget’s Take:

We may never see practical time travel in our lifetimes, if it’s possible at all. However, a team at the University of Queensland has given the Doc Browns of the world a faint glimmer of hope by simulating time travel on a very, very small scale. Their study used individual photons to replicate a quantum particle traveling through a space-time loop (like the one you see above) to arrive where and when it began. Since these particles are inherently uncertain, there wasn’t room for the paradoxes that normally thwart this sort of research. The particle couldn’t destroy itself before it went on its journey, for example.

As you might have gathered from the “simulation” term, sci-fi isn’t about to become reality just yet. The scientists haven’t actually warped through time — they’ve only shown how it can work.

From the Abstract Posted on Nature.com: “Experimental simulation of closed timelike curves:

Closed timelike curves are among the most controversial features of modern physics. As legitimate solutions to Einstein’s field equations, they allow for time travel, which instinctively seems paradoxical. However, in the quantum regime these paradoxes can be resolved, leaving closed timelike curves consistent with relativity. The study of these systems therefore provides valuable insight into nonlinearities and the emergence of causal structures in quantum mechanics—essential for any formulation of a quantum theory of gravity. Here we experimentally simulate the nonlinear behaviour of a qubit interacting unitarily with an older version of itself, addressing some of the fascinating effects that arise in systems traversing a closed timelike curve. These include perfect discrimination of non-orthogonal states and, most intriguingly, the ability to distinguish nominally equivalent ways of preparing pure quantum states. Finally, we examine the dependence of these effects on the initial qubit state, the form of the unitary interaction and the influence of decoherence.

Have a similar interest story of simulation succeeding in other industries? Email us and we’ll share it!


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Simulation Programs Continue to Gain Regional News Attention

news in medical simulation

From time to time we like to share the latest updates regarding new simulation centers and local news coverage of expanding healthcare simulation programs. Here’s a look at a handful of the latest stories that cover medical simulation programs popping up around the world:

Have some news you’d like to share with the international medical simulation community? Email us!

If you are looking to bring in local media to your simulation program, check out my article on “Start the Presses – How to Bring News Agencies to Your Sim Program“.

Watch $150 HealthySimAdmin Session “Increasing Simulation Program Utilization” For Free This Week Only!

healthy sim admin

This week we are sharing another session from HealthySimAdmin.com, which was a 2 day HD-recorded event produced at the University of Nevada Las Vegas School of Nursing addressing the how-to of medical simulation program administration. In this session, Corporate IT Director at Baptist Health South Florida and Treasurer for the Society for Simulation in Healthcare, Allen Giannakopoulos, PhD covers the state of management principles in administration of a medical simulation program and gives crucial tips on how to improve your operations. His talk is then followed by a panel discussion by a dynamic range of medical simulation program administrators from nursing schools, medical schools, EMS programs, military divisions, hospitals and consultants. This 2-hour session is being provided for free for the next seven days only — so take advantage of it now before it goes behind closed doors again!

LINK REMOVED – VIDEO NO LONGER AVAILABLE

HealthySimAdmin was the world’s first broadcasted event providing an open and online discussion to share administrative solutions for the “how to” of medical simulation. During the live taping, more than 105 simulation program administrators from around the world participated in-person or online with the HealthySimAdmin panel of sim lab management experts from hospital, military, community college and university nursing programs, medical schools, EMS providers as well as medical simulation consultant groups to cover eight community-selected topics which included: Collaborative simulation program development, Funding sources & models, Faculty/educator buy-in, Research coordination, Daily operations, IT issues & support, Increasing utilization & Business development!

“Increasing Utilization”: How do you convince higher administration that your medical simulation program deserves additional funding, space, equipment and staff? How do you continue to increase services without frustrating staff or denying simulation champions? Allen Giannakopoulos, PhD shares with us how to expand simulation beyond the original scope of the program considering needs such as space, scheduling complications, financial support, technology issues, hiring new staff and more. Allen will then be joined by the HealthySimAdmin panel of experts to discuss how to increase usage in your simulation program, track and analyze statistical data to help gain additional support, modifying and transforming scheduling and procedural policies, overcoming resistance to program evolution as well as the differences in strategy necessary for short vs. long-term simulation program expansion. Audience question and answer period to follow lecture and panel discussion. With this session we will learn how to successfully grow a medical simulation lab program through various stages of development.

Session Presentation Lead By:

Allen J. Giannakopoulos, Ph.D.
Corporate Director IT Process Reengineering & Operational Process Support;
Knowledge Reports Development and Client Advocacy
Baptist Health South Florida
& SSH Treasurer

Allen J. Giannakopoulos, Ph.D. is the Corporate Director for Reengineering and Redesign at Baptist Health South Florida in Miami, Florida. His duties include computer simulation of processes and scheduled events in clinical and business departments.  Dr. Giannakopoulos earned his academic credentials from the State University of New York in Brockport, BS in Business; University of Rochester, MBA in Business and Marketing; and his Ph.D. in Health Administration from Kennedy –Western in Sacramento.Dr. Giannakopoulos been published in over 50 health care journals and publications and has been a featured speaker and presenter over the past twenty years in health care, quality improvement, and simulation.Dr. Giannakopoulos has been working with computer modeling and simulations since the 1990’s, when basic tools were created.  Today, the most advanced computer simulation tools are used to mimic clinical processes and provide clinicians with information on how to view the patient experience as a whole, in addition to analyzing specific parts. Dr. Giannakopoulos worked with SSiH to survey members on their experiences in order to ascertain what the best practices are in creating, building, and sustaining a simulation center. This body of knowledge continues to be built for the benefit of organizations that are looking to construct their simulation center.

HealthySimAdmin Was Sponsored By:

UNLV School of Nursing

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pocket nurse

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Last Chance to Register for Simulation Technology Training Event with $50 Off Code

simghosts logo

Join 175 other champions of simulation technology for the 4th Annual SimGHOSTS hands-on technical training event at the American College of Chest Physicians, August 5th-8th in Greater Chicago, IL! CHEST has recently opened their amazing new Innovation, Simulation and Training Center which will be host to this year’s USA event. 

REGISTER NOW BEFORE TICKETS SELL OUT!

Don’t miss out on this once a year opportunity to receive beginner, intermediate and advanced training in a dynamic range of medical simulation technology operation courses including:

  • Manikin hardware repair & preventive maintenance (all major brands)
  • Manikin programming
  • A/V recording system design & build-out
  • IT infrastructure and debugging
  • Inventory control management systems
  • Trauma moulage
  • Video and audio production
  • Sim lab “DIY” innovations
  • Basic medical knowledge for non-healthcare techs
  • Sim center building development
  • Building your own task trainer
  • Professional simulation tech development workshops
  • Many many more…

american college of chest physicians

Download the Latest #SG14USA Brochure Here

Sim Techs from as far away as Australia, the United Kingdom and Saudi Arabia have already booked their flights! Join them at fun networking events like the Opening Reception at PinStripes Bowling hosted by Platinum Sponsor Level 3 Medical. In the exhibit room, tour the latest technology from 15 of the world’s leading medical simulation vendors including B-Line Medical, Laerdal, Worldpoint, CAE Healthcare and Gaumard.

Use the Unique Discount Code “healthysim” to receive $50 off your late registration!

Learn more at the SimGHOSTS 2014 USA Homepage!

Breaking: Veterans Affairs SimLEARN to Build New $19.8M Medical City Simulation Center

veterans affairs simulation

Dr. Haru Okuda National Medical Director at SimLEARN at Veterans Health Administration must be pleased to announce that a $19.8 million contract to build a new simulation center building. The rendering above shows off what the new facility will look like, which is slated to be within the Medical City area of Orlando, FL. Congratulations to the SimLearn team!

From the July 10th Official Press Release:

ORLANDO, Florida – The Department of Veterans Affairs awarded Chicago-based Archer Western/DeMaria Joint Venture VIII a $19.8 million contract June 27 to build the VA Simulation, Learning, Education and Research Network (SimLEARN) National Simulation Center.

The center, to be located on the campus of the new Orlando VA Medical Center in the Lake Nona “Medical City” area, will serve as the operational hub for coordination of all national VA simulation-based clinical training activities. The SimLEARN program utilizes a train-the-trainer model to quickly and efficiently prepare a cadre of qualified instructors who can in turn deliver world-class simulation- based clinical training at their respective field VA sites, using standardized curricula and equipment. The facility will provide an immersive training environment by replicating actual patient treatment areas, including an outpatient clinic setting, an inpatient/hospital setting with an intensive care unit, an operating room and more. Video recording of training will take place for classroom review, and multipurpose classrooms will have reconfigurable walls to provide a number of room settings.

The location of the National Simulation Center, with its close proximity to other large clinical, educational and research facilities will provide enhanced opportunities for collaborations and research in new clinical simulation technologies and methods. SimLEARN is a national program for advancing clinical simulation training, education and research across VHA. The program is a collaborative effort of VHA’s Employee Education System, Office of Patient Care Services and Office of Nursing Services program offices. 

Learn more about the new building and this amazing program at www.simlearn.va.gov!


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August 22nd-24th Healthcare Education Assessment Training & Technology (HEATT) Conference EXTENDS Early-Bird Rates!

After the SimGHOSTS 2014 USA (August 5th-8th) simulation technician training event, I will be speaking at HEATT 2014 alongside SimGHOSTS President James Cypert on the topic of ‘technician’s behind the technology’. If you are a healthcare educator, administrator, innovator or entrepreneur, I highly recommend this new unique learning event, put on by groups that leaders in aviation simulation training conferences worldwide! Best of all, I heard this morning that early-bird registration has been extended so you can still sign up for a discounted rate!

Act Now! Early-bird rates for this year’s Healthcare Education Assessment Training & Technology (HEATT) Conference HAVE BEEN EXTENDED – REGISTER TODAY!

Human performance is the single most important contributor to quality (and safety). Regardless of the spend on buildings, equipment, catering and the countless other contributors to ‘quality,’ whenever carers are not trained adequately standards of work could decline and all other investment is wasted. HEATT 2014 has a strong three-day program addressing the need for a renaissance in healthcare training, taking a closer look at modern education and training techniques, including simulation, that can make a huge difference to safety as it has in other high risk industries.

Discussion topics include:

  • The Business of Healthcare
  • The Future of Healthcare
  • Intersections: Healthcare Innovation through Simulation and Engineering
  • The Curricula Revolution in Medical Schools
  • Developing a Nurse Practitioner Simulation Program
  • Graduate Medical Education Federal Funding: CMS and HRSA
  • Surgical Simulation
  • How Can Simulation Centers Transform Healthcare?
  • Fundamentals of Robotic Surgery Curriculum Development
  • Using Audio-Based Simulation to Impact Kirkpatrick Level 4 Learning Results
  • And much more!

To view the complete program and a list of confirmed speakers click here.

heatt

REGISTER NOW AND SEE YOU THERE!

 

A History of Virtual Reality

history of virtual reality

An interesting article caught my attention today covering a history of Virtual Reality. While we love the modern advancements of simulation technology in healthcare – we should reflect on the long history of virtual reality that has lead us to this recent adoption of technologies heavily utilized by other industries like aviation. Check out this snippet from a new article from RedOrbit entitled The History of Virtual Reality:

“Today, VR technology is big business in many areas of the tech, medical and military community. However, the technology is not a new one, as the term can trace its roots back more than a century. In fact, the first mention of virtual reality can be traced back to the 1860s, when 360-degree art via panoramic murals began to appear. While this may be a very archaic description of the term virtual reality, the future of the technology only gets better.

Simulators, which today are almost everywhere, were introduced in the 1920s. Early vehicle simulators may have helped bring about more futuristic systems that now include flight simulators, golfing simulators, spacecraft simulators, as well as simulation-based video gaming. In fact, Thomas A. Furness III would develop the first visual flight simulator for the US Air Force in 1966.”

More on this topic: