Modern Healthcare Covers Growth of Healthcare Simulation Field

modern healthcare simulation

In the most recent addition of Modern Healthcare, the publisher covered the growing field of healthcare simulation with key interviews to help outsiders better understand the benefits of the emerging methodologies and technologies. This is a GREAT article to introduce others to the field of healthcare simulation, so be sure to share this link!

Simulation can save lives and limit patient harm by ensuring physicians young and old alike follow protocols and complete all the necessary steps in order to safely perform a procedure. In a study of 44 final-year medical students in Frankfurt, Germany, students who participated in a three-day simulation-based training course were found to have more thoroughly followed protocols for CPR and a trauma enactment in comparison to students who shadowed emergency physicians for three days. Students trained on simulators scored an average of 90% on their ability to complete steps required on a standard CPR checklist, while the other students scored 62%.

It’s not just students. Another study found that anesthesiologists who engaged in simulation-based training on how to properly wean patients from cardiopulmonary bypass performed better in real-life procedures than those who received traditional interactive seminars. Simulation-trained physicians scored over five percentage points higher when assessed two weeks later by senior staff on their ability to adequately complete necessary steps on a technical checklist. Similar results were shown five weeks after training. Researchers seeking to understand whether simulation could help improve training for ultrasound-guided central venous catheter cannulation found that 51% of simulation-trained residents were successful on the first try of cannulating a patient, as compared with the traditionally trained group’s success rate of 37%, according to a study published in the journal of the Association of American Medical Colleges.


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Medical malpractice payouts have begun climbing upward since 2012, reaching $3.9 billion in 2016. Connecticut’s payout rate per capita is among the highest in the nation. In hopes of reversing this trend and reducing risk, Connecticut-based Hartford HealthCare sought to improve simulation-based training for obstetricians, who are at a particularly high risk for malpractice suits. The health system’s Center for Education, Simulation and Innovation (CESI) developed a simulation-based training program that evaluates physician effectiveness in preventing shoulder dystocia, a high-risk labor complication in which labor is obstructed by the infant’s shoulder. The project utilized technology that measures the amount of force being applied to a simulated baby, eliminating the subjectivity of a doctor-to-doctor evaluation. “Verdicts in the state of Connecticut have been steadily increasing, with some exceeding $20 million,” said CESI Director Stephen Donahue. The device has given physicians more confidence in their abilities, and protected them from preventable risk that can result in lawsuits.

Read the full Modern Healthcare Simulation Article here!


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Global Network for Simulation Healthcare Annual Summit Meeting Brings Together Industry Leadership in Munich

GNSH logo

This week in Munich, Germany over 50 individuals representing more than 30 international organizations and 12 global corporate vendors came together for an annual summit to discuss and strategize for the improvement of the healthcare simulation industry. Member organizations included leading groups such as INACSL, SSH, IPSS, ASPiH, NPSF, NLN, SESAM, and ASPE who joined together with corporate members like Simulab, Laerdal, B-Line Medical, 3D Systems, CAE Healthcare, TellYes, and Simulaids to name a few. Halldale media (Medical Training Magazine) and HealthySimulation.com industry news reporting groups were also in attendance. This collaborative is designed to provide a dedicated space and time for these leading groups to sit down and focus not on their individual events but the global industry as a whole.

The organization presented a prototype of a healthcare simulation toolkit website, designed to help provide a how-to-guide for helping to make the business case for simulation with a searchable database of cases to help provide the evidence and resources necessary to be effective. The membership was enthusiastic about the prototype system and requested the continued developed with the hope for funded support from the commercial groups, with marketing and content creation support from the academic organizations.

Also delivered was a new branding, website, and marketing content by Lance Baily of SimGHOSTS.org & HealthySimulation.com with creative production support from Lynn Welch and Larry Boggs from EMS SimulationIQ as advised by Andy Smith from Halldale Media. This new website will launch next week so stay tuned.

Strategic industry messaging, collaborative partnerships with patient safety and other performance improvement organizations, as well as continued toolkit development content and development plans were the focus of the two and a half day event.

Stay tuned for the new GNSH website!

Summary of Product Demo Video Interviews from IMSH 2017 Trade Show Floor

imsh 2017

Hey Simulation Champions! Today we are sharing a comprehensive review of all the product demonstration interviews HealthySimulation produced exclusively from the International Meeting for Simulation in Healthcare 2017 Orlando Tradeshow floor! These videos will help you to catch up with the latest news and information about innovative new products and services entering the field of healthcare simulation, so be sure to watch them all!

Exclusive IMSH 2017 Exhibit Hall Video Interviews:

Finally, here is the HealthySim staff writeup about our favorite products from IMSH 2017!


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OSSimTech Demonstrates Hybrid Learning of 3D and Haptics Surgical Simulation with Sim-Ortho | IMSH 2017 Video Interview

open knee surgical simulator

Continuing HealthySim’s coverage of the IMSH 2017 Exhibit Tradeshow floor, today we are sharing our video interview with OSSimTech, who provide the Sim-Ortho, a virtual reality training simulator to teach and train orthopedic open-surgery. As the world’s first of its kind, the Sim-Ortho simulator offers unique possibilities to expand medical education of orthopedic surgery. Getting to test the simulator was an amazing experience as the real-time haptics push back from the hardware felt very realistic — and matched the 3D animations exactly.

The Sim-Ortho enables simulation training of complex orthopedic procedures in knee and spine surgery as well as trauma surgery. Situated in a highly realistic 3D environment with detailed imaging, the trainee practices “hands-on” in a risk-free environment. The Sim-Ortho training simulator offers haptic feed-back (applied force and resistance) and allows handling and manipulation of multiple orthopedic tools. The Sim-Ortho training simulator is leading the path in high-fidelity simulation. The company has a highly skilled multi-disciplinary team comprising engineers, doctors, programmers, developers, industrial designers as well as management professionals.

The Sim-Ortho open platform allows for these modules:

  • Knee
    • Left, right and lighter cases of total knee replacement
    • Fibial and tibial osteotomies (Open and closed wedges)
    • Tibial tubercule osteotomy
    • Unicompartmental knee replacements (Lateral, medial and patellofemoral)
  • Spine
    • Realistic use of rongeurs, pedical probe, screwdriver, bone nibbler and kerrison
    • 30 cases of spinal fusion
    • 30 cases of discectomy
    • 30 cases of laminectomy
  • Tool Handling
    • User-friendly tutorial to the Sim-Ortho
    • 15+ cases of hands-on training
    • Several tools in several environments

Recently the company posted a blog article by Dr. Niranjan Sathivel on The Power of Teamwork & Sim Efficiency:

Multidisciplinary team simulations have several benefits for the parties involved; learners, educators and the simulation centre staff. In these scenarios learners have the unique opportunity to tackle problems using a team approach, which in many ways mimic real life settings. Communicating, learning and understanding the perspective of each team member is a vital aspect for patient safety, which can be built into training scenarios.

I understand that it’s challenging for educators to collaborate and integrate goals and objectives for their individual teams, in-order to create simulation scenarios for team training. By making this happen they are able to add a whole new domain which could enhance the simulation education experience for learners. There are three benefits to the simulation centre and the staff: The first being the optimum use of the centre’s space and equipment. From my experience in the industry, I have observed that in many simulation centres, the training equipment often remain under-utilized. Bringing a multidisciplinary team for training, into one simulation theatre, sometimes provides the context for putting such equipment to use, by hybridizing simulation platforms. At this point you probably might have guessed the other two benefits. There is a positive impact on staff work flow efficiency and operational costs. Running the sessions in one simulation theatre as opposed to multiple simulation theatres can save you money and time. Read the full article here.

Custom Simulators!

Is your program looking for custom simulator solutions? OSSimTech allows you to differentiate your organization with a customized OSSimTech virtual reality training simulators– featuring your own procedures and surgical devices. As the world’s first of its kind, OSSimTech simulators offer unique possibilities to expand medical education, market your products and train your employees.

Learn more about the Ortho-Sim on the OSSimTech website today!

Swiss-Based VirtaMed Continues to Provide Cutting Edge Surgical Simulators | IMSH 2017 Video Interview with Company Founder

virtamed simulator

At IMSH 2017 HealthySim was lucky to catch VirtaMed Founder and Co-CEO Stefan Tuchschmid, PhD to get a hands on demonstration of their hybrid surgical simulators and experimental VR technologies! I had a chance to try out their HTC Vive VR demonstration and found myself inside a knee to see the anatomy up close! We look forward to seeing what VirtaMed will continue to do with VR as a means to provide the most innovative simulation training possible. Certainly, their blended hybrid approach with haptics and on-screen displays certainly provides a unique training system in the market. The company will also work with you to create custom simulators for those programs looking for specific training requirements!

VirtaMed is a multinational Swiss-based company that develops & produces highly realistic surgical simulators for medical training by surgeons who use original instruments to train in a safe environment before performing on real patients. The origins of VirtaMed date back to 2001 when a hysteroscopy simulator project in the frame of the NCCR CO-ME of the Swiss National Science Foundation involving 16 PhD students was started. At the end of the project in 2007, one student, Stefan Tuchschmid, saw a business potential and decided to found VirtaMed with his colleagues Denis Steinemann and Daniel Bachofen.

10 Reasons Why Your Program Should Consider a VirtaMed Simulator:

  1. Only one platform for multiple simulators and surgical fields: On just one platform, multiple simulators, disciplines, and specializations can be trained. For example, arthroscopy training for knee and shoulder happens on the same simulator as urology or gynecology training. The simulation platform is also expandable for other procedures in the future, for example hip, ankle, elbow, or spine.
  2. Just like the real thing: Photorealistic high-fidelity simulation in HD: Highly realistic graphics, bleeding, and fluid behavior combine to create complete virtual patient cases. Anatomic models provide the best tactile feedback possible, since the models can be manipulated like in real-life, responding to every touch.
  3. Original instruments ease transfer of skills to the OR: Adapted original instruments provide a complete simulation experience and familiarization with real surgical tools. Resectoscopes, cameras, morcellators, shavers, graspers, or punches can be used for diagnostic and operative procedures. Using original instruments for training eases the transfer of skills to the operating room.
  4. Guided training saves instruction and OR time: A special feature of VirtaMed simulators is the SimProctor. Outside views, colored hints, and ghost tools show trainees how to perform various tasks, including how to hold instruments and how to complete individual procedure steps. The SimProctor integrates the best practices with clinical knowledge from key worldwide opinion leaders into the simulation, thereby reducing instruction time led by your key personnel as well as valuable OR time.
  5. Reduced costs for surgical training: Simulators reduce your costs for disposable material during physician training. It doesn’t matter whether a physician needs 2, 20, or 200 procedures to reach proficiency, there are no additional costs involved. Also, equipment breakage costs can be reduced significantly.
  6. Fast progress on the learning curve through an endless variety of pathologies: Virtual reality simulators offer an endless variety of pathologies and anatomies based on MRI/CT data of real patients. VirtaMed simulators have been designed to cover 95% of the variability of cases in real life, which would take years of practice without simulation. Individual training courses can also be created with specific training for beginners right up to experienced physicians.
  7. Complication training in a risk-free environment: The surgeon is confronted with the same complications as in the operating room and learns how to react to challenging pathologies or intense bleeding and bad viewing conditions. Complication training on the simulator prepares for challenges on the real patient without putting anyone at risk.
  8. Objective performance feedback with helpful metrics: Objective feedback is the basis for learning. After each completed procedure, the trainee receives a feedback report with target values, including time taken, movements with the instruments, landmarks visualized, pathologies resected, and much more. The trainee can also take screenshots at any time, and a movie of the procedure is saved together with the feedback report. This allows to track improvements and to debrief procedures later on.
  9. Better quality of care and patient safety: Using the best surgical education available enhances patient safety and quality of care in general. Surgeons are much better prepared for their first time in the operating room, and have already learned how to react to complications and have a realistic understanding of the procedure before they perform on a live patient for the first time. These first time cases go better, smoother, and quicker, which makes it a better patient and physician experience.
  10. A competitive edge – boost your reputation! Virtual reality simulators for surgical training give you a competitive advantage and boost your image. Residents love to be offered state-of-the-art technology for their best possible training. If you want to be at the forefront of innovative surgical training, VirtaMed simulators are a great choice – they are the best virtual reality simulators available on the market!

Learn more on the VirtaMed website today!


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California Sim Group Supports Request for RNs to Take Clinical Performance Assessment Survey – $50 Gift Card

research for rn clinical assessment simulation

The next SoCal Simulation Collaborative meeting will be on May 12th from 8-1100 at UCLA.  Anyone interested in simulation is welcome to attend, no membership or long term commitment expected.  The meeting will be packed with interesting sim information including:

  • A presentation by our host, Dr.  Mary Ann Shinnick, PhD, ACNP entitled “Validation of “Time to Task” Performance Assessment Method in Simulation” .
  • A demonstration of the new CAE birthing manikin Lucina (118K)
  • A tour of the Sim spaces with time to explore the beautiful UCLA campus.

This message was shared by Mary to the group:

Are you an RN with at least 5 years of experience in an ICU, ER, Step Down or Telemetry Adult Unit? If so, you qualify for the study detailed below:

I am the Principal Investigator for a study entitled, “Validation of a Method to Objectively Assess Clinical Performance”. The purpose of this study is to generate anonymous videos of expert and novice nurses in order to compare clinical performance in a simulation experience using different methods of evaluation. The goal is to validate (test) an objective measure of performance in a simulation that is superior to subjective evaluations. It is hoped to lead to a better, more consistent method of evaluation for all nurses.

A copy of the IRB approved consent form is attached to this email. If you desire, I am available to meet with you to describe the study in person at a time and place which is convenient for you. If you agree to participate, you may sign the consent at that time or when you arrive for the study. Your participation in this study is voluntary. The benefits of participating include the contribution of knowledge to nursing science with comparison data on assessment methods of clinical performance in a simulation, a substitute for actual clinical performance. There are no anticipated risks to participating in the study.

Confidentiality is extremely important in this study. All of the information obtained from your participation will be kept confidential. Your consent form will be kept separate from the data and the data will be recorded in such a way that you will not be identified. The data will be available to the investigator only. It will not be available to anyone else, including employers or supervisors. Results from the research will be reported as aggregate data and there will be no identifiable features. This study has no bearing on any employment or any course at UCLA.

Your participation in the research is completely voluntary. You can choose whether to be in this study or not.  Even if you agree to participate in this study, you may withdraw your consent at any time without consequences of any kind. However, participation in this study must be done on off-work hours.

If you have any questions or concerns about the research, please feel free to contact: Mary Ann Shinnick, PhD (Principal Investigator) UCLA School of Nursing, 700 Tiverton, Los Angeles, CA  90032, (310) 794-4219.

I want to make it clear you may withdraw your consent at any time and discontinue participation in this study without penalty. You are not waiving any legal claims, rights or remedies because of your participation in this research study.  If you have questions regarding your rights as a research subject, you may contact the Office for Protection of Research Subjects, 11000 Kinross Ave, Suite 102; Box 951694; Los Angeles, CA 90095-1694; (310) 825- 7122 or email gcirb@research.ucla.edu.

You may keep the consent home for a couple of weeks and read it over or consult with family, if desired. Please do not hesitate to call or email me if you have any questions. 

Sign up for a time on May 10th at: https://doodle.com/poll/4s566pfdw9s5tze9

Once you complete a pre-test, post-test, two short, basic medical-surgical simulations (5 minutes each) and a demographic form, a Thank You of a $50 Amazon Gift Card will be awarded to you!

23rd Annual SESAM Healthcare Simulation Conference Taking Registrations for June Paris Event

simulation conference france

The SESAM 2017 Annual Meeting will offer a variety of engaging keynote lectures and state-of-the-art sessions, a powerful selection of educational workshops, and a exhibition hall providing a great opportunity to connect with exhibiting companies and observe the latest products and technology. For the first time, the meeting is being supported by the SimGHOSTS organization with technical content and discounted registrations for Sim Tech staff. As well, the fourth international SimChallenge competition for medical students will take place during the event, where teams of medical students will have a chance to compete against each other in challenging simulated clinical scenarios. Full details and program schedule available on the SESAM website.

Keynote and Plenary Speakers:

  • François Taddei – Director of the Center for Research and Interdisciplinarity
  • Vinay Nadkarni – Professor and Endowed Chair at the Children’s Hospital of Philadelphia
  • Leslie Graham – Professor, Nursing University of Ontario
  • Scott Crawford -Assistant Professor Associate Program Director Texas Tech University Health Sciences Center El Paso (President of SimGHOSTS)
  • Debra Nestel – Professor of Simulation Education in Healthcare, Monash University & Editor in Chief of Advances in Simulation

Register now for the SESAM 2017 Paris Meeting!


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University of Nebraska Medical Center Breaks Ground on $119M Davis Global Simulation and Training Center

davis simulation center

What wonderful news for the University of Nebraska healthcare program! On Monday, the University of Nebraska Medical Center held a ceremonial groundbreaking for a planned health care simulation center that will change education of students in the health professions, as well as practicing health professionals in Nebraska. The $118.9 million center, called the Dr. Edwin Davis & Dorothy Balbach Davis Global Center for Advanced Interprofessional Learning — Davis Global Center for short – will transform health care education at UNMC. The center is scheduled to open in September 2018.

As aviation simulation changed the flight industry – health care simulation will propel the training of doctors, nurses and allied health professionals into the next generation with emerging virtual and augmented reality. UNMC’s goal? To provide the highest quality of patient care and safety to improve human performance and effectiveness in health care.

The multi-level Davis Global Center at 42nd and Emile Streets in Omaha will:

  • Result in new and relevant learning methods, including the creation of 3-D/Virtual and Augmented Reality content, clinical and surgical training modules, research and development opportunities, and interprofessional learning.
  • Feature such state-of-the art technology as the iEXCEL Helix – a unique extended 280-degree curved screen creating a 2-D/3-D immersive environment; the first-of-its-kind laser-based 3-D iSpace – a five-sided virtual immersive reality environment; and a 130-seat holographic theater.
  • Form the hub of a statewide network of interconnected simulation centers for the professional development of health care providers across the state.
  • Collaborate with industry to provide new research and development opportunities.
  • Contribute to workforce development and economic growth for Nebraska, creating up to 325 well-paying jobs.
  • Generate an annual economic impact in Nebraska of approximately $40 million (Tripp Umbach study).
  • Offer specialized training opportunities in simulation technology and 3-D/Virtual and Augmented Reality content development.

The nearly 192,000-gross-square-foot center has been developed to help transform health care education from the traditional lecture-based model to embrace more “hands-on” engagement that addresses skills competencies, including teamwork. Studies show that experiential learning yields greater retention than lectures, as well as improves proficiencies. As a result, the traditional “See one, Do one, Teach one,” model will be supplemented with human patient simulators; surgical simulation; and interactive visualization technology such as head-mounted displays; 2-D interactive, touch-screen learning walls; and 3-D and Virtual Immersive Reality (VIR) environments. “Incorporating experiential learning into the curriculum is important,” said UNMC student Cindy Chou, who will graduate in May with her M.D., Ph.D. “Studies have shown that with traditional lectures, there is about a 5 percent retention rate of knowledge, whereas if you have hands-on practice or immediate application, it increases the rate up to 90 percent. So, in that sense, we really need to be doing more active learning and more practicing.”

Learn more about this wonderful new center on the UNMC website!

 

Lebanon’s LAU Medical Simulation Conference Opens in Beirut

learning in healthcare simulation lebanon

This morning at the Metropolitan Hilton in Beirut, Lebanon, the LAU Gilbert and Rose-Marie School of Medicine 3rd International Conference on Medical Education, under the patronage of His Excellency The President of The Lebanese Republic General Michel Aoun, opened with a focus on Simulation for Education and Patient Safety.

Dr. Vanda Abi Raad, MD, MHPE Associate Professor of Anesthesiology Director and Clinical Simulation Center Co-Chair of the Scientific Committee helped co-chair the event alongside SESAM President Antoine Tesniere. The event was supported by SESAM and SimGHOSTS.

Dr. René Amalberti, MD, PhD Senior Advisor of Patient Safety for Haute Autorité de Santé France provided the opening keynote “Adapting medical simulation to the rapid massive structural and organizational changes occurring in healthcare”. Dr. Amalberti is a professor of medicine, physiology, and ergonomics – who after a residency in psychiatry, joined the Air Force in 1977, and graduated in aerospace medicine, obtaining a permanent military research position in 1982. He retired with the rank of general in February 2008 and is now working part-time as Senior Advisor, Patient Safety, at the Haute Autorité de Santé.

Dr. Amalberti explained that the costs of healthcare will dramatically in the next few decades as the population continues to grow and age. For example to this audience, he reminded us that the population aged over 60 in Lebanon will more than double by 2050 to 31%. Furthermore, he explained that simulation is a perfect fit for many of the challenges that will be facing healthcare as this demand continues to increase.

  • Develop training on interfaces and distant communication among professionals
  • Provide specific training scenario on the coordination between hospitals and primary care
  • Broaden the type of professionals involved to capture the true variety of pros involve in patients journey
  • Connect the time frame of training to the patient journey
  • Improve scenarios and debriefings introducing a larger range of strategies

He explained that by optimizing strategies to adopt best practices and working conditions you can better manage risks to increase control, recover, mitigate and innovate.

Dr. Amalberti’s latest book “Safer Healthcare Strategies for the Real World” is available for download for free. The opening ceremonies continued with Antoine Tesniere, President of SESAM.

Follow @HealthySim and @SESAMSimulation for all the conference updates!

Headed to Lebanese American University Third International Conference on Medical Education

beirut simulation conference

Today HealthySimulation and SimGHOSTS founder Lance Baily is headed for the first time to Beirut Lebanon for the Third International Conference on Medical Education held at the Lebanese American University! Lance will be speaking about the future of healthcare education technology and the international growth of SimGHOSTS.org, alongside SimGHOSTS Vice President Ferooz Sekandarpoor.

Here’s a letter from Zeinat Hijazi, President of the Simulation-Based Medical Education Conference Associate Dean for Medical Education Professor of Pediatrics Gilbert and Rose-Marie Chagoury School of Medicine Lebanese American University regarding the event:

Dear Colleagues,

On behalf of the Lebanese American University Gilbert and Rose-Marie Chagoury School of Medicine, it is my great pleasure to invite you to the Third International Conference on Medical Education to be held on March 24 & 25, 2017, at the Hilton Metropolitan Hotel in Beirut and the LAU Gilbert and Rose-Marie Chagoury Health Sciences Center in Byblos, Lebanon. The theme of the conference is Simulation for Education and Patient Safety and its objectives include:

  • Addressing current challenges and innovations in Simulation-Based Medical Education
  • Promoting interprofessional collaboration practices with the purpose of ensuring patient safety
  • Encouraging networking among educators in simulation and health-related professions

This regional conference targets all educators in the health professions, hospital management & quality improvement personnel, biomedical scientists, physicians, residents, medical students, nurses, pharmacists, nutritionists, dentists, insurance companies, and bankers. The conference’s rich program will cover topics such as Simulation & Interprofessional Collaboration, Patient Safety, Art of Debriefing & Feedback, Building a Simulation Center, the Use of Standardized Patients, Hybrid Simulation, Moulage and Makeup and Technology for Simulation.

In addition, the program will include hands-on experience through workshops and roundtables led by world-renowned professionals from Australia, Canada, Denmark, France, Germany, KSA, the United States, and other leading countries in medical education. Continuing Education Credits: CME, CNE & CE are offered for this conference. We look forward to welcoming you all!

Learn more about the LAU conference event here!