Title: Human Factors and Online Learning

2

June 2012

Welcome to the June bulletin on Simulation being produced by the HEFT Library Services. This bulletin is produced to support Simulation training carried out in the Harry Hollier Simulation Centre at Good Hope. This issue will highlight evidence published in the previous 4 weeks. Full text articles can be accessed via your HEFT Athens ID.

Human factors

Title: Human factors and online learning.

Citation: Nursing Standard, May 2012, vol. 26, no. 36, p. 35-37, 0029-6570 (May 9, 2012)

Author(s): Scrivener, Ross, Brown, Rosie

Abstract: Description of action mapping, a method of developing online education materials on the effect of human factors on patient safety. Its use by the RCN to create an online patient safety course is described

Full Text: Available in fulltext at EBSCOhost Available in fulltext at ProQuest

Title: Human factors and operating room safety.

Citation: Surgical Clinics of North America, February 2012, vol./is. 92/1(21-35), 0039-6109;1558-3171 (2012 Feb) Author(s): ElBardissi AW, Sundt TM

Abstract: A human factors model is used to highlight the nature of many systems factors that affect surgical performance, including the OR environment, teamwork and communication, technology and equipment, tasks and workload factors, and organizational variables.

Full Text:Available in fulltext at MD Consult; Note: You will need to register (free of charge) with MD Consult the first time you use it.

Medical errors and patient safety

Title: Patient safety and medical errors: Knowledge, attitudes and behavior among Italian hospital physicians

Citation: International Journal for Quality in Health Care, June 2012, vol./is. 24/3(258-265), 1353-4505;1464-3677 (June 2012) Author(s): Flotta D., Rizza P., Bianco A., Pileggi C., Pavia M.

Abstract: To investigate physicians' knowledge about evidence-based patient safety practices, their attitudes on preventing and managing medical errors and to explore physicians' behavior when facing medical errors.

Title: Improving patient safety after solid organ transplantation: A focused approach to prevent medication errors

Citation: American Journal of Transplantation, May 2012, vol./is. 12/(521), 1600-6135 (May 2012) Author(s): Musgrave C., Pilch N., Taber D., Meadows H., McGillicudy J., Baliga P., Chavin K.

Abstract: Solid organ transplant (SOT) recipients undergo major surgery followed by a short hospital stay which includes the introduction of multiple new medications. The goal of this study was to evaluate the rate and severity of medication errors during the discharge process to determine if the addition of SOT PharmD verification could improve patient outcomes.

Title: Twenty-four-hour intensivist staffing in teaching hospitals: Tensions between safety today and safety tomorrow

Citation: Chest, May 2012, vol./is. 141/5(1315-1320), 0012-3692;1931-3543 (May 2012)

Author(s): Kerlin M.P., Halpern S.D.

Abstract: In this article, we discuss the potential benefits and risks of nocturnal intensivist staffing, considering the needs of current and future patients. Furthermore, we suggest that there remains sufficient uncertainty about these benefits and risks that it is both necessary and ethical to study the effects in earnest.

Full Text: Available in fulltext at MD Consult; Note: You will need to register (free of charge) with MD Consult the first time you use it.

Title: Crew resource management: Using aviation techniques to improve operating room safety

Citation: Aviation Space and Environmental Medicine, April 2012, vol./is. 83/4(441-444), 0095-6562 (April 2012) Author(s): Ricci M.A., Brumsted J.R.

Abstract: Since the publication of the Institute of Medicine report estimating nearly 100,000 deaths per year from medical errors, hospitals and physicians have a renewed focus upon error reduction. The authors implemented a surgical crew resource management (CRM) program for all operating room (OR) personnel.

Title: Patient Safety in Surgical Oncology. Perspective From the Operating Room

Citation: Surgical Oncology Clinics of North America, July 2012, vol./is. 21/3(467-478), 1055-3207;1558-5042 (July 2012) Author(s): Hu Y.-Y., Greenberg C.C.

Abstract: This article reviews models of error and resilience as delineated by human factors experts, correlating them to OR performance. Existing methodologies for studying intraoperative safety are then outlined, focusing on video-based observational research. Finally, specific human and system factors examined in the OR are detailed.

Title: Catching and correcting near misses: the collective vigilance and individual accountability trade-off

Citation: Journal of interprofessional care, March 2012, vol./is. 26/2(121-126), 1469-9567 (Mar 2012) Author(s): Jeffs L.P., Lingard L., Berta W., Baker G.R.

Abstract: A constructivist grounded theory approach was employed for this study which included semi-structured interviews with 24 participants in a large teaching hospital in Canada. Findings from this study provide a deeper understanding into how different clinicians experience and respond to near misses in clinical practice.

Title: Reducing outpatient chemotherapy order errors: Using the quality improvement process to enhance patient safety

Citation: Gynecologic Oncology, March 2012, vol./is. 125/(S69-S70), 0090-8258 (March 2012) Author(s): Smith J., Spinks T., Garcia E., Levenback C.

Abstract: This research effort was sought to enhance patient safety and the overall quality of patient care outcomes in gynecologic oncology by improving the chemotherapy order process.

Title: Cognitive interventions to reduce diagnostic error: a narrative review.

Citation: BMJ Quality & Safety, July 2012, vol./is. 21/7(535-57), 2044-5415;2044-5423 (2012 Jul) Author(s): Graber ML, Kissam S, Payne VL, Meyer AN, Sorensen A, Lenfestey N, Tant E, Henriksen K, Labresh K, Singh H

Abstract: BACKGROUND: Errors in clinical reasoning occur in most cases in which the diagnosis is missed, delayed or wrong. The goal of this review was to identify interventions that might reduce the likelihood of these cognitive errors.

Full Text: Available in fulltext at Highwire Press

Title: Development of an evidence-based framework of factors contributing to patient safety incidents in hospital settings: a systematic review.

Citation: BMJ Quality & Safety, May 2012, vol./is. 21/5(369-80), 2044-5415;2044-5423 (2012 May) Author(s): Lawton R, McEachan RR, Giles SJ, Sirriyeh R, Watt IS, Wright J

Abstract: The aim of this systematic review was to develop a 'contributory factors framework' from a synthesis of empirical work which summarises factors contributing to patient safety incidents in hospital settings.

Full Text: Available in fulltext at Highwire Press

Title: Error disclosure: a new domain for safety culture assessment.

Citation: BMJ Quality & Safety, July 2012, vol./is. 21/7(594-9), 2044-5415;2044-5423 (2012 Jul) Author(s): Etchegaray JM, Gallagher TH, Bell SK, Dunlap B, Thomas EJ

Abstract: The objective was to (1) develop and test survey items that measure error disclosure culture, (2) examine relationships among error disclosure culture, teamwork culture and safety culture and (3) establish predictive validity for survey items measuring error disclosure culture.

Full Text: Available in fulltext at Highwire Press

Title: Nature and timing of incidents intercepted by the SURPASS checklist in surgical patients.

Citation: BMJ Quality & Safety, June 2012, vol./is. 21/6(503-8), 2044-5415;2044-5423 (2012 Jun) Author(s): de Vries EN, Prins HA, Bennink MC, Neijenhuis P, van Stijn I, van Helden SH, van Putten MA, Smorenburg SM, Gouma DJ, Boermeester MA

Abstract: This study aimed to assess the number, nature and timing of incidents intercepted by use of the Surgical Patient Safety System (SURPASS) checklist, a patient-specific multidisciplinary checklist that covers the entire surgical patient pathway.

Full Text: Available in fulltext at Highwire Press

Medical debriefing

Title: The Effectiveness of Video-Assisted Debriefing Versus Oral Debriefing Alone at Improving Neonatal Resuscitation Performance: A Randomized Trial

Citation: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare:

POST AUTHOR CORRECTIONS, 5 June 2012 –Epub. Author(s): Sawyer, Taylor DO, MEd; Sierocka-Castaneda, Agnes MD; Chan, Debora PharmD; Berg, Benjamin MD; Lustik, Mike MS; Thompson, Mark MD

Abstract: The objective of this study was to compare the effectiveness of video-assisted debriefing to oral debriefing alone at improving performance in neonatal resuscitation.

Full Text: Available in Print from Harry Hollier Simulation Centre

Title: Debriefing olympics-a workshop concept to stimulate the adaptation of debriefings to learning contexts.
Citation: Simulation in Healthcare: The Journal of The Society for Medical Simulation, June 2012, vol./is. 7/3(176-82), 1559-2332;1559-713X (2012 Jun) Author(s): Dieckmann P
Abstract: Debriefing is important in simulation-based education but rarely studied empirically. In this article, the author describes an experience-based workshop concept that was tested with approximately 80 participants during the Annual Meeting of the Society in Europe for Simulation Applied to Medicine (SESAM), June 2 to 4, 2011, in Granada, Spain. On a metalevel, the goal of the workshop was to raise the awareness of debriefing as an important part of simulation-based learning and to increase the awareness about different styles of debriefing-possibly stimulating further investigations of debriefings.
Full Text: Available in Print from Harry Hollier Simulation Centre
Title: Surfacing safety hazards using standardized operating room briefings and debriefings at a large regional medical centre.
Author: Bandari, J. ; Schumacher, K. ; Simon, M.
Citation: Reference: Joint Commission journal on quality and patient safety Vol 38 Iss 4, April 2012, p.154-160
Abstract: Investigated the use of briefings and debriefings to reduce surgical defects in the operating rooms of a large medical centre. A survey analysing the effectiveness of the programme found that 87 per cent of respondents believed that briefings were effective and 76 per cent believed debriefings were effective.

Simulation and medical training

Title: Research priorities in surgical simulation for the 21st century.

Citation: American Journal of Surgery, January 2012, vol./is. 203/1(49-53), 0002-9610;1879-1883 (2012 Jan)Author(s): Stefanidis D, Arora S, Parrack DM, Hamad GG, Capella J, Grantcharov T, Urbach DR, Scott DJ, Jones DB, Association for Surgical Education Simulation Committee

Abstract: BACKGROUND: Despite tremendous growth, research in surgical simulation remains uncoordinated and unfocused. The objective of this study was to develop research priorities for surgical simulation.

Full Text: Available in fulltext at MD Consult; Note: You will need to register (free of charge) with MD Consult the first time you use it.

Title: A virtual-reality subtotal tonsillectomy simulator

Citation: Journal of Laryngology and Otology, July 2012, vol./is. 126/SUPPL. 2(S8-S13), 0022-2151;1748-5460 (July 2012) Author(s): Ruthenbeck G.S., Tan S.B., Carney A.S., Hobson J.C., Reynolds K.J.

Abstract: To develop a virtual-reality subtotal tonsillectomy simulation for surgical training.

Title: Evaluation of hands-on training in colonoscopy: Is a computer-based simulator useful?

Citation: Digestive and Liver Disease, July 2012, vol./is. 44/7(580-584), 1590-8658;1878-3562 (July 2012) Author(s): Elvevi A., Cantu P., Maconi G., Conte D., Penagini R.

Abstract: The advantages of using a computer-based simulator during colonoscopy training are debated. We aimed to explore its usefulness in objectively measuring trainees' competence in colonoscopy.

Title: Republished: Simulation training improves ability to manage medical emergencies

Citation: Postgraduate Medical Journal, June 2012, vol./is. 88/1040(312-316), 0032-5473;1469-0756 (June 2012) Author(s): Ruesseler M., Weinlich M., Muller M.P., Byhahn C., Marzi I., Walcher F.

Abstract: This study determines the effect of a simulation-based curriculum in emergency medicine on students' abilities to manage emergency situations.

Full Text: Available in fulltext at Highwire Press

Title: Can virtual reality simulation help to determine the importance of stereopsis in intraocular surgery?.

Citation: British Journal of Ophthalmology, May 2012, vol./is. 96/5(742-6), 0007-1161;1468-2079 (2012 May) Author(s): Waqar S, Williams O, Park J, Modi N, Kersey T, Sleep T

Abstract: To establish the effect of acute loss of stereopsis on simulated intraocular surgical performance.

Full Text: Available in fulltext at Highwire Press

Title: Simulation-based learning in cardiovascular medicine: benefits for the trainee, the trained and the patient.

Citation: Heart, April 2012, vol./is. 98/7(527-8), 1355-6037;1468-201X (2012 Apr)

Full Text: Available in fulltext at Highwire Press

Title: Ain't nothing like the real thing? Simulators in endoscopy training.

Citation: Gastrointestinal Endoscopy, February 2012, vol./is. 75/2(261-2), 0016-5107;1097-6779 (2012 Feb) Author(s): Aslanian HR

Full Text: Available in fulltext at MD Consult; Note: You will need to register (free of charge) with MD Consult the first time you use it.

Title: Linking six sigma to simulation : a new roadmap to improve the quality of patient care.
Author: Celano, G. ; Costa, A. ; Fichera, S. Citation: Reference: International journal of health care quality assurance Vol 25
Iss 4, 2012, p.234-273
Abstract: Presents a new approach that uses discrete-event simulation as a decision tool in the management of six sigma quality improvement projects.

Title: Comparing Effectiveness of 3 Learning Strategies: Simulation-Based Learning, Problem-Based Learning, and Standardized Patients

Author(s): Smithburger, Pamela L. PharmD, BCPS; Kane-Gill, Sandra L. PharmD, MSc, FCCM, FCCP; Ruby, Christine M. PharmD, BCPS, FASCP; Seybert, Amy L. PharmD, FASHP, FCCP
Citation: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare:
June 2012 - Volume 7 - Issue 3 - p 141–146
Abstract: Curricula must not only provide students with knowledge but also foster the development of critical thinking and reasoning skills. Several learning strategies, including problem-based learning (PBL), standardized patients, and high-fidelity human simulation, have been incorporated into courses; however, it is currently unknown which technique is the most effective.
Full Text: Available in Print from Harry Hollier Simulation Centre

Title: A novel approach to contextualized surgical simulation training.

Citation: Simulation in Healthcare: The Journal of The Society for Medical Simulation, June 2012, vol./is. 7/3(155-61), 1559-2332;1559-713X (2012 Jun) Author(s): Kassab E, Kyaw Tun J, Kneebone RL

Abstract: This study explored the concept of contextualized training of a key surgical procedure in a novel, low-cost, high-fidelity simulation environment [distributed simulation (DS)] and compared it with decontextualized training in a traditional benchtop simulation.

Full Text: Available in Print from Harry Hollier Simulation Centre

Title: Recent trends in simulation for obstetric anesthesia

Citation: Current Opinion in Anaesthesiology, June 2012, vol./is. 25/3(271-276), 0952-7907;1473-6500 (June 2012) Author(s): Pratt S.D.

Abstract: Simulation in obstetric anesthesia can be divided into four broad uses: technical skills, nontechnical or teamwork skills, individual clinical competence, and the safety of the clinical environment. This review will describe recent trends in the use of simulation in several of these categories.

Title: Residents' perspectives of the value of a simulation curriculum in a general surgery residency program: A multimethod study of stakeholder feedback

Citation: Surgery (United States), June 2012, vol./is. 151/6(815-821), 0039-6060;1532-7361 (June 2012) Author(s): Wehbe-Janek H., Colbert C.Y., Govednik-Horny C., White B.A.A., Thomas S., Shabahang M.

Abstract: The purpose of this multimethod study was to explore residents' perceptions of simulation within surgical residency as relevant stakeholder feedback and program evaluation of the surgery simulation curriculum.