Articles

Challenges to the implementation of in situ simulation at HEMS bases: a qualitative study of facilitators’ expectations and strategies

Facilitators play an essential role in simulation-based training on helicopter emergency medical services (HEMS) bases. There is scant literature about the barriers to the implementation of simulation training...

Authors: Per P. Bredmose, Doris Østergaard and Stephen Sollid

Characterization of simulation centers and programs in Latin America according to the ASPIRE and SSH quality criteria

Latin American clinical simulation has had an important development; there are no studies that characterize simulation centers and programs in the entire region. The aims of this work are to characterize the c...

Authors: Soledad Armijo-Rivera, Felipe Machuca-Contreras, Norma Raul, Saionara Nunes de Oliveira, Ismael Ballesteros Mendoza, Héctor Shibao Miyasato and Diego Andrés Díaz-Guio

Perspectives of engagement in distance debriefings

The COVID-19 pandemic propelled remote simulation and online distance debriefings. Like in-person debriefings, educators seek to facilitate reflective learning conversations, yet, in the online setting, educat...

Authors: Cynthia J. Mosher, Alex Morton and Janice C. Palaganas

Getting everyone to the table: exploring everyday and everynight work to consider ‘latent social threats’ through interprofessional tabletop simulation

In this methodological intersection article, we describe how we developed a new variation of the established tabletop simulation modality, inspired by institutional ethnography (IE)-informed principles. We aim...

Authors: Ryan Brydges, Lori Nemoy, Stella Ng, Nazanin Khodadoust, Christine Léger, Kristen Sampson and Douglas M. Campbell

Selected abstracts from the 2021 simulation summit

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The Code Silver Exercise: a low-cost simulation alternative to prepare hospitals for an active shooter event

Mass-shooting incidents have been increasing in recent years and Code Silver—the hospital response to a person with a weapon such as an active shooter in many Provinces or States in North America—is quickly sh...

Authors: Julie J. Kim, Daniel Howes, Chantal Forristal and Andrew Willmore

Obstetric neonatal emergency simulation workshops in remote and regional South India: a qualitative evaluation

Healthcare facilities in remote locations with poor access to a referral centre have a high likelihood of health workers needing to manage emergencies with limited support. Obstetric and neonatal clinical trai...

Authors: Bella Zhong, Mahbub Sarkar, Nandakumar Menon, Shylaja Devi, Jayaram K. Budanoor, Naresh Beerappa, Atul Malhotra and Arunaz Kumar

Dynamic Plus-Delta: an agile debriefing approach centred around variable participant, faculty and contextual factors

The current coronavirus pandemic has necessitated rapid intensive care infrastructure expansion with corresponding demand for training healthcare staff. At the NHS Nightingale Hospital, London, the staff under...

Authors: Ranjev Kainth

Correction to: An empirical model for educational simulation of cervical dilation in first stage labor

Authors: Silvano R. Gefferie, Anouk W. J. Scholten, Kim A. E. Wijlens, M. Luísa Ferreira Bastos, M. Beatrijs van der Hout-van der Jagt, Hans Zwart and Willem L. van Meurs

Is simulation-based team training performed by personnel in accordance with the INACSL Standards of Best Practice: Simulation^SM?—a qualitative interview study

Anesthesia personnel was among the first to implement simulation and team training including non-technical skills (NTS) in the field of healthcare. Within anesthesia practice, NTS are critically important in p...

Authors: Anne Strand Finstad, Randi Ballangrud, Ingunn Aase, Torben Wisborg, Luis Georg Romundstad and Conrad Arnfinn Bjørshol

Clinical debriefing during the COVID-19 pandemic: hurdles and opportunities for healthcare teams

The COVID-19 pandemic and the subsequent pressures on healthcare staff and resources have exacerbated the need for clinical teams to reflect and learn from workplace experiences. Surges in critically ill patie...

Authors: Jody L. Stafford, Esther Leon-Castelao, Albert J. Klein Ikkink, Sigrun A. Qvindesland, Munt Garcia-Font, Demian Szyld and Cristina Diaz-Navarro

Exploring transformative learning for trainee pharmacists through interprofessional simulation: a constructivist interview study

The expanding roles of UK pharmacists have prompted substantial changes to the initial pharmacy education and training, including increasing recognition of the value of learning alongside other professional gr...

Authors: Victoria R. Tallentire, Joanne Kerins, Scott McColgan-Smith, Ailsa Power, Fiona Stewart and Julie Mardon

Online-synchronized clinical simulation: an efficient teaching-learning option for the COVID-19 pandemic time and: beyond

Face-to-face clinical simulation has been a powerful methodology for teaching, learning, and research, and has positioned itself in health science education. However, due to the COVID-19 pandemic, social dista...

Authors: Diego Andrés Díaz-Guio, Elena Ríos-Barrientos, Pablo Andrés Santillán-Roldan, Santiago Mora-Martinez, Ana Sofía Díaz-Gómez, Joel Alejandro Martínez-Elizondo, Adrián Barrientos-Aguiñaga, Maria Nathalie Arroyo-Romero, Alejandra Ricardo-Zapata and Alfonso J. Rodríguez-Morales

Optimising frontline learning and engagement between consultant-led neonatal teams in the West Midlands: a survey on the utility of an augmented simulation training technique

In England, neonatal care is delivered in operational delivery networks, comprising a combination of the Neonatal Intensive Care (NICU), Local-Neonatal (LNU) or Special-Care Units (SCU), based on their ability...

Authors: Thillagavathie Pillay, Lynsey Clarke, Lee Abbott, Pinki Surana, Asha Shenvi, Sanjeev Deshpande, Joanne Cookson, Matthew Nash, Joe Fawke, Vishna Rasiah and Jonathan Cusack

‘Why didn’t they see my scars?’ Critical thematic analysis of simulated participants’ perceived tensions surrounding objective structured clinical examinations

Simulated participants (SPs) play an important role in simulated assessments of clinical encounters between medical students and patients, most notably in objective structured clinical examinations (OSCEs). SP...

Authors: Mairead Corrigan, Helen J. Reid and Pascal P. McKeown

Percutaneous transhepatic biliary puncture simulator: a cord network prototype

The aim of this study was to present a percutaneous transhepatic biliary puncture simulator that can be used without radiation exposure and that reflects the conventional anatomy of the biliary ducts and its v...

Authors: Rubén Lopez Benítez, Tomás Reyes del Castillo, David Benz, Carsten Fechner, Lorant Szabo, Levent Kara, Etienne Monnard, Michael Kostrzewa and Justus E. Roos

Developing standardized patient-based cases for communication training: lessons learned from training residents to communicate diagnostic uncertainty

Health professions education has benefitted from standardized patient (SP) programs to develop and refine communication and interpersonal skills in trainees. Effective case design is essential to ensure an SP ...

Authors: Dimitrios Papanagnou, Matthew R. Klein, Xiao Chi Zhang, Kenzie A. Cameron, Amanda Doty, Danielle M. McCarthy, Kristin L. Rising and David H. Salzman

Translation of the Debriefing Assessment for Simulation in Healthcare in Portuguese and cross-cultural adaptation for Portugal and Brazil

Debriefing Assessment for Simulation in Healthcare (DASH©) is an instrument to assist in developing and evaluating debriefing skills. The objectives of this study were to translate the DASH from English to Por...

Authors: Thomaz Bittencourt Couto, Francisco Maio Matos, Paula Dias de Toledo Rodovalho, Mary Fey, Robert Simon and Sacha Muller-Botti

‘A roller coaster of emotions’: a phenomenological study on medical students lived experiences of emotions in complex simulation

Simulation-based education can induce intense learner emotions. The interplay between emotions and learning is less well understood. Gaining greater insights into learner emotions has potential to guide how be...

Authors: Claudia C. Behrens, Erik W. Driessen, Diana H. Dolmans and Gerard J. Gormley

The association of standardized patient educators (ASPE) gynecological teaching associate (GTA) and male urogenital teaching associate (MUTA) standards of best practice

Gynecological Teaching Associates (GTAs) and Male Urogenital Teaching Associates (MUTAs) instruct healthcare professional learners to perform accurate and respectful breast, speculum, bimanual vaginal, rectal,...

Authors: Holly Hopkins, Chelsea Weaks, Tim Webster and Melih Elcin

Embracing informed learner self-assessment during debriefing: the art of plus-delta

The healthcare simulation field has no shortage of debriefing options. Some demand considerable skill which serves as a barrier to more widespread implementation. The plus-delta approach to debriefing offers t...

Authors: A. Cheng, W. Eppich, C. Epps, M. Kolbe, M. Meguerdichian and V. Grant

A novel approach to explore Safety-I and Safety-II perspectives in in situ simulations—the structured what if functional resonance analysis methodology

With ever increasingly complex healthcare settings, technology enhanced simulation (TES) is well positioned to explore all perspectives to enhance patient safety and patient outcomes. Analysis from a Safety-II...

Authors: Ralph James MacKinnon, Karin Pukk-Härenstam, Christopher Kennedy, Erik Hollnagel and David Slater

Comparing traditional, immersive simulation with Rapid Cycle Deliberate Practice in postgraduate year 2 anesthesiology residents

Rapid Cycle Deliberate Practice (RCDP) is an increasingly popular simulation technique that allows learners to achieve mastery of skills through repetition, feedback, and increasing difficulty. This manuscript...

Authors: Erin E. Blanchard, Lee Ann Riesenberg, Lisa B. Bergman, Michelle R. Brown, Emma C. O’Hagan, Shivani J. Patel and Tekuila R. Carter

Implementation and utilization of gynecological teaching associate and male urogenital teaching associate programs: a scoping review

Gynecological Teaching Associates (GTAs) and Male Urogenital Teaching Associates (MUTAs) are individuals trained to instruct health professional learners with their own body to conduct accurate, patient-center...

Authors: Holly Hopkins, Chelsea Weaks and Elise Napier

Fundamental underpinnings of simulation education: describing a four-component instructional design approach to healthcare simulation fellowships

Although in 2020, there are more than 120 healthcare simulation fellowships established globally, there is a paucity of literature on how to design fellowship programs most effectively, to equip graduates with...

Authors: Michael J. Meguerdichian, Komal Bajaj and Katie Walker

Development and implementation of a novel, mandatory competency-based medical education simulation program for pediatric emergency medicine faculty

Maintaining acute care physician competence is critically important. Current maintenance of certification (MOC) programs has started to incorporate simulation-based education (SBE). However, competency expecta...

Authors: Jonathan Pirie, Jabeen Fayyaz, Mireille Gharib, Laura Simone, Carrie Glanfield and Anna Kempinska

Building impactful systems-focused simulations: integrating change and project management frameworks into the pre-work phase

Healthcare organizations strive to deliver safe, high-quality, efficient care. These complex systems frequently harbor gaps, which if unmitigated, could result in harm. Systems-focused simulation (SFS) project...

Authors: Mirette Dubé, Glenn Posner, Kimberly Stone, Marjorie White, Alyshah Kaba, Komal Bajaj, Adam Cheng, Vincent Grant, Simon Huang and Jennifer Reid

An enhanced approach to simulation-based mastery learning: optimising the educational impact of a novel, National Postgraduate Medical Boot Camp

Simulation-based mastery learning (SBML) is an effective, evidence-based methodology for procedural skill acquisition, but its application may be limited by its resource intensive nature. To address this issue...

Authors: Emma L. Scahill, Nathan G. Oliver, Victoria R. Tallentire, Simon Edgar and James F. Tiernan

The assessment of a manikin-based low-dose, high-frequency cardiac resuscitation quality improvement program in early UK adopter hospitals

Adult and paediatric basic life support (BLS) training are often conducted via group training with an accredited instructor every 24 months. Multiple studies have demonstrated a decline in the quality of cardi...

Authors: Katherine Kuyt, Montana Mullen, Catherine Fullwood, Todd P. Chang, James Fenwick, Victoria Withey, Rod McIntosh, Naomi Herz and Ralph James MacKinnon

Correction to: COVID-19 pandemic preparation: using simulation for systems-based learning to prepare the largest healthcare workforce and system in Canada

An amendment to this paper has been published and can be accessed via the original article.

Authors: Mirette Dubé, Alyshah Kaba, Theresa Cronin, Sue Barnes, Tara Fuselli and Vincent Grant

A custom virtual reality training solution for ophthalmologic surgical clinical trials

We present a summary of the development and clinical use of two custom designed high-fidelity virtual-reality simulator training platforms. This simulator development program began in 2016 to support the phase...

Authors: Felix Heimann, Giulio Barteselli, André Brand, Andreas Dingeldey, Laszlo Godard, Hendrik Hochstetter, Michael Schneider, Alexander Rothkegel, Clemens Wagner, Joshua Horvath and Shrirang Ranade

The use of virtual reality and augmented reality to enhance cardio-pulmonary resuscitation: a scoping review

Virtual reality (VR) and augmented reality (AR) have been proposed as novel methods to enhance cardio-pulmonary resuscitation (CPR) performance and increase engagement with CPR training. A scoping review was c...

Authors: Katherine Kuyt, Sang-Hee Park, Todd P. Chang, Timothy Jung and Ralph MacKinnon

Selected Abstracts from the 26th Annual Meeting of the Society in Europe for Simulation Applied to Medicine

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2021 Simulation Summit Webinar Series

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Debrief it all: a tool for inclusion of Safety-II

Safety science in healthcare has historically focused primarily on reducing risk and minimizing harm by learning everything possible from when things go wrong (Safety-I). Safety-II encourages the study of all ...

Authors: Suzanne K. Bentley, Shannon McNamara, Michael Meguerdichian, Katie Walker, Mary Patterson and Komal Bajaj

“A debriefer must be neutral” and other debriefing myths: a systemic inquiry-based qualitative study of taken-for-granted beliefs about clinical post-event debriefing

The goal of this study was to identify taken-for-granted beliefs and assumptions about use, costs, and facilitation of post-event debriefing. These myths prevent the ubiquitous uptake of post-event debriefing ...

Authors: Julia Carolin Seelandt, Katie Walker and Michaela Kolbe

Translational simulation: from description to action

This article describes an operational framework for implementing translational simulation in everyday practice. The framework, based on an input-process-output model, is developed from a critical review of the...

Authors: Christopher Peter Nickson, Andrew Petrosoniak, Stephanie Barwick and Victoria Brazil

Simulated learning in rural community environment: pushing the boundary

Experiential learning through simulation can play a very significant role, not only in hospital settings but also in community contexts (Lubbers and Rossman, Nurse Educ. Today 48:140-144; Wheeler and McNelis, ...

Authors: Burhanuddin Ali Akber, Mehak Ismail Rajani, Farah Khalid and Charles Docherty

Eye tracking metrics and leader’s behavioral performance during a post-partum hemorrhage high-fidelity simulated scenario

The use of eye tracking in the simulated setting can help improve our understanding of what sources of information clinicians are using as they deliver routine patient care.

Authors: Emanuele Capogna, Giorgio Capogna, Denise Raccis, Francesco Salvi, Matteo Velardo and Angelica Del Vecchio

Simulation-based team training in time-critical clinical presentations in emergency medicine and critical care: a review of the literature

The use of simulation-based team training has increased over the past decades. Simulation-based team training within emergency medicine and critical care contexts is best known for its use by trauma teams and ...

Authors: Jesper Weile, Mette Amalie Nebsbjerg, Stig Holm Ovesen, Charlotte Paltved and Mads Lind Ingeman

Virtual reality simulation—the future of orthopaedic training? A systematic review and narrative analysis

Virtual reality (VR) simulation provides users with an immersive, 3D experience that can be used to allow surgical trainees to practice skills and operations in a safe yet realistic environment. The field of o...

Authors: Elinor Clarke

Implementing the transvaginal ultrasound simulation training (TRUSST) programme for obstetric registrars

Transvaginal ultrasound (TVUS) training opportunities are limited due to its intimate nature; however, TVUS is an important component of early pregnancy assessment. Simulation can bridge this learning gap.

Authors: Sally Byford, Sarah Janssens and Rachel Cook

A systematic review and meta-analysis of the effectiveness of virtual reality as an exercise intervention for individuals with a respiratory condition

Respiratory diseases impose an immense health burden worldwide and affect millions of people on a global scale. Reduction of exercise tolerance poses a huge health issue affecting patients with a respiratory c...

Authors: Christina Condon, Wing Tung Lam, Chiara Mosley and Suzanne Gough

Development and implementation of an end-of-shift clinical debriefing method for emergency departments during COVID-19

Multiple guidelines recommend debriefing after clinical events in the emergency department (ED) to improve performance, but their implementation has been limited. We aimed to start a clinical debriefing progra...

Authors: Jean-Christophe Servotte, T. Bram Welch-Horan, Paul Mullan, Justine Piazza, Alexandre Ghuysen and Demian Szyld

TIDES: examining the influence of temporal individual differences on multitasking in educational simulation

The majority of tasks nurses complete in acute care settings are time-sensitive. Due to complex patient needs, nurses’ multitasking behavior is of growing importance. Situations involving multitasking behavior...

Authors: Ashley E. Franklin, Laura Thielke, Gregory E. Gilbert and Mary Waller

Human reliability analysis of bronchoscope-assisted percutaneous dilatational tracheostomy: implications for simulation-based education

Teaching and assessing clinical procedures requires a clear delineation of the individual steps required to successfully complete the procedure. For decades, human reliability analysis (HRA) has been used to i...

Authors: Aoife Lavelle, Mary White, Mark J.D. Griffiths, Dara Byrne and Paul O’Connor

Making the invisible visible: a place for utilizing activity theory within in situ simulation to drive healthcare organizational development?

The healthcare needs of our societies are continual changing and evolving. In order to meet these needs, healthcare provision has to be dynamic and reactive to provide the highest standards of safe care. There...

Authors: Gerard J. Gormley, Anu Kajamaa, Richard L. Conn and Sarah O’Hare

Midwifery students better approximate their self-efficacy in clinical lactation after reflecting in and on their performance in the LactSim OSCE

Midwives are expected to support women with lactation initiation and maintenance. Midwifery students engaged in a simulation-based exercise (LactSim OSCE) where they role-played the clinician and the breastfee...

Authors: Aria Grabowski, Olivia S. Anderson, Ruth Zielinski, Melisa Scott, Lisa Hammer, Muriel Bassil, Samantha A. Chuisano and Anna Sadovnikova

An analysis of movement patterns in mass casualty incident simulations

Mass casualty incidents (MCI) such as train or bus crashes, explosions, collapses of buildings, or terrorist attacks result in rescue teams facing many victims and in huge challenges for hospitals. Simulations...

Authors: Boris Tolg and Juergen Lorenz

The sim must go on: adapting resident education to the COVID-19 pandemic using telesimulation

The COVID-19 pandemic and social distancing rules necessitated the suspension of all in-person learning activities at our institution. Consequently, distance learning became essential. We adapted a high-fideli...

Authors: Shivani M. Patel, Christina R. Miller, Adam Schiavi, Serkan Toy and Deborah A. Schwengel