The document discusses several medical simulation projects that are currently in development. It describes an immersive simulation being used to design and test a prototype emergency department information system to improve patient tracking and efficiency. Another project aims to use simulation to accelerate expertise in recognizing sepsis symptoms. A third discusses using simulation and Lean methods to reduce errors in pathology diagnoses of cancer. The future of simulation is discussed as an important skills training tool across disciplines to improve outcomes, make training more efficient, and optimize resource use.
Simulation training in medicine and technology managementMCH-org-ua
Presentation by the Ukrainian-Swiss Mother and Child Health Programme at 2nd Regional Health Technology Management Worskhop (April 10-11, 2014, Chisinau, Moldova)
Simulation training in medicine and technology managementMCH-org-ua
Presentation by the Ukrainian-Swiss Mother and Child Health Programme at 2nd Regional Health Technology Management Worskhop (April 10-11, 2014, Chisinau, Moldova)
The presentation describes in brief the patients need, expectations and how to develop the patient care and feedback system to obtain maximum patient satisfaction.
Total Quality Management in HealthcareGunjan Patel
Now days, Healthcare systems are of fundamental interests to all level of Hospitals in our societies. Eventually, increasing importance and reliance are placed on total quality management in healthcare systems. Due to this rising importance that is also reflected in the increasing percentage of national and international resources for both private and public sector to allocated in hospital management systems. Hospitals and other healthcare organization across the globe have been progressively implementing TQM to reduce costs, improve efficiency and provide high quality patient care.
A Comprehensive Introduction to Medical SimulationRoger Smith
Introduction to the science and practice of medical and surgical simulation. Topics Covered: History, Taxonomy, Learning Processes, Standardized Patients, Patient Simulators, Team Training, Surgery Simulators, Best Practices.
Lean Six Sigma applications in healthcare require an understanding of how the tools and methodologies translate to the people-intensive processes of patient care. Once applied, the possibilities are endless. Using real-world examples of the most common types of errors in clinical services, participants will learn how the DMAIC structure within Lean Six Sigma will lead them to solutions that will prevent future errors.
An introductory overview of the basic concepts of Healthcare Quality, a starter for beginners.
Prepared in 2014 for the new staff of the Quality Management Department in King Saud University Medical City in Riyadh as a part of their capacity building plan.
Acknowledgments:
*Dr. Magdy Gamal Yousef, MBBCh, MS, CPHQ - for his contribution in the scientific content
**Ms. Maram Baksh, MS, CPHQ - for the design of the full HCQ capacity building plan in KSUMC
Balanced Scorecards tell you the knowledge, skills and systems that your employees will need (learning and growth) to innovate and build the right strategic capabilities and efficiencies (internal processes) that deliver specific value to the market (customer) which will eventually lead to higher shareholder value (financial).
Gesture recognition-The ability of a computer to scan, store and recognize hu...Tushar Sadhye
Gesture recognition- The ability of a computer to scan, store and recognize human gestures as the mode of interaction with machines.The world is becoming more and more insecure and unsafe so in order to tackle with this problems we need to use gesture recognition system everywhere so that safety is guaranteed.
The presentation describes in brief the patients need, expectations and how to develop the patient care and feedback system to obtain maximum patient satisfaction.
Total Quality Management in HealthcareGunjan Patel
Now days, Healthcare systems are of fundamental interests to all level of Hospitals in our societies. Eventually, increasing importance and reliance are placed on total quality management in healthcare systems. Due to this rising importance that is also reflected in the increasing percentage of national and international resources for both private and public sector to allocated in hospital management systems. Hospitals and other healthcare organization across the globe have been progressively implementing TQM to reduce costs, improve efficiency and provide high quality patient care.
A Comprehensive Introduction to Medical SimulationRoger Smith
Introduction to the science and practice of medical and surgical simulation. Topics Covered: History, Taxonomy, Learning Processes, Standardized Patients, Patient Simulators, Team Training, Surgery Simulators, Best Practices.
Lean Six Sigma applications in healthcare require an understanding of how the tools and methodologies translate to the people-intensive processes of patient care. Once applied, the possibilities are endless. Using real-world examples of the most common types of errors in clinical services, participants will learn how the DMAIC structure within Lean Six Sigma will lead them to solutions that will prevent future errors.
An introductory overview of the basic concepts of Healthcare Quality, a starter for beginners.
Prepared in 2014 for the new staff of the Quality Management Department in King Saud University Medical City in Riyadh as a part of their capacity building plan.
Acknowledgments:
*Dr. Magdy Gamal Yousef, MBBCh, MS, CPHQ - for his contribution in the scientific content
**Ms. Maram Baksh, MS, CPHQ - for the design of the full HCQ capacity building plan in KSUMC
Balanced Scorecards tell you the knowledge, skills and systems that your employees will need (learning and growth) to innovate and build the right strategic capabilities and efficiencies (internal processes) that deliver specific value to the market (customer) which will eventually lead to higher shareholder value (financial).
Gesture recognition-The ability of a computer to scan, store and recognize hu...Tushar Sadhye
Gesture recognition- The ability of a computer to scan, store and recognize human gestures as the mode of interaction with machines.The world is becoming more and more insecure and unsafe so in order to tackle with this problems we need to use gesture recognition system everywhere so that safety is guaranteed.
The Securities and Exchange Board of India was established by the Government of India on 12th April 1988 as an interim administration body to promote orderly and healthy growth of the securities market and for investor protection.
It was functioned under the overall administrative control of the Ministry of Finance of the GOI.
The SEBI was given the statutory powers on 30th Jan 1992 through an Ordinance.
The Ordinance was later replaced by an Act of Parliament known as the Securities and Exchange Board of India Act 1992.
An investment banking is a financial institution that assists individuals, corporations and governments in raising financial capital by underwriting or acting as the client’s agent in the issuance of securities or both
ISO 9001 - It sets out the criteria for a quality management system and is th...Tushar Sadhye
ISO 9001 - It sets out the criteria for a quality management system and is the only standard in the family that can be certified to (although this is not a requirement).
ISO over one million companies and organizations in over 170 countries implement 9001:2008.
A financial ratio (or accounting ratio) is a relative magnitude of two selected numerical values taken from an enterprise's financial statements. Often used in accounting, there are many standard ratios used to try to evaluate the overall financial condition of a corporation or other organization. Financial ratios may be used by managers within a firm, by current and potential shareholders (owners) of a firm, and by a firm's creditors. Financial analysts use financial ratios to compare the strengths and weaknesses in various companies.[1] If shares in a company are traded in a financial market, the market price of the shares is used in certain financial ratios.
Ratios can be expressed as a decimal value, such as 0.10, or given as an equivalent percent value, such as 10%. Some ratios are usually quoted as percentages, especially ratios that are usually or always less than 1, such as earnings yield, while others are usually quoted as decimal numbers, especially ratios that are usually more than 1, such as P/E ratio; these latter are also called multiples. Given any ratio, one can take its reciprocal; if the ratio was above 1, the reciprocal will be below 1, and conversely. The reciprocal expresses the same information, but may be more understandable: for instance, the earnings yield can be compared with bond yields, while the P/E ratio cannot be: for example, a P/E ratio of 20 corresponds to an earnings yield of 5%.
Values used in calculating financial ratios are taken from the balance sheet, income statement, statement of cash flows or (sometimes) the statement of retained earnings. These comprise the firm's "accounting statements" or financial statements. The statements' data is based on the accounting method and accounting standards used by the organization.
Ratios
Profitability ratios
Liquidity ratios
Activity ratios (Efficiency Ratios)
Debt ratios (leveraging ratios)
Market ratios
Capital budgeting ratios
Financial ratios quantify many aspects of a business and are an integral part of the financial statement analysis. Financial ratios are categorized according to the financial aspect of the business which the ratio measures. Liquidity ratios measure the availability of cash to pay debt.[2] Activity ratios measure how quickly a firm converts non-cash assets to cash assets.[3] Debt ratios measure the firm's ability to repay long-term debt.[4] Profitability ratios measure the firm's use of its assets and control of its expenses to generate an acceptable rate of return.[5] Market ratios measure investor response to owning a company's stock and also the cost of issuing stock.[6] These are concerned with the return on investment for shareholders, and with the relationship between return and the value of an investment in company’s shares.
Financial ratios allow for comparisons
between companies
between industries
between different time periods for one company
between a single company and its industry average
Lay's(India) - pal banaye magical Lay’s, the world’s largest and favorite sna...Tushar Sadhye
Lay's(India) - pal banaye magical
Lay’s, the world’s largest and favorite snack food brand, has steadily established itself as an indispensable part of India’s snacking culture since its launch in 1995.
Current trends in cost & management accountingTushar Sadhye
Cost & Management Accounting & Types of costs involvement.
Direct costing as an analysis tool & Cost volume profit analysis.
Target costing & Cost object analysis.
Process analysis & Zero base budgeting.
Cost reduction strategy & Compensation cost reduction.
Procurement cost reduction & Responsibility accounting.
Facilities cost reduction & Finance cost reduction.
Cost management is a form of management accounting.
Cost management is the process of planning and controlling the budget of a business which related to activities achieved by collecting, analyzing, evaluating and reporting cost information used for budgeting, estimating, forecasting, and monitoring costs.
The Future of Human Machine Interfaces (HMI)Daniel Zahler
Perspectives on Human-Machine Interfaces (HMI) from leading technology corporations and researchers. Includes virtual reality, augmented reality, and artificial intelligence.
Pestle analysis for doing business in australia. it talks about different env...Tushar Sadhye
Pestle analysis for doing business in australia. it talks about different environments that affect your business in good ways or bad ways depending on how you use it.
The Gesture Recognition Technology is rapidly growing technology and this PPT describes about the working of gesture recognition technology,the sub fields in it, its applications and the challenges it faces.
Capstone Project Change Proposal Presentation for Faculty Review a.docxbartholomeocoombs
Capstone Project Change Proposal Presentation for Faculty Review and Feedback
Assessment Description
Create a 10-15 slide Power Point presentation of your evidence-based intervention and change proposal to be disseminated to an interprofessional audience of leaders and stakeholders. Include the intervention, evidence-based literature, objectives, resources needed, anticipated measurable outcomes, and how the intervention would be evaluated. Submit the presentation in the digital classroom for feedback from the instructor.
PICOT Question (See other file uploaded)
Interventions
Falling incidences can cause several complications, including health care costs, severe health issues, immobility, etc. With the severity of this issue, appropriate interventions should take place. In this context, proper monitoring is one of the significant interventions to prevent this incidence (Huang et al., 2020). Hence, incorporating educated and efficient technicians while providing patient care can be an essential step. Yet, due to decreased mobility or functionality, older people often require help in doing basic activities, in this aspect, providing help to the patients while changing to hospital-approved gowns (Liu-Ambrose et al., 2019). In addition, one significant and effective intervention is providing quick education to the patient regarding fall prevention strategies (Radecki, Reynolds & Kara, 2018). Another critical aspect is providing a safe environment for clinical care. Outpatient clinics should improve their workflow and environmental condition, such as removing hazardous materials, and keeping the floor clean and dry, so that the clinic can provide a safe area for older patients. These interventions can help prevent falls (Guirguis-Blake et al., 2018).
Benchmark - Capstone Change Project Objectives
1. Prevent elderly falls in an outpatient radiology clinic.
Rationale: Falls occur as age advances due to individual risk factors or environmental factors. For example, gait or balance deficits, chronic conditions, medications, and footwear the patient is wearing. Assisting these patient populations can prevent falls in the department.
2. Educate patients and people in the community on how to prevent falls.
Rationale: Educate patients regarding physical changes and chronic health conditions that cause or probability of falls.
3. Provide a safe environment for clinical care in the outpatient clinical setting.
Rationale: Design the clinical area accessible to patients in wheelchairs, with assistive devices, and with mobility deficits. Have handrails on walls and hallways for support, clean, non-skid floors, and lighted pathways in hallways, rooms, and bathrooms.
4. A patient care technician (PCT) is available in the outpatient clinical area for patients.
Rationale: Having a PCT in the clinical area, especially around the dressing rooms, would benefit the patients needing help when changing to hospital-approved gowns and monitoring patients for risk.
Doe 1
John Doe
Professor O. Jean
ENC1102
15 July 2020
Simulation Training for Nursing Students
They can’t fly or read minds, but they still save lives! Nurses are the modern-day
superheroes. In today’s evolving world of technology, the medical field welcomes advancements
with open arms. The best way for a nursing student to craft and hone their skills is with on-the-
job training. Since it is not safe for nursing students to practice on actual human beings right
away, simulation training is the next best thing. Simulation training allows students to practice
on human like figures, ranging from babies to adults, that are able to breathe, maintain a pulse
and blood pressure, go into cardiac arrest, and much more. With this technological advancement,
nursing students will be able to enter the medical field with more knowledge and confidence,
better manage stressful situations, and produce less errors.
It has been proven effective in any place of work that on-the-job training is the best
method of learning. Just the same as a sponge, some students soak up all the knowledge that a
textbook contains, but others require hands on learning. When learning new techniques, tools,
body parts, etc., touching them teaches the brain muscle memory allowing students to put a face
to the name. “… simulation had improved students’ learning in terms of knowledge, critical
thinking, reasoning and self-confidence” (Agha, 19). These simulations allow students to be able
to learn and perfect possible scenarios before going into clinicals. “Through simulated practices,
the student health professional can improve technical, communication and also behavioral skills,
develop critical observation, learn to work in a team, and exercise clinical reasoning and
Doe 2
decision-making” (Fonseca, 3). Hospital staff, patients, and their family’s minds can be more at
ease knowing that nursing students are getting the most out of their education before entering the
medical field.
A hospital is the home of chaos. While one wing may be silent, another contains the
screams of a mother giving birth, or doctors and nurses scrambling to keep their patient alive in
an operating room. Nurses must be able to manage their stress in any situation thrown at them. In
a study conducted on Hybrid simulations, groups of three to four nursing students were able to
work with various forms of simulations from low to high technologies. This exercise essentially
mirrored a high-volume emergency room scenario. “Hybrid simulation is the combination of
more than one simulation modality in a single teaching or evaluation exercise…Hybrid
simulations allows for the training of technical skills combined with communication proficiency”
(Unver, p. 264). Professionalism and teamwork, although frequently overlooked, are some of the
most important skills a nurse should bear. As a nurse you will never be working alone. You are
working ...
Presented to the 2006 Society in Europe of Simulation Applied to Medicine (SESAM) conference Porto Portugal as part of the Simulation and Safety Culture panel.
Scheduling Of Nursing Staff in Hospitals - A Case Studyinventionjournals
International Journal of Mathematics and Statistics Invention (IJMSI) is an international journal intended for professionals and researchers in all fields of computer science and electronics. IJMSI publishes research articles and reviews within the whole field Mathematics and Statistics, new teaching methods, assessment, validation and the impact of new technologies and it will continue to provide information on the latest trends and developments in this ever-expanding subject. The publications of papers are selected through double peer reviewed to ensure originality, relevance, and readability. The articles published in our journal can be accessed online.
No harm, no foul: Canadian Journal of Medical Laboratory ScienceJane Langille
Hands-on simulation experience allows healthcare workers to get messy, make mistakes and hone problem-solving skills — with no risk to patients. In this feature story for the Canadian Journal of Medical Laboratory Science, I explore trends in simulation in education at the undergrad level at The Michener Institute for Applied Health Sciences in Toronto, as well as in-field training provided by a unique mobile simulation specialist in remote areas in northern Alberta.
Brent James: Achieving transformational change: how to become a high-performi...The King's Fund
Dr Brent James, Chief Quality Officer, Intermountain Healthcare, spoke to The King's Fund Annual Conference delegates via video link. He explained how Intermountain uses three methods to build a high-performing transformational organisation: a strong, shared vision, which they maintain through training programmes; a method to effectively manage clinical care and data to support good clinical practice.
Chapter 29 Simulation in Healthcare EducationValerie HowardKim.docxcravennichole326
Chapter 29 Simulation in Healthcare Education
Valerie Howard
Kim Leighton
Teresa Gore
The emergence of technology for educational purposes creates a need for faculty and health science educators to understand how to not only operate the technology but also implement it within the academic and service settings while still using sound academic principles.
Objectives
At the completion of this chapter the reader will be prepared to:
1.Define the different types of simulation modalities available
2.Describe the challenges and opportunities inherent to simulation
3.Apply the Standards of Best Practice: Simulation to the simulation lab
4.Discuss the use of simulation-based education in interprofessional experiences
5.Analyze the similarities and differences related to the available simulation resources
6.Develop evidence-based simulation activities for graduate-level education
Key Terms
Clinical scenario, 459
Debriefing, 461
Fidelity, 455
Learning environment, 457
Simulation, 454
Simulation experience, 457
Standards of Best Practice: Simulation, 460
Abstract
The use of simulated learning experiences has rapidly emerged in healthcare education as a method of training healthcare providers in a safe environment without subjecting patients to harm. Multiple definitions of simulation-related terms exist, so the importance of the use of standardized terminology is stressed. Best practice standards for implementing simulated learning experiences are discussed in this chapter. These should be provided in a standardized manner while adhering to guidelines to maximize learning. Simulated learning experiences directly correlate with the Core Competencies for Interprofessional Collaborative Practice. Finally, issues, challenges, and opportunities for the future of healthcare education and the use of simulation are outlined.
Introduction
Simulation is a time-honored method of teaching that has been used in health education for decades. It is defined as the use of “one or more typologies to promote, improve, and/or validate a participant's progression from novice to expert,”1(pS6) where the novice to expert continuum is consistent with that promoted by Benner.2 Experiential learning theory is used in health professions education to emphasize the importance of clinical practice in the educational process.3 Simulation is one method of experiential, hands-on application learning and can range from a simple activity used to mimic reality (e.g., the process of injecting an orange to create the feel of puncturing skin) to the use of high-fidelity simulation to create the comprehensive experience of interacting with a healthcare team during a clinical emergency. In each case the simulated clinical experience “includes pre-briefing, the clinical scenario, and debriefing; it is the engagement part of a clinical scenario.”1(pS6)
Types of Simulations
Several types of simulation are used in healthcare education, including written case studies, ...
Usability evaluation of a discrete event based visual hospital management sim...hiij
Hospital Management is a complex and dynamic organisational challenge. Hospital managers (HMs)
are responsible for the effective use of valuable resources and assets, which is a significant issue in
healthcare. Due to factors such as the increase in health care costs and political pressure, HMs have
been compelled to examine new ways to improve efficiency and reduce healthcare delivery costs whilst
improving patient satisfaction. Healthcare managers require tools that will allow them to review the
current system or identify areas of improvement and quantify the possible changes.
This paper covers an evaluation of a hospital simulator developed by the authors. A usability test of the
simulator was carried out with hospital managers to provide real-world feedback on the simulator. This
has provided lessons to be applied in the development and use of such a tool. For instance, use of traffic
light colours in assisting management of hospital areas and Sensitivity Analysis supporting multiple or
more complex scenarios.
Many healthcare financial decisions have a direct effect on nursin.docxalfredacavx97
Many healthcare financial decisions have a direct effect on nursing practice and patient care delivery. What are the ethical implications of these financial decisions? Discuss and explain two specific ways to involve nursing staff in financial planning.
Peer 1 Response:
Lauren Van Hemelrijck posted
The ethical implications of financial decisions that have a direct effect on nursing practice consist of the reduction in available money that is spent on staffing in order to ensure there are appropriate ratios at all times as well as cutting costs related to specific equipment and or tools needed to perform our jobs. Specific nurse to patient ratios have been implemented in some places however, it is not currently the norm regardless of numerous studies that have been conducted and shown that the higher the ratio the worse a patient's outcome. Although facilities will save a substantial amount of money when they cut down on staff, which is why they often choose to do so, an immoral and unethical act in and of itself, the end result effects the patients in often times very negative ways. If patients are having poor experiences they are either not likely to return because they are afraid the care that they receive will continue to be less than adequate or they will have to return due to complications that could have been prevented had there been an appropriate nurse to patient ratio when they were being cared for. As a study on this very subject has found "there is already a significant amount of empirical evidence showing the relationship between certain individual and organizational characteristics of hospital nursing and patient outcomes. These characteristics include nurses' level of education, patient-to-ratios, percentage of RNs among all nursing staff (skill mix), and the nurse practice environment" (Simonetti, 2019, p. 79).
Often times, more expensive equipment makes our jobs easier because it is more efficient and or effective. If we begin to "cut corners" in these ways it will undoubtedly have a direct impact on how well we are able to perform our jobs in certain situations. This is unethical because equipment could mean the difference between accuracy and efficiency among other things. This then means that it could then make or break a patient's outcome. If safety is compromised it is completely inappropriate to substitute equipment that might be unsafe thus putting the patient at an increased risk for illness or injury. This is not only incredibly unethical, it will have an all around negative impact on the facility's reputation and financial standing in the long run. Nurses should have a say in how money is spent because they are often times the most knowledgeable about all of the above. One article that looks at lifting equipment or lack there of states that "the results indicate that fewer than 12 percent of the responding nurses told us they have a "No Lift Policy". More than 85 perfect of hospitals have some type of.
The Application of Data to Problem-SolvingIn the modern era, the.docxtodd801
The Application of Data to Problem-Solving
In the modern era, there are few professions that do not to some extent rely on data. Stockbrokers rely on market data to advise clients on financial matters. Meteorologists rely on weather data to forecast weather conditions, while realtors rely on data to advise on the purchase and sale of property. In these and other cases, data not only helps solve problems, but adds to the practitioner’s and the discipline’s body of knowledge.
Of course, the nursing profession also relies heavily on data. The field of nursing informatics aims to make sure nurses have access to the appropriate date to solve healthcare problems, make decisions in the interest of patients, and add to knowledge.
In this Discussion, you will consider a scenario that would benefit from access to data and how such access could facilitate both problem-solving and knowledge formation.
To Prepare:
Reflect on the concepts of informatics and knowledge work as presented in the Resources.
Consider a hypothetical scenario based on your own healthcare practice or organization that would require or benefit from the access/collection and application of data. Your scenario may involve a patient, staff, or management problem or gap.
By Day 3 of Week 1
Post
a description of the focus of your scenario. Describe the data that could be used and how the data might be collected and accessed. What knowledge might be derived from that data? How would a nurse leader use clinical reasoning and judgment in the formation of knowledge from this experience?
By Day 6 of Week 1
Respond
to at least
two
of your colleagues
* on two different days
, asking questions to help clarify the scenario and application of data, or offering additional/alternative ideas for the application of nursing informatics principles.
Click on the
Reply
button below to reveal the textbox for entering your message. Then click on the
Submit
button to post your message.
*Note:
Throughout this program, your fellow students are referred to as colleagues.
Will be posting additional discussion replies that will require two replies which will be included in this discussion post.
Each requires at least three references and all need to be in APA format.
Monicas discussion
Discussion #1- Initial Post
All healthcare workers are trained to share the common goal of providing the best quality of care to their patients. Regardless of what role one may serve on the multidisciplinary team, they all have an obligation to accurately assess the needs of the patient, to efficiently collect and record data, to contribute to diagnosing, and to treat/ evaluate properly. “Informatics blend technology and information to blend something new that people, organizations and society can make use of” (Laureate, 2018). Advancement in technologies such as, electronic health records (EHR), electronic medication administration records (EMARS), computerized physician order entry (COPOE) and.
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Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
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Palestine last event orientationfvgnh .pptxRaedMohamed3
An EFL lesson about the current events in Palestine. It is intended to be for intermediate students who wish to increase their listening skills through a short lesson in power point.
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Applications of simulation in hospital
1.
2. GROUP MEMBERS ROLL NO.
ASHWINI AGAVNE B-02
SNEHA DIXIT B-15
RAVI DONGRE B-16
POOJA BHADANGE B-35
TANVI PAWAR B-43
TUSHAR SADHYE B-47
SANDEEP PAWAR B-56
CHAITALI NERKAR B-57
3. WHAT IS SIMULATION?
Simulation is the imitation of the operation of a real-world
process or system over time.
The act of simulating something first requires that a
model be developed; this model represents the key
characteristics or behaviors/functions of the selected
physical or abstract system or process.
The model represents the system itself, whereas the
simulation represents the operation of the system over
time.
4. Why Simulation is Important?
New policies, operating procedures, information flows and son
on can be explored without disrupting ongoing operation of
the real system.
New hardware designs, physical layouts, transportation
systems and … can be tested without committing resources for
their acquisition.
Time can be compressed or expanded to allow for a speed-up or
slow-down of the phenomenon( clock is self-control).
Insight can be obtained about interaction of variables and
important variables to the performance.
Bottleneck analysis can be performed to discover where work in
process, the system is delayed.
A simulation study can help in understanding how the system
operates.
“What if” questions can be answered.
5. APPLICATIONS OF SIMULATION
Simulation is used in various fields, such as-
Simulation of Technology for performance optimization.
Safety Engineering
Testing
Training
Education
Video games
Entertainment
Healthcare
Scientific modeling of nature systems or human systems
6. MEDICAL SIMULATION
Medical simulation is a branch of simulation technology related to education
and training in medical fields of various industries.
It can involve simulated human patients, educational documents with
detailed simulated animations, casualty assessment in homeland security
and military situations, and emergency response.
Its main purpose is to train medical professionals to reduce accidents during
surgery, prescription, and general practice.
Many medical professionals are skeptical about simulation, saying that
medicine, surgery, and general healing skills are too complex to simulate
accurately. But technological advances in the past two decades have made it
possible to simulate practices from yearly family doctor visits to complex
operations such as heart surgery.
Disaster response is made easier and conducted by better trained individuals
due to the rapid availability of simulators in schools, hospitals, military
facilities, and research labs.
7. BENEFITS OF MEDICAL
SIMULATION
Improving Patient Safety
- The ‘Patient Safety’ issue in healthcare systems is a multi-faceted subject that is at
the top of many international healthcare agendas.
- Already identified in the US report, human factors and systems failings are some of
the recognized shortcomings that can compromise, sometimes
fatally, the care of patients.
- Comparing the two industries, the healthcare and the aviation, Sir Liam Donaldson,
Chief Medical Officer of England, cited in his 2009 annual report, ‘That when a
person steps on a plane, their risk of dying in an air crash is 1 in 10 million. When a
person is admitted into hospital, their risk of dying or being seriously harmed by a
medical error is 1 in 300.” Amongst a number of recommendations to the UK
government, he urged, ‘Simulation training in all its forms will be a vital part of
building a safer healthcare system.’
8. Cont.…
Transforming a ‘Team of Experts’ into an ‘Expert Team’
- Most critical medical errors occur in Acute Care where team effectiveness can be
the pivotal factor that determines the outcome for the patient.
- Until now, very little training provision has existed to rehearse team effectiveness.
- Simulation addresses this training requirement in a way that no other training
methodology can.
- Rare but critical and time pressured events can be recreated in a simulation, so
that protocols can be established and communication problems can be identified
and improved upon.
9. Cont.…
“Hello, you’re my first patient……” – Preparing for
those First Times
In the current wake of growing public awareness of medical errors and a shift in
both public and professional opinion that it is no longer acceptable to practice
procedures and manage clinical events for the very first time on a patient,
simulation can bridge the gap between text book learning and those ‘first times’. A
simulated environment is safe and risk free for trainees to build their competence
and confidence.
Capturing Clinical Variation
Medical simulation can capture or represent a wide variety of patient problems
more readily for the learner than otherwise having to wait for a real encounter.
Such simulations will give learners exposure and practical experience or rare, life
threatening patient problems where the presentation frequency is low but the
stakes are high.
10. Simulation technologies used in medical
education
Computer-based simulations (micro-worlds,
micro-simulation)
Virtual environments +/- haptics
Part-task trainers
Low-fidelity simulators/manikins
Simulated or standardized patients
Hybrid simulations
High-fidelity (full mission) simulation
11.
12. Hospitals are complex production facilities, and it requires a great
perspective to consider future demands on work processes, staffing plans,
optimized patient programmes, reduced waiting times, capacity changes,
etc. What is the significance of variations in operation and recovery
times? Is the operating budget best spent on wards, beds, porters, nurses,
doctors or equipment? How are treatment procedures optimized in the
best way?
The answers can be found through simulations of the clinical operation
and logistics at the hospital. Simulations can clarify how to use resources
optimally, and what the consequences of capacity changes, such as staff,
areas and equipment, will be. At the same time, the user involvement
seems more present when employees and managers can sit together and
watch an outpatient department and the daily work processes in practice
on the screen.
13. Discrete Event Simulation in Hospital Supply Chain
Management
Discrete Event Simulation (DES) is used in the analysis and improvement of
health-care systems.
It is particularly well suited to tackling problems in healthcare where,
resources are scarce and patients arrive at irregular times (for example, in
accident and emergency (A&E) departments).
Some of the applications of DES are therefore to forecast the impact of
changes in patient flow, to examine resource needs (either in physical
capacity of beds and equipment or in staffing), to manage patient
scheduling and admissions or to investigate the complex relationships
among the different model variables (for example, rate of arrivals or time
spent in the system).
DES therefore allows decision makers to effectively assess the efficiency of
existing healthcare delivery systems, to improve system performance or
design, and to plan new ones .
14. BabySIM
The BabySIM is a realistic, 16 pound model of an infant with correct physiology
and generated reactions to medical interventions. This simulator was created
for life-saving infant care practice. "BabySIM can produce heart, bowel and
breath sounds, including bilateral chest excursion and seesaw breathing.
Simulates:
-Bulging fontanel capability
-blinking eyes with variable pupil size and the ability to tear
-Cooing and crying
-Secretions from the ears, eyes, and mouth
-Responds to airway trauma or obstruction: esophageal, nasal and oral
intubation, and BVM ventilation and laryngoscopic procedures
-Responds to chest compressions, defibrillation and pacing, needle
decompression, chest tube insertion and intraosseous insertion
15. METIman
The METIman simulator is the most advanced and realistic of all CAE simulators. The
METIman can withstand indoor and outside training simulations and has a large variety
of training in many areas. “METIman’s easy to use learning features are designed for
teaching basic nursing and prehospital skills.
Simulates:
-Suction airway secretions with variable airway resistance
-Aspirate and infuse fluids
-Cricothyrotomy/tracheostomy and bronchial occlusion
-Pacing and CPR compressions
-Responds to defibrillation
-Bilateral chest movement
-Suction airway secretions with variable airway resistance
-Palpable pulse
-Responds to needle thoracentesis and chest tube placement
16. CAE Fidelis
This pregnant patient simulator is meant for child birthing simulations and is a Maternal
Fetal Simulator. It was created for practice with normal deliveries, emergency deliveries,
as well as births with complications. “Fidelis is the only childbirth simulator with
validated maternal-fetal physiology. The physiological modeling allows learners to
monitor and manage both patients without instructor intervention.
Simulates:
-Static and dynamic cervices that dilate, efface, and station
-Fetus that automatically descends and rotates
-Fetus with soft and firm areas true to life
-Fetus that responds when stimulated with suctioning with an open mouth and nose
-Fetus with attached umbilical cord and attached placenta that is able to be positioned
17. PediaSim
The PediaSim was created for pediatrics in need of critical care. It is a simulation of a six-
year old child. “PediaSim offers the integrated METI physiology in a smaller practice
patient with full trauma features for both nursing and emergency response.” “PediaSIM
HPS is specifically designed for risk-free practice of anesthesia, respiratory and critical
care. With true respiratory gas exchange, PediaSIM HPS inhales oxygen and exhales CO2,
interfaces with real clinical monitors and responds to oxygen therapy.
Simulates:
-Responds to clinical interventions: chest compression, pacing, defibrillation,
needle decompression, and chest tube insertion
-Airway trauma features: upper airway obstruction, laryngospasm and bronchial
occlusion for intubation
-BVM ventilation and needle cricothyrotomy
18. SimMan®3G
SimMan®3G is a full size lifelike mannequin that allows for simulation of different
medical conditions to help train those that would need to treat those issues in the real
life. The mannequin works wirelessly and it is self-contained, allowing it to be used in
realistic settings like a hospital, ambulance or military combat environment.
Simulates:
-Airway complications
-Breathing complications
-Circulation Features
-CPR
-Eye movement
-Convulsions
-Bleeding and Wounds
20. Immersive Simulation for Design and Evaluation of an
Emergency Department IT
Emergency departments can be noisy and confusing places where
keeping track of patients can be a challenge.
The goal of this project is to design and test a prototype emergency
department information system with the potential to track ED
patients and improve efficiency and safety, decrease ED wait times,
and decrease preventable injuries to patients.
The research team will use simulation and cognitive systems
engineering methods to design and test prototype ED information
systems that are based on an in-depth understanding of the activities
of caregivers and staff within the ED.
They will use a multiphase strategy to model key aspects of ED
activities, iteratively develop prototypes, and assess prototypes in a
simulated clinical environment.
21. Acceleration to Expertise: Simulation as a Tool to Improve the
Recognition of Sepsis
Sepsis is a diagnostic challenge and a leading cause of death worldwide.
Failure to recognize the early signs and symptoms of sepsis and institute
aggressive management significantly increases the risk of death for children
and adults.
Simulation-based training can accelerate the development of expertise
needed by novice clinicians to quickly and accurately recognize sepsis. By
identifying the unique elements of the expert's approach to sepsis, an
effective, simulation-based approach might become possible. Specifically,
the research team will:-
1. Determine the behaviors that characterize and differentiate the expert from
the novice in the recognition of sepsis at the bedside.
2. Develop and implement simulation-based learning interventions that
accelerate the development of expertise in relation to sepsis recognition.
22. Improving Cancer Care Patient Safety Through
Pathology Training Simulation
Uncontrolled variability in diagnostic testing contributes to high rates of error and
increased costs.
The incorporation of simulation training in pathology residency holds promise for
reducing variability.
This research will determine whether a simulation-based anatomic pathology
education combined with Lean methods of quality improvement is better than a
traditional apprenticeship for reducing errors in formulating pathology diagnoses of
cancer in major solid organs.
The research team will conduct a double cohort case-control study in a single
institution by separating residents on the university hospital anatomic pathology
rotation into two groups:
1.An integrated Lean-simulation-based anatomic pathology education track.
2.A traditional apprenticeship track. They will compare resident performance
and patient safety outcomes in oncology for the two tracks over a 3-year period.
23. Simulation research must address healthcare
training needs
Improved outcomes
• Fewer adverse events, fewer preventable incidents, fewer
‘near miss’ events
Increased efficiency of training
• Improved outcomes in same or (preferably) less training time
Improved use of resources
• Fewer failures, more efficient training, quicker performance
24. The future of simulation...
Skills training tool for all disciplines
• Acute care
• Try new techniques and/or equipment
• Patient safety initiatives
• Retraining
Multi-disciplinary training
• inter-professional communication
• team performance
Training in decision-making/resource co-ordination