Simulation in healthcare : journal of the Society for Simulation in Healthcare
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Our objective was to establish competency and ensure retention in the steps of the lumbar puncture procedure. ⋯ This study demonstrated the achievement and retention of competency in the steps of the lumbar puncture procedure in a task trainer model.
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Randomized Controlled Trial
Simulation training and its effect on long-term resident performance in central venous catheterization.
Simulation is a safe alternative to practicing procedural skills on patients. However, few published studies have examined the long-term effect of simulation technology on bedside procedures such as central venous catheter (CVC) insertion. ⋯ A CVC insertion simulation course improves procedural skills. These skills decline over time, and simulation conferred no long-term additional benefit over traditional methods of procedural teaching.
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When navigating a needle from skin to epidural space, a skilled clinician maintains a mental model of the anatomy and uses the various forms of haptic and visual feedback to track the location of the needle tip. Simulating the procedure requires an actuator that can produce the feel of tissue layers even as the needle direction changes from the ideal path. ⋯ The new simulator is able to approximately reproduce properties of complex multilayer tissue structures, including fine-scale texture. Methods for improving fidelity of the simulation are identified.