Simulation in healthcare : journal of the Society for Simulation in Healthcare
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Each year millions of patients undergo procedures that require moderate sedation. These patients are at risk of complications from oversedation that can progress to respiratory depression or even death. This article describes the creation of a simulation-based medical education course for nonanesthesiologists who use sedation in their specialty practice and preliminary data from our precourse and postcourse assessments. ⋯ A course using a combination of didactic and simulation education to teach moderate sedation is described. Our initial data demonstrated a significant increase in knowledge, skills, and clinical judgment. Future research efforts should focus on examining the validity and reliability of scenario scoring and the impact of training on clinical practice.
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Physicians have an ethical duty to disclose adverse events to patients or families. Various strategies have been reported for teaching disclosure, but no instruments have been shown to be reliable for assessing them.The aims of this study were to report a structured method for teaching adverse event disclosure using mixed-realism simulation, develop and begin to validate an instrument for assessing performance, and describe the disclosure practice of anesthesiology trainees. ⋯ We have demonstrated a comprehensive methodology using a mixed-realism simulation that engages learners in an adverse event and allows them to practice disclosure to a structured range of patient responses. We have developed a reliable 2-part instrument with strong psychometric properties for assessing disclosure performance.
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An understanding of epicardial pacing is essential for the postoperative management of patients having cardiac surgery. By developing a software-based epicardial pacing program to be used with the existing patient simulator, resident physicians may be exposed to various clinical scenarios that might be encountered while caring for a postoperative heart patient. This experience will assist junior residents with no prior experience to become familiar and competent in the management of epicardial pacemakers. ⋯ Our experience with epicardial pacing simulation was demonstrated to be effective in increasing the confidence of junior anesthesiology residents with little or no prior experience with regard to the management of temporary pacemakers.