June 27, 2024By Erin Carn Bennett

Global Medical Simulation Industry News Update June 2024

Each month, HealthySimulation.com provides recaps of all the latest Healthcare Simulation industry news from across the globe. This news includes: Standardized Patients, Hemorrhage Pathway, AI, Patient Safety and more. Together, these industry updates help paint a picture of where the global medical simulation industry is presently and where the industry is headed as the scope of clinical simulation practice expands. In this edition for June 2024, read about some of the world’s latest clinical simulation updates on the latest technology advancements, clinical simulation for infrequent emergency events, VR simulation, patient safety, immersive learning updates, and more!

Register for iSIM: This two day program is designed as an introduction to fundamental skills and abilities for delivering simulation-based healthcare education through a variety of techniques and technologies. The program emphasizes hands-on activities and active participation to maximize simulation-based instruction skill acquisition. It is a joint program between WISER and the Gordon Center for Research and Medical Education (GCRME) at the University of Miami.

Standardized patients’ experience of participating in medical students’ education: a qualitative content analysis: Standardized patients are considered a significant educational method in medical sciences and have been successfully employed for many years. This study was conducted with the aim of explaining the experience of standardized patients participating in the education of medical students. A qualitative content analysis approach was used. This study was conducted at Standardized Patient Center, Tehran University of Medical Sciences, Tehran, Iran, May to February 2022. Fifteen standard patients were selected through purposive sampling with maximum variation. Semi-structured, in-depth, face-to-face interviews were conducted with standard patients. The average duration of the interviews was 60 to 90 min. Data were transcribed and analyzed using the Graneheim and Lundman approach.

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Effect of standardized patient simulation-based pedagogics embedded with lecture in enhancing mental status evaluation cognition among nursing students in Tanzania: A longitudinal quasi-experimental study: Nurses around the world are expected to demonstrate competence in performing mental status evaluation. However, there is a gap between what is taught in class and what is practiced for patients with mental illness among nursing students during MSE performance. It is believed that proper pedagogics may enhance this competence. A longitudinal controlled quasi-experimental study design was used to evaluate the effect of using standardized patient simulation-based pedagogics embedded with a lecture in enhancing mental status evaluation cognition among nursing students in Tanzania.

Utilizing simulation-based training to ensure code hemorrhage protocol compliance in an ambulatory surgery: Hemorrhage during surgery is a major cause of preventable death during surgery. To combat this, massive transfusion protocols (MTPs) have been developed, which have been shown to independently increase patient survival rates. A triggering issue was identified as a lack of preparedness in the event of a hemorrhage emergency in an ambulatory surgery center (ASC). Simply having an MTP is not enough. Simulation-based education, cognitive aids, and new personnel training is needed to ensure protocol effectiveness. Purpose: To improve hemorrhage management in the ASC through simulation-based training, cognitive aids, and new personnel training.

View the LEARN CE/CME Platform Webinar Transformative Healthcare Simulation: 7 Layers of Change to learn more!

Evidence-Based Learning Strategies in Medicine Using AI: Large language models (LLMs), like ChatGPT, are transforming the landscape of medical education. They offer a vast range of applications, such as tutoring (personalized learning), patient simulation, generation of examination questions, and streamlined access to information. The rapid advancement of medical knowledge and the need for personalized learning underscore the relevance and timeliness of exploring innovative strategies for integrating artificial intelligence (AI) into medical education. In this paper, we propose coupling evidence-based learning strategies, such as active recall and memory cues, with AI to optimize learning. These strategies include the generation of tests, mnemonics, and visual cues.

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Patient safety, what does clinical simulation and teaching innovation contribute?: Clinical simulation in Intensive Care Medicine is a crucial tool to strengthen patient safety. It focuses on the complexity of the Intensive Care Unit, where challenging clinical situations require rapid decision making and the use of invasive techniques that can increase the risk of errors and compromise safety. Clinical simulation, by mimicking clinical contexts, is presented as essential for developing technical and non-technical skills and enhancing teamwork in a safe environment, without harm to the patient in situ simulation is a valuable approach to practice in realistic environments and to address latent security threats.

PSMF May 2024 Newsletter : International Nurses Day is observed on May 12. This date was chosen because it is the birthday of Florence Nightingale, who was born in 1820. Florence Nightingale is considered the pioneer of modern-day nursing. In the 1850s, she went to Crimea where, like today, there was a war going on. She imposed strict standards of care and made sure the wards were kept clean and well stocked with medical supplies. She became known as the “Lady with the Lamp,” making regular rounds on the patients at night, as she knew patients could deteriorate at night as well as during the day. Today, she would have been a strong supporter of remote patient wireless monitoring to prevent a patient’s deterioration from being missed, resulting in some being found “dead in bed”! At the end of the Crimean War, she returned to London and set up the first school of nursing at St. Thomas’ Hospital. If you work with nurses or are taken care of by nurses, or know a nurse, please thank them for what they do.

Transforming Healthcare Training with XR: HTC VIVE’s Role in Enhancing Professional Skills and Engagement: In the rapidly evolving healthcare sector, maintaining a competitive edge is crucial. Extended Reality (XR), which includes Virtual Reality (VR) and Augmented Reality (AR), is a technology that merges the digital and real worlds to create fully immersive and interactive training environments. With HTC VIVE’s hardware and software, healthcare organizations can leverage these XR tools to offer training solutions that not only attract top talent for their facilities but also enhance the quality of patient care. A recent survey conducted by HTC VIVE reveals that 81% of healthcare professionals believe XR training gives their organizations a competitive advantage in attracting top-tier talent. Additionally, 82% reported that XR training increases their organization’s appeal to patients. These statistics highlight XR’s dual benefits: it enhances professional training and boosts organizational attractiveness.

The Role Of Immersive Technologies In Virtual Training: VR And Beyond: Oleg Fonarov is the CEO of Program-Ace, an innovative solutions integrator and custom software development company with a 30-year history. It wouldn’t surprise anyone if I said that immersive technologies like virtual reality (VR) have transformed virtual training programs. This is how you can effectively simulate real-life scenarios for training purposes without the associated risks and high costs. To provide a simple example: In healthcare, VR allows medical students to perform complex surgeries in a controlled virtual environment.

The Top Augmented Reality Workshop Options for AR Education: An augmented reality workshop isn’t just an excellent tool for developers and vendors planning to create AR apps. As augmented reality development becomes more accessible, with the rise of intuitive development kits and low-code, no-code solutions, workshops introduce various immersive opportunities. With workshops, business leaders can empower team members to create and customize AR apps for collaboration, product development, and more. These tools could also help more companies unlock additional revenue streams in the metaverse or enhance customer experience with AR tools.

Simulation sessions help ICU clinicians prepare for high-risk, infrequent emergency procedures: Simulation sessions can help maintain clinician proficiency and prepare staff members to be part of the multidisciplinary team during high-risk procedures that happen suddenly and infrequently. One such situation is an emergency resternotomy in the intensive care unit (ICU) for patients recovering from cardiac surgery who experience cardiac arrest. The surgery involves reopening the patient’s chest after defibrillation did not resuscitate them. It is performed in the ICU, without transferring the patient to an operating room, and can be challenging for all clinicians involved as they race to save the patient.

Cognitive aids used in simulated resuscitation: A systematic review: This systematic review followed the PICOST format. All randomized controlled trials and non-randomised studies evaluating cognitive aid use during (simulated) resuscitation were included in any setting. Unpublished studies were excluded. We did not include studies that reported cognitive aid use during training for resuscitation alone. Medline, Embase and Cochrane databases were searched from inception until July 2019 (updated August 2022, November 2023, and 23 April 2024). We did not search trial registries. Title and abstract screening, full-text screening, data extraction, risk of bias assessment (using RoB2 and ROBINS-I), and certainty of evidence (using GRADE) were performed by two researchers. PRISMA reporting standards were followed, and registration (PROSPERO CRD42020159162, version 19 July 2022) was performed. No funding has been obtained.

A 3-D interactive microbiology laboratory via virtual reality for enhancing practical skills : Virtual Reality (VR) laboratories are a new pedagogical approach to support psychomotor skills development in undergraduate programmes to achieve practical competency. VR laboratories are successfully used to carry out virtual experiments in science courses and for clinical skills training in professional courses. This paper describes the development and evaluation of a VR-based microbiology laboratory on Head-Mounted Display (HMD) for undergraduate students. Student and faculty perceptions and expectations were collected to incorporate into the laboratory design.

How simulation can help solve the NHS elective care backlog: Simulation technology takes the risk out of decision-making to reveal the ideas, technologies, changes in pathways and processes that will improve healthcare, writes Tom Stephenson. There’s widespread agreement that the development of new technologies will be a critical part of solving the huge healthcare challenges that we face today. We are already seeing how artificial intelligence, machine learning, IoT, robotics and nanotechnology are improving healthcare provision. The connection between technology and improved healthcare feels closer than ever – raising hopes that we might be on the verge of discovering some ‘silver bullet’ to solve challenges like the much-reported waiting list backlog.

Clinical validation of a novel digital twin framework for ventricular functional substrate simulation in post-infarction patients: Catheter ablation is a cornerstone treatment for scar related post-infarction ventricular arrhythmias. Functional substrate driven ablation strategies guided by local activation time (LAT) mapping have been proven as efficient and effective approaches, especially when dealing with large scar areas. In-silico electrophysiological modeling is emerging as a potential tool for procedural planning and guidance.

Simulation-based team training for healthcare professionals in pediatric departments: study protocol for a nonrandomized controlled trial: Healthcare systems worldwide face challenges related to patient safety, quality of care, and interprofessional collaboration. Simulation-based team training has emerged as a promising approach to address some of these challenges by providing healthcare professionals with a controlled and safe environment to enhance their teamwork and communication skills. The purpose of this study protocol is to describe an intervention using simulation-based team training in pediatric departments.

Advancement of 3D printing technology for the development of a training model in US-guided vesicoamniotic shunting for early LUTO therapy: Prenatal lower urinary tract obstruction (LUTO) is a rare and challenging condition with potential severe morbidity and mortality. Prenatal shunting methods, specifically vesicoamniotic shunting (VAS) and fetal cystoscopy, aim to manage this condition. However, comprehensive education and training are hindered by the rarity of LUTO. To address this gap, we present a low-cost 3D-printed ultrasound training model for VAS in LUTO fetuses. The aim of the study was to evaluate ultrasound and haptic fidelity of the model.

Simulation Training for Emergency Sternotomy in the Cardiovascular Intensive Care Unit: Emergency resternotomy in the intensive care unit for a patient who has undergone cardiac surgery can be daunting for surgeons and critical care staff. Clinicians involved are often unfamiliar with the surgical instruments and techniques needed. After an emergency intensive care unit resternotomy resulted in suboptimal performance and outcome, protocols for emergency resternotomy were established and improved.

Immersive learning: The disruption health care education needed: From defense to aviation to health care, simulation-based learning plays an important role across high-risk industries to safely train future professionals. In health care, simulation-based learning mimics real-world practice, allowing students to learn from mistakes in a setting resembling their future work environment, complete with virtual patients. No patients are harmed, no cadavers are needed and students are more likely to retain what they have learned from firsthand experience than they would learn from a textbook.

Effect of standardized patient simulation-based pedagogics embedded with lecture in enhancing mental status evaluation cognition among nursing students in Tanzania: A longitudinal quasi-experimental study: Nurses around the world are expected to demonstrate competence in performing mental status evaluation. However, there is a gap between what is taught in class and what is practiced for patients with mental illness among nursing students during MSE performance. It is believed that proper pedagogics may enhance this competence. A longitudinal controlled quasi-experimental study design was used to evaluate the effect of using standardized patient simulation-based pedagogics embedded with a lecture in enhancing mental status evaluation cognition among nursing students in Tanzania.

Now Available! #SG24USA Program & Conference Details: The SimGHOSTS 2024 USA Conference (SG24USA) is set to take place in Indianapolis, Indiana from August 6-9. Hosted by IU Health, IU School of Medicine, and IU School of Nursing, this 3.5-day event at the Simulation Center at Fairbanks Hall is designed to Accelerate Your Success in Healthcare Simulation. By focusing on the latest insights in simulation technology and providing practical advice, tips, tricks, and hacks, SG24USA is the premier platform to stay ahead of the trends and technologies that will fast track your simulation operations career. Don’t miss this transformative opportunity to enhance your simulation technology and operations skills and unlock new possibilities in healthcare simulation.

Improving medical students recognizing surgery of glioblastoma removal/decompressive craniectomy via physical lifelike brain simulator training: This study aims to investigate the benefits of employing a Physical Lifelike Brain (PLB) simulator for training medical students in performing craniotomy for glioblastoma removal and decompressive craniectomy.This prospective study included 30 medical clerks (fifth and sixth years in medical school) at a medical university. Before participating in the innovative lesson, all students had completed a standard gross anatomy course as part of their curriculum. The innovative lesson involved PLB Simulator training, after which participants completed the Learning Satisfaction/Confidence Perception Questionnaire and some received qualitative interviews.

Simulation of plaque formation in a realistic geometry of a human aorta: effects of endothelial layer properties, heart rate, and hypertension: Nowadays, cardiovascular diseases are the most common cause of death worldwide. Besides, atherosclerosis is a cardiovascular disease that occurs with persistent narrowing of arteries, especially medium and large-sized arteries. Atherosclerosis begins with a local elevation in the permeability of the arterial wall as a result of endothelial inflammation. Subsequently, excess LDL permeates into the arterial wall. Then, through several chemical responses and reactions, foam cells are produced. These foam cells serve as a crucial indicator for assessing the development of atherosclerosis within the arteries. In this study, the effect of endothelial layer modeling, heart rate (HR) and hypertension on the foam cell accumulation is numerically investigated in a patient-specific geometry of the human thoracic aorta.

Are Artificial Intelligence Virtual Simulated Patients (AI-VSP) a Valid Teaching Modality for Health Professional Students?: Simulation-based learning is robust, but the COVID pandemic created opportunities for novel modalities, including Artificial Intelligence Virtual Simulated Patient (AI-VSP) scenarios. Between 2019 and 2022, the following health professional students experienced AI-VSP at one US university: (a) “Headache” scenario: 24 Family Nurse Practitioner (FNP) and 48 Physician Assistants (PA) students, (b) “Insomnia” scenario: 64 Bachelor of Science in Nursing (BSN) and 47 Accelerated Bachelor of Science in Nursing (ABSN) students. Each individually conducted a brief strongly encouraged encounter and subsequently optionally participated in our study.

How simulation-based learning prepares dietetics students for clinical success: The University of Kentucky Department of Dietetics and Human Nutrition (DHN) has made significant strides in preparing its dietetics students for real-world clinical settings through an innovative program incorporating Simulation-Based Learning Experiences (SBLEs). A recent study by DHN faculty, published in Educational Sciences, highlights the positive impact of these simulations on students’ self-perceived confidence and readiness to perform as entry-level registered dietitian nutritionists (RD/RDN).

Effects of Real Time Feedback on Novice’s Laparoscopic Learning Curve: Analyze the learning curve of medical students when they are trained with a laparoscopic box trainer and are presented with different modes of real-time feedback on their performance in the laparoscopic suturing procedure.A prospective randomized controlled trial (RTC) was performed. Three groups were proposed: control, visual, and haptic. The block randomization technique was used to assign the participants to one of the three groups. Each group trained the intracorporeal square flat knot task in a standardized FLS box simulator.

Using Standardized Patient Simulations in the Nursing Curriculum to Promote Culturally Sensitive LGBTQ+ Care: A Pilot Study: This study’s aim was to examine the use of simulation technologies in the form of standardized patients to enhance gender affirming assessment skills in a sample of undergraduate nursing students.Lack of provider knowledge regarding gender affirming care impacts health care for individuals who identify as lesbian, gay, bisexual, transgender, queer, and people with other expansive identities (LGBTQ+).A pre- and post-survey was used to evaluate a LGBTQ+ competency-based simulation scenario using standardized patients

The 2024 French guidelines for scenario design in simulation-based education: manikin-based immersive simulation, simulated participant-based immersive simulation and procedural simulation : Simulation-based education in healthcare encompasses a wide array of modalities aimed at providing realistic clinical experiences supported by meticulously designed scenarios. The French-speaking Society for Simulation in Healthcare (SoFraSimS) has developed guidelines to assist educators in the design of scenarios for manikin- or simulated participant- based immersive simulation and procedural simulation, the three mainly used modalities.After establishing a French-speaking group of experts within the SoFraSimS network, we performed an extensive literature review with theory-informed practices and personal experiences. We used this approach to identify the essential criteria for practice-based scenario design within the three simulation modalities.

Simulations and virtual care: Future of optometry student placements under review: The quality of optometry clinical placements in Australia – alongside opportunities to perform simulation-based learning and equipping students for the future of remote optometry consultations – is in the spotlight as part of an Ahpra review. A special committee is seeking industry feedback on its draft guidance on embedding good practice in clinical placements, simulation-based learning and virtual care in “initial student health practitioner education” across various health professions, including optometry. “These activities enable students to develop the capabilities they need for contemporary practice, and to safely and competently deliver patient-centred care,” committee chair Professor Andrew Wilson said.

Immersive Design Systems at Boston Children’s Hospital: There is a huge chasm between nursing school and real practice. To help bridge that gap, we use the power of virtual reality in onboarding Boston Children’s Hospital nurses. These invaluable VR tools help nurses excel in their fast-paced environment. After a recent training, one nurse shared how her confidence during an actual code, especially while preparing medications, was boosted thanks to her experience with the OMS code cart module.

This Global Medical Simulation News Update for June 2024 has covered the latest news in regards to Healthcare Simulation across the globe. Stay in the loop for the latest news in regards to Healthcare Simulation with access to this list of top news shared for those in the industry.

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