Pub Date : 1900-01-01DOI: 10.1102/2051-7726.2019.a002
Anya Bhatia, S. Sangani, B. Patel
{"title":"Out of hospital cardiac arrest and CPR training awareness in the community","authors":"Anya Bhatia, S. Sangani, B. Patel","doi":"10.1102/2051-7726.2019.a002","DOIUrl":"https://doi.org/10.1102/2051-7726.2019.a002","url":null,"abstract":"","PeriodicalId":202461,"journal":{"name":"Journal of Surgical Simulation","volume":"121 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133479194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.1102/2051-7726.2021.a012
{"title":"A successful axillary clearance for huge recurrent axillary metastatic cutaneous squamous cell carcinoma: how we do it","authors":"","doi":"10.1102/2051-7726.2021.a012","DOIUrl":"https://doi.org/10.1102/2051-7726.2021.a012","url":null,"abstract":"","PeriodicalId":202461,"journal":{"name":"Journal of Surgical Simulation","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122202681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.1102/2051-7726.2021.a019
{"title":"Cognitive task analysis-based training in surgery: a systematic review and meta-analysis","authors":"","doi":"10.1102/2051-7726.2021.a019","DOIUrl":"https://doi.org/10.1102/2051-7726.2021.a019","url":null,"abstract":"","PeriodicalId":202461,"journal":{"name":"Journal of Surgical Simulation","volume":"345 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120895756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.1102/2051-7726.2022.0011
Olga L. Bednarek, Samuel Jessula, S. Minor
{"title":"Trauma team perceptions regarding in situ simulation","authors":"Olga L. Bednarek, Samuel Jessula, S. Minor","doi":"10.1102/2051-7726.2022.0011","DOIUrl":"https://doi.org/10.1102/2051-7726.2022.0011","url":null,"abstract":"","PeriodicalId":202461,"journal":{"name":"Journal of Surgical Simulation","volume":"62 9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127581448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.1102/2051-7726.2021.a017
{"title":"Microsurgical simulation - a 'cheep' set up","authors":"","doi":"10.1102/2051-7726.2021.a017","DOIUrl":"https://doi.org/10.1102/2051-7726.2021.a017","url":null,"abstract":"","PeriodicalId":202461,"journal":{"name":"Journal of Surgical Simulation","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114205916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.1102/2051-7726.2021.0011
C. Blane, L. Merker, J. Mutimer, James James, R. Bamford
Background: Boot camps are an important way to ensure trainees have the necessary skills and confidence as they commence a new stage of training. They are an established part of many post-graduate training programmes. The COVID-19 pandemic has led to a significant disruption in post-graduate training, making boot camps an even more important intervention. Methods: This retrospective cohort study used anonymous feedback surveys to evaluate the acceptability of a new blended, socially distanced format of boot camp to trainees starting core surgical training in August 2020. Formal ethical approval was not required for this study. Results: All 27 new trainees in HEESW Severn School of Surgery attended the boot camp; over 80% participated in all three feedback surveys (22 [81%] completed the feedback for day 1, 23 [85%] for day 2 and 26 [96%] for day 3). Overall feedback was positive; compared with 2019, there was no significant difference in reported readiness to perform as a core trainee, understanding of the role or the benefit gained from meeting other trainees. When asked which boot camp format the trainees preferred, they favoured all attending in one location (4.65) over the current “hub” format (3.74), which was in turn preferable to attending virtually from home (2.39). (P50.05). Conclusion: Although trainees expressed a preference for the previous model in which their entire cohort attended the boot camp together, the blended format was acceptable to trainees and allowed us to provide a boot camp while following social distancing requirements.
{"title":"Delivering a socially distanced boot camp for core surgical trainees during the COVID-19 pandemic: how we did it","authors":"C. Blane, L. Merker, J. Mutimer, James James, R. Bamford","doi":"10.1102/2051-7726.2021.0011","DOIUrl":"https://doi.org/10.1102/2051-7726.2021.0011","url":null,"abstract":"Background: Boot camps are an important way to ensure trainees have the necessary skills and confidence as they commence a new stage of training. They are an established part of many post-graduate training programmes. The COVID-19 pandemic has led to a significant disruption in post-graduate training, making boot camps an even more important intervention. Methods: This retrospective cohort study used anonymous feedback surveys to evaluate the acceptability of a new blended, socially distanced format of boot camp to trainees starting core surgical training in August 2020. Formal ethical approval was not required for this study. Results: All 27 new trainees in HEESW Severn School of Surgery attended the boot camp; over 80% participated in all three feedback surveys (22 [81%] completed the feedback for day 1, 23 [85%] for day 2 and 26 [96%] for day 3). Overall feedback was positive; compared with 2019, there was no significant difference in reported readiness to perform as a core trainee, understanding of the role or the benefit gained from meeting other trainees. When asked which boot camp format the trainees preferred, they favoured all attending in one location (4.65) over the current “hub” format (3.74), which was in turn preferable to attending virtually from home (2.39). (P50.05). Conclusion: Although trainees expressed a preference for the previous model in which their entire cohort attended the boot camp together, the blended format was acceptable to trainees and allowed us to provide a boot camp while following social distancing requirements.","PeriodicalId":202461,"journal":{"name":"Journal of Surgical Simulation","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129080438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.1102/2051-7726.2019.0003
A. Morawala, B. Alaraimi, Gilberto Galloso, B. Patel
Background: Fundamentals in Laparoscopic Surgery (FLS) is widely used in practice for skill acquisition and objective assessments. The peg transfer model enables trainees to acquire basic laparoscopic skills. We structured three different three-dimensional (3D) peg transfer models with various heights and depths to replicate 3D laparoscopic anatomy. Before implementing any simulation model in a laparoscopy curriculum, it is important to determine its validity. Aim: To establish face and construct validity of novel 3D peg transfer models in two-dimensional (2D) and 3D visual systems for training and evaluation of laparoscopic skills in novices using the McGill inanimate system. Methods: Three peg transfer 3D models were designed with different peg heights and depths using wooden blocks from the popular game “Jenga”. Ten novices, ten intermediates and ten experts were recruited. They performed three repetitions of peg transfer on each model using 3D and 2D visual modalities. Performance time, error and total score were measured. Multiple comparison (post hoc Bonferroni) tests were used to compare the data (mean value of total time, total errors and total score) for each group. All participants completed a six-question post-test questionnaire (face validity) for 2D and 3D viewing modalities. Results: When novices were compared with intermediates and experts using 2D and 3D visual systems, there were statistically significant differences (P50.001) in the total score and performance time for all models with the exception of model 2 in 2D. We were unable to show any significant difference in total score and performance time when intermediates were compared with experts with any of the three models, in either the 2D or the 3D visual modality. All models were highly rated in both visual modalities. Conclusion: Three models were developed for improving laparoscopic surgical skills. Face validity and construct validity were demonstrated by measuring significant differences in improvement of performance time and lower total score when novices were compared with intermediates and experts in both 2D and 3D visual modalities. We recommend using models 1 and 3 for simulation training in both visual modalities, and this could replace the current relatively “flat” 2D models of the FLS training course to shorten the learning curve for acquiring surgical skills.
{"title":"Face and construct validation study of novel 3D peg transfer models for training and evaluation of laparoscopic skills in two-dimensional and three-dimensional laparoscopic surgery","authors":"A. Morawala, B. Alaraimi, Gilberto Galloso, B. Patel","doi":"10.1102/2051-7726.2019.0003","DOIUrl":"https://doi.org/10.1102/2051-7726.2019.0003","url":null,"abstract":"Background: Fundamentals in Laparoscopic Surgery (FLS) is widely used in practice for skill acquisition and objective assessments. The peg transfer model enables trainees to acquire basic laparoscopic skills. We structured three different three-dimensional (3D) peg transfer models with various heights and depths to replicate 3D laparoscopic anatomy. Before implementing any simulation model in a laparoscopy curriculum, it is important to determine its validity. Aim: To establish face and construct validity of novel 3D peg transfer models in two-dimensional (2D) and 3D visual systems for training and evaluation of laparoscopic skills in novices using the McGill inanimate system. Methods: Three peg transfer 3D models were designed with different peg heights and depths using wooden blocks from the popular game “Jenga”. Ten novices, ten intermediates and ten experts were recruited. They performed three repetitions of peg transfer on each model using 3D and 2D visual modalities. Performance time, error and total score were measured. Multiple comparison (post hoc Bonferroni) tests were used to compare the data (mean value of total time, total errors and total score) for each group. All participants completed a six-question post-test questionnaire (face validity) for 2D and 3D viewing modalities. Results: When novices were compared with intermediates and experts using 2D and 3D visual systems, there were statistically significant differences (P50.001) in the total score and performance time for all models with the exception of model 2 in 2D. We were unable to show any significant difference in total score and performance time when intermediates were compared with experts with any of the three models, in either the 2D or the 3D visual modality. All models were highly rated in both visual modalities. Conclusion: Three models were developed for improving laparoscopic surgical skills. Face validity and construct validity were demonstrated by measuring significant differences in improvement of performance time and lower total score when novices were compared with intermediates and experts in both 2D and 3D visual modalities. We recommend using models 1 and 3 for simulation training in both visual modalities, and this could replace the current relatively “flat” 2D models of the FLS training course to shorten the learning curve for acquiring surgical skills.","PeriodicalId":202461,"journal":{"name":"Journal of Surgical Simulation","volume":"33 5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130923416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.1102/2051-7726.2023.0003
Caitlin Blades, Brain Carter, Melissa D. Smith, Helen J. Madsen, Jay Pal, Yihan Lin
{"title":"The GlobalSurgBox: reducing medical student barriers to surgical simulation training","authors":"Caitlin Blades, Brain Carter, Melissa D. Smith, Helen J. Madsen, Jay Pal, Yihan Lin","doi":"10.1102/2051-7726.2023.0003","DOIUrl":"https://doi.org/10.1102/2051-7726.2023.0003","url":null,"abstract":"","PeriodicalId":202461,"journal":{"name":"Journal of Surgical Simulation","volume":"128 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124643549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.1016/j.hpb.2019.10.1791
J. Koong, S. Choy, N. Bahuri, P. N. Sitaram, Diana Mohd Shah, H. Omar, A. Kamarulzaman
{"title":"Organ donation innovative strategies for Southeast Asia: ODISSeA","authors":"J. Koong, S. Choy, N. Bahuri, P. N. Sitaram, Diana Mohd Shah, H. Omar, A. Kamarulzaman","doi":"10.1016/j.hpb.2019.10.1791","DOIUrl":"https://doi.org/10.1016/j.hpb.2019.10.1791","url":null,"abstract":"","PeriodicalId":202461,"journal":{"name":"Journal of Surgical Simulation","volume":"82 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116630734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.1102/2051-7726.2019.0005
Niall Downey
Human error is inevitable in all walks of life. It generally has little effect, unless you work in a safety-critical industry. Aviation and healthcare are two such industries although they have very different approaches to managing error. They also have very different outcomes regarding mortality/morbidity related to error. This paper discusses how aviation achieves these results and how they could be transferred to healthcare. Aviation has a three-stage approach to managing error. First, we have a “Just Culture” which means we can own up to genuine mistakes without fear of disciplinary action or sanctions as long as we cooperate with investigating how the error occurred. It is not a “No-Blame” culture; we are still expected to take responsibility for our actions. Second, we investigate each event to find why the error occurred. We usually identify a “tripwire” which led to the individual making the error. We assess whether we can re-engineer the system to remove the tripwire and, if possible, add a safety net to reduce the chance of recurrence. Third, we train staff in error management as part of both initial training and recurrent training. Aviation globally is now focussing on introducing evidence-based training to better meet the needs of the crew and make most effective use of expensive training time. These principles are relevant and transferable to healthcare and could potentially be equally successful there. Success, however, relies on a change in culture by both staff and patients. Error needs to be accepted as inevitable in healthcare, as it is in aviation, and that the outcome is determined by how it is managed. We need to focus on “what went wrong” as opposed to “who went wrong” and accept that attributing blame and demanding retribution is not a sustainable approach.
{"title":"Ever made a mistake? The role of aviation-style error management in healthcare","authors":"Niall Downey","doi":"10.1102/2051-7726.2019.0005","DOIUrl":"https://doi.org/10.1102/2051-7726.2019.0005","url":null,"abstract":"Human error is inevitable in all walks of life. It generally has little effect, unless you work in a safety-critical industry. Aviation and healthcare are two such industries although they have very different approaches to managing error. They also have very different outcomes regarding mortality/morbidity related to error. This paper discusses how aviation achieves these results and how they could be transferred to healthcare. Aviation has a three-stage approach to managing error. First, we have a “Just Culture” which means we can own up to genuine mistakes without fear of disciplinary action or sanctions as long as we cooperate with investigating how the error occurred. It is not a “No-Blame” culture; we are still expected to take responsibility for our actions. Second, we investigate each event to find why the error occurred. We usually identify a “tripwire” which led to the individual making the error. We assess whether we can re-engineer the system to remove the tripwire and, if possible, add a safety net to reduce the chance of recurrence. Third, we train staff in error management as part of both initial training and recurrent training. Aviation globally is now focussing on introducing evidence-based training to better meet the needs of the crew and make most effective use of expensive training time. These principles are relevant and transferable to healthcare and could potentially be equally successful there. Success, however, relies on a change in culture by both staff and patients. Error needs to be accepted as inevitable in healthcare, as it is in aviation, and that the outcome is determined by how it is managed. We need to focus on “what went wrong” as opposed to “who went wrong” and accept that attributing blame and demanding retribution is not a sustainable approach.","PeriodicalId":202461,"journal":{"name":"Journal of Surgical Simulation","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123479415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：