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Research Studies is a compilation of published research articles funded by 大象视频or authored by 大象视频researchers.

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1 to 25 of 61 Research Studies Displayed
Cunningham SD, Carandang RR, Wood LS
Evaluating a train-the-trainer approach for implementing obstetric life support in diverse healthcare contexts throughout Arizona: a mixed methods protocol.
The purpose of this study was to outline a protocol for evaluating a train-the-trainer approach to implementing obstetric life support (OBLS) training across Arizona healthcare settings. The mixed-methods study was conducted in partnership with the Arizona Perinatal Trust and Arizona Emergency Medical Systems. The protocol involves two consecutive implementation cycles where healthcare workers from 16 sites serving high-risk populations will become OBLS instructors, who will then train at least 160 additional healthcare workers. The evaluation will assess program reach, effectiveness in improving knowledge and clinical competencies, resource allocation, implementation fidelity, and long-term integration into practice and policy. A steering committee of local, regional, and national stakeholders will provide oversight for study activities. The researchers aim to use findings to support widespread implementation of OBLS training, ultimately enhancing maternal healthcare quality and reducing disparities in maternal outcomes.
AHRQ-funded; HS029814.
Citation: Cunningham SD, Carandang RR, Wood LS . Evaluating a train-the-trainer approach for implementing obstetric life support in diverse healthcare contexts throughout Arizona: a mixed methods protocol. BMC Health Serv Res 2025 May 15; 25(1):707. doi: 10.1186/s12913-025-12739-0..
Keywords: Maternal Health, Training, Emergency Medical Services (EMS), Simulation
Biro JM, Handley JL, Mickler J
The value of simulation testing for the evaluation of ambient digital scribes: a case report.
The purpose of this study was to demonstrate the value of simulation testing for rapidly evaluating artificial intelligence products in healthcare. Researcher-physician teams simulated outpatient encounters while using two different Ambient Digital Scribe (ADS) products, generating 44 draft clinical notes for analysis. The evaluation compared time needed for editing, perceived effort, and error types between products. Results showed significant differences, with ADS Product A taking longer to edit, having fewer omissions but more additions and irrelevant text errors than Product B. Despite these differences, Product A was rated as performing better for most encounters.
AHRQ-funded; HS030307.
Citation: Biro JM, Handley JL, Mickler J . The value of simulation testing for the evaluation of ambient digital scribes: a case report. J Am Med Inform Assoc 2025 May; 32(5):928-31. doi: 10.1093/jamia/ocaf052.
Keywords: Simulation, Electronic Health Records (EHRs), Health Information Technology (HIT)
Levy DE, Lee SS, Qian Y
Disparities in cigarette smoking and the health of marginalized populations in the U.S.: a simulation analysis.
This study used the Simulation of Tobacco and Nicotine Outcomes and Policy (STOP) microsimulation model to project life expectancy as a function of subpopulation (low socioeconomic status (SES), higher SES, serious psychological distress (SPD), or non-SPD) and cigarette smoking status. Low SES was defined as having at least one of the following: income below poverty, less than high school education, or Medicaid insurance with higher SES individuals belonging to none of these categories. The authors simulated 40-year-olds stratified by gender, subpopulation (by SES or by SPD, with no change), and smoking status (current/never, with no change) to project individual life expectancy losses from smoking. To project time to reach 5% cigarette smoking prevalence (U.S.) - reflecting one tobacco "endgame" threshold - in each subpopulation, they simulated the entire subpopulations of people with low SES, higher SES, SPD, and non-SPD, incorporating corresponding distributions of gender, age, and smoking status and accounting for changes in smoking behaviors and secular smoking trends. The model showed that, for individuals with low SES or SPD, smoking is associated with substantial loss of life expectancy from 9.8 to 11.5 years. Marginalized subpopulations would reach 5% smoking prevalence 20 years (low SES) and 17 years (SPD) sooner if smoking trends mirrored their less marginalized counterparts; these differences result in 5.3 million (low SES) and 966,000 (SPD) excess life-years lost over 40 years.
AHRQ-funded; HS000063.
Citation: Levy DE, Lee SS, Qian Y . Disparities in cigarette smoking and the health of marginalized populations in the U.S.: a simulation analysis. BMC Public Health 2025 Apr 25; 25(1):1546. doi: 10.1186/s12889-025-22658-8.
Keywords: Tobacco Use, Vulnerable Populations, Disparities, Mortality, Simulation
Ianni K, Chen A, Rodrigues D
Transporting difference-in-differences estimates to assess health equity impacts of payment and delivery models.
This simulation study鈥檚 objective was to transport the effects of the Comprehensive Primary Care Plus (CPC+) model to a target population of Black fee-for-service (FFS) Medicare beneficiaries living outside the original 18 CPC+ regions. Main outcome variable was total Medicare spending per beneficiary per year (pbpy). The authors simulated practice-level spending in 18 CPC+ regions and 32 non-CPC+ regions (1200 practices per region). They calibrated the parameters from the literature and then varied four key parameters to create 16 realistic simulation scenarios. Across the 16 simulation scenarios, transporting the treatment effect regions yielded median treatment effects that ranged from $15.5 pbpy smaller to $10 pbpy larger than in the sample. These differences turned out to be roughly the same magnitude as the estimated overall effect of $13 pbpy.
AHRQ-funded; HS028985.
Citation: Ianni K, Chen A, Rodrigues D . Transporting difference-in-differences estimates to assess health equity impacts of payment and delivery models. Health Serv Res 2025 Apr; 60(suppl 2):e14419. doi: 10.1111/1475-6773.14419.
Keywords: Primary Care, Payment, Medicare, Healthcare Costs, Simulation
Moussa A, Larone Juneau A, Chiasson CO
Interprofessional collaboration in building in situ simulations to identify threats to patient safety before transitioning to a new healthcare environment: neonatal intensive care as an example.
This study explored how interprofessional collaboration (IPC) and in situ simulations (ISS) can proactively identify and resolve these latent safety threats (LSTs) before transitioning to a new single-patient room neonatal ICU (NICU). The authors conducted a prospective, simulation-based intervention study involving healthcare professionals (HPs) and prior NICU parents. Three simulation activities were conducted to identify LSTs before the transition using the Canadian Interprofessional Competency Framework to formulate realistic scenarios. Eighty-nine HPs participated in six simulation sessions, identifying 89 LSTs across eight themes. The majority of LSTs (76%) were resolved before the transition. Survey analysis revealed significant increases in systems readiness and staff preparedness post-simulations. Parental involvement also significantly enhanced the focus on patient-centered care, leading to improvements in environmental design and communication systems.
AHRQ-funded.
Citation: Moussa A, Larone Juneau A, Chiasson CO . Interprofessional collaboration in building in situ simulations to identify threats to patient safety before transitioning to a new healthcare environment: neonatal intensive care as an example. Cureus 2025 Mar; 17(3):e81178. doi: 10.7759/cureus.81178.
Keywords: Simulation, Transitions of Care, Newborns/Infants, Critical Care, Patient Safety
Way DP, Panchal AR, Price A
Learner evaluation of an immersive virtual reality mass casualty incident simulator for triage training.
A study examined the effectiveness of virtual reality simulation for mass casualty incident training, involving 375 participants primarily consisting of paramedics and medical professionals. The simulation recreated a terrorist bombing scenario in a subway station, teaching the SALT triage protocol. Most participants rated the virtual reality experience as realistic and recommended it for first responder training. The results showed no significant differences in experience quality between users with varying levels of virtual reality familiarity, suggesting the technology's accessibility for training purposes.
AHRQ-funded; HS025915.
Citation: Way DP, Panchal AR, Price A . Learner evaluation of an immersive virtual reality mass casualty incident simulator for triage training. BMC Digit Health 2024; 2(1):56. doi: 10.1186/s44247-024-00117-5..
Keywords: Emergency Preparedness, Simulation, Training, Health Information Technology (HIT)
Allen RH, Islam R, Sant'Anna Marhino C
Self-assessment and modulation of traction during shoulder dystocia simulation training.
The objective of this study was to determine diagnostic traction for shoulder dystocia and to assess if applied traction is modifiable with force training. Researchers tethered a force-measuring fetal mannequin within a simulated pelvis so that it would not deliver, then had participants apply traction to diagnose shoulder dystocia, then stop. The results indicated that subjective diagnosis of shoulder dystocia during simulation training varied widely; 22% exceeded the possible injury threshold. The researchers noted that accuracy of self-assessed traction improved significantly with force training, as did clinical diagnosis of shoulder dystocia and a decrease in brachial plexus injury incidence.
AHRQ-funded; HS026689.
Citation: Allen RH, Islam R, Sant'Anna Marhino C . Self-assessment and modulation of traction during shoulder dystocia simulation training. J Patient Saf 2024 Sep 1; 20(6):388-91. doi: 10.1097/pts.0000000000001240..
Keywords: Simulation, Training
Anton NE, Obuseh M, Lim C
Nontechnical skills assessment in acute care trauma simulations: a mixed methods approach using eye tracking and behavioral marker systems.
This study employed a mixed methods approach to assess the relationship between trauma team leaders' objective gaze patterns and subjective expert nontechnical skills (NTS) ratings during patient care simulations. Nine trauma teams from first-year post-graduate general surgery and emergency medicine residents were recruited to participate in 1 of 2 trauma simulations. The results indicated that, when compared to other NTS domains, trauma teams scored relatively poorly on communication. There were also significant differences in trauma team leaders' gaze metrics between teammates and the patient. The authors concluded that their results provided several objective insights into trauma team leaders' NTS behaviors during patient care simulations, which may provide more comprehensive understanding of NTS behaviors and can be leveraged to guide NTS training of trauma physicians in the future.
AHRQ-funded; HS028026; 11001301.
Citation: Anton NE, Obuseh M, Lim C . Nontechnical skills assessment in acute care trauma simulations: a mixed methods approach using eye tracking and behavioral marker systems. Mil Med 2024 Aug 19; 189(suppl 3):719-27. doi: 10.1093/milmed/usae240..
Keywords: Trauma, Simulation, Training
Peter J, Moser CH, Karne V
A simulated tracheostomy tube change educational intervention to promote competency among novice healthcare professionals: a repeated measures study.
This study assessed an educational intervention aimed at enhancing nursing students' confidence, knowledge, and skills in tracheostomy tube changes. Fifty participants engaged in presentations, demonstrations, and practice sessions. Results indicated significant improvements: confidence rose by 3.58 points (P<0.001), knowledge by 1.14 points (P<0.001), and competency by 1.01 points (P<0.001). The time to complete the procedure decreased from 2.39 to 0.60 minutes, with 95% of participants deemed competent after one iteration. The intervention effectively boosted essential skills for nursing students, enhancing their preparedness for real-world clinical situations.
AHRQ-funded; HS029124.
Citation: Peter J, Moser CH, Karne V . A simulated tracheostomy tube change educational intervention to promote competency among novice healthcare professionals: a repeated measures study. Tracheostomy 2024; 1(2):16-26..
Keywords: Simulation, Training, Critical Care
Becker JE, Shebl FM, Losina E
Using simulation modeling to inform intervention and implementation selection in a rapid stakeholder-engaged hybrid effectiveness-implementation randomized trial.
In this article, the authors described the use of a validated dynamic microsimulation model of COVID-19 transmission and disease to determine the most effective strategies to mitigate infections among Massachusetts group home staff and residents with serious mental illness and intellectual/developmental disabilities. The results of the simulation model were presented to multidisciplinary stakeholders and policymakers to inform the "Tailored Best Practice" package for a hybrid effectiveness-implementation trial. Vaccination and decreasing vaccine hesitancy among staff were predicted to have the greatest impact in mitigating COVID-19 risk in vulnerable populations of group home residents and staff. The authors noted that future implementation may benefit from this model approach when rapid deployment is necessary in the absence of data on tailored interventions.
AHRQ-funded; HS000063.
Citation: Becker JE, Shebl FM, Losina E . Using simulation modeling to inform intervention and implementation selection in a rapid stakeholder-engaged hybrid effectiveness-implementation randomized trial. Implement Sci Commun 2024 Jun 24; 5(1):70. doi: 10.1186/s43058-024-00593-w.
Keywords: Evidence-Based Practice, Simulation, Implementation
Hung K, Santana C, Johnson CT
Effectiveness of in-situ simulation on clinical competence for nurses: a systematic review.
This systematic review examined the effectiveness of in-situ simulation (ISS) for registered nurses' clinical competence in acute care settings. ISS was found overall to increase clinical competence.
AHRQ-funded; HS026418.
Citation: Hung K, Santana C, Johnson CT . Effectiveness of in-situ simulation on clinical competence for nurses: a systematic review. Clin Simul Nurs 2024 Feb; 87:101502. doi: 10.1016/j.ecns.2023.101502..
Keywords: Provider: Nurse, Simulation, Training
Militello LG, Salwei ME, Reale C
Adapting cognitive task analysis methods for use in a large sample simulation study of high-risk healthcare events.
This case study examined the best way to adapt cognitive task analysis (CTA) methods for large multi-site studies, as it is traditionally used to conduct small-sample, in-depth studies. CTA methods were adapted for a large multi-site study in which 102 anesthesiologists worked through four different high-fidelity simulated high-consequence incidents. The authors highlighted three practical challenges that arose: (1) standardizing the interview techniques for use across a large, distributed team of diverse backgrounds; (2) developing effective training; and (3) developing a strategy to analyze the resulting large amount of qualitative data. They reflected on how we addressed these challenges by increasing standardization, developing focused training, overcoming social norms that hindered interview effectiveness, and conducting a staged analysis. They shared findings from a preliminary analysis that provides early validation of the strategy employed. An analysis of a subset of 64 interview transcripts suggests that interviewers successfully elicited descriptions of decision processes that varied due to the different challenges presented by the four simulated incidents. The same 64 transcripts were analyzed holistically, which revealed individual differences in how anesthesiologists interpreted and managed the same case.
AHRQ-funded; HS026158; HS029042; HS026395.
Citation: Militello LG, Salwei ME, Reale C . Adapting cognitive task analysis methods for use in a large sample simulation study of high-risk healthcare events. J Cogn Eng Decis Mak 2023 Dec; 17(4):315-31. doi: 10.1177/15553434231192283..
Keywords: Simulation, Risk
Anton NE, Cha JS, Hernandez E
Utilizing eye tracking to assess medical student non-technical performance during scenario-based simulation: results of a pilot study.
The purpose of this study was to determine if eye tracking (ET) metrics are associated with non-technical skills (NTS) performance. Participants wore a mobile ET system and participated in two patient care simulations in which they managed a deteriorating patient. Preliminary data suggests that visual attention on the patient was negatively associated with NTS and may indicate poor comprehension of the patient's status due to heightened cognitive load. The authors concluded that researchers and educators should consider using ET in future work to evaluate and provide feedback on their NTS.
AHRQ-funded; HS028026.
Citation: Anton NE, Cha JS, Hernandez E . Utilizing eye tracking to assess medical student non-technical performance during scenario-based simulation: results of a pilot study. Global Surg Educ 2023 Dec; 2(1). doi: 10.1007/s44186-023-00127-3.
Keywords: Simulation
Shields AD, Vidosh J, Thomson BA
Validation of a simulation-based resuscitation curriculum for maternal cardiac arrest.
The purpose of this study was to evaluate the knowledge, skills, and self-efficacy of health care participants completing a simulation-based blended learning training curriculum on managing maternal medical emergencies and maternal cardiac arrest. The study included a formative assessment of the Obstetric Life Support curriculum. The training consisted of self-guided pre-course work and an instructor-led simulation course using a customized low-fidelity simulator. Eighty-five participants consented to participation in the training (out of 88 invited); 77 participants completed the training over eight sessions. The study found that at baseline, less than 50% of participants were able to achieve a passing score on the cognitive assessment. After the course, mean cognitive assessment scores improved by 13 points, from 69.4% at baseline to 82.4% after the course. The researchers observed significant improvements in participant self-efficacy, and 92.6% of participants agreed or strongly agreed that the course met its educational objectives.
AHRQ-funded; HS026169.
Citation: Shields AD, Vidosh J, Thomson BA . Validation of a simulation-based resuscitation curriculum for maternal cardiac arrest. Obstet Gynecol 2023 Nov 1; 142(5):1189-98. doi: 10.1097/aog.0000000000005349..
Keywords: Heart Disease and Health, Cardiovascular Conditions, Maternal Health, Simulation, Training, Education: Continuing Medical Education, Women
Taaffe K, Ferrand YB, Khoshkenar A
Operating room design using agent-based simulation to reduce room obstructions.
The purpose of this study was to improve the safety of clinical care provided in operating rooms (ORs) by examining wats in which characteristics of both the procedure and the physical environment affect surgical team movement and contacts. Researchers video recorded staff movements during surgical procedures, then divided the OR into multiple zones and analyzed the frequency and duration of movement from origin to destination. Results showed that OR size, the circulating nurse workstation location, and team size significantly affected surgical team contacts; two- and three-way interactions between staff, procedure type, table orientation, and workstation location also significantly affected contacts. Implications of these findings for OR managers and for future research about designing future ORs are discussed.
AHRQ-funded; HS0024380.
Citation: Taaffe K, Ferrand YB, Khoshkenar A . Operating room design using agent-based simulation to reduce room obstructions. Health Care Manag Sci 2023 Jun; 26(2):261-78. doi: 10.1007/s10729-022-09622-3..
Keywords: Surgery, Simulation
Straccia A, Chassagne F, Bass DI
A novel patient-specific computational fluid dynamics study of the activation of primary collateral pathways in the Circle of Willis during vasospasm.
This study presented a novel technique to create patient-specific computational fluid dynamics simulations of the Circle of Willis (a redundant network of blood vessels that perfuses the brain) before and during vasospasm. Computed tomographic angiography scans are segmented to model the vasculature, and transcranial Doppler ultrasound measurements of blood flow velocity are applied as boundary conditions. The authors stated that this analysis can be applied in future to a cohort of patients to investigate the relationship between the locations and severities of vasospasm, anatomical variability in individuals鈥 Circle of Willis, and the activation of collateral pathways.
AHRQ-funded; HS026690.
Citation: Straccia A, Chassagne F, Bass DI . A novel patient-specific computational fluid dynamics study of the activation of primary collateral pathways in the Circle of Willis during vasospasm. J Biomech Eng 2023 Apr;145(4):041008. doi: 10.1115/1.4055813.
Keywords: Cardiovascular Conditions, Simulation
Kman NE, Price A, Berezina-Blackburn V
First Responder Virtual Reality Simulator to train and assess emergency personnel for mass casualty response.
This paper describes the First Responder Virtual Reality Simulator, a high-fidelity, fully immersive, automated, programmable virtual reality (VR) simulation designed to train frontline responders to treat and triage victims of mass casualty incidents. First responder trainees wear a wireless VR head-mounted display linked to a compatible desktop computer. Autonomous, interactive victims who are programmed to simulate individuals with injuries consistent with an explosion in an underground space are used. The trainees are armed with a virtual medical kit, who are then tasked with triaging and treating the victims on the scene. Increased challenges can be added such as increasing the environmental chaos, adding patients, or increasing the acuity of patient injuries.
AHRQ-funded; HS025915.
Citation: Kman NE, Price A, Berezina-Blackburn V . First Responder Virtual Reality Simulator to train and assess emergency personnel for mass casualty response. J Am Coll Emerg Physicians Open 2023 Feb;4(1):e12903. doi: 10.1002/emp2.12903.
Keywords: Emergency Medical Services (EMS), Simulation, Health Information Technology (HIT), Training, Emergency Preparedness
Cohen TN, Anger JT, Kanji FF
A novel approach for engagement in team training in high-technology surgery: the Robotic-Assisted Surgery Olympics.
The purpose of this study was to develop the 鈥淩obotic-Assisted Surgery (RAS) Olympics,鈥 a 鈥渟erious game鈥-based educational competition to improve the skills required to successfully perform RAS. The pilot study was conducted at an academic medical center in Southern California. Sixteen operating room members participated in the event, reporting that they preferred the RAS Olympics to traditional training, enjoyed the activity, would recommend all staff participate, felt that it was relevant to their work, and believed that they practiced and learned new techniques that would improve their practice. The participants鈥 confidence in their skills did not change. The researchers concluded that new information was gained about new possibilities for simultaneously engaging and training surgical staff while emphasizing RAS safety and efficiency.
AHRQ-funded; HS026491.
Citation: Cohen TN, Anger JT, Kanji FF . A novel approach for engagement in team training in high-technology surgery: the Robotic-Assisted Surgery Olympics. J Patient Saf 2022 Sep 1;18(6):570-77. doi: 10.1097/pts.0000000000001056..
Keywords: Surgery, Training, Education: Continuing Medical Education, Simulation, Teams
Shields AD, Battistelli J, Kavanagh L
Staying current: developing just-in-time evidence-ased learning objectives for a maternal cardiac arrest simulation curriculum.
The authors鈥 objective was to review the latest evidence on resuscitation care for maternal cardiac arrest (MCA) and to gain expert consensus on best practices to inform an evidence-based curriculum. A multidisciplinary panel of stakeholders in MCA developed an evidence-based simulation training, Obstetric Life Support鈩 (OBLS). The researchers found that a novel three-step process including reaffirmation of evidence process, systematic review, and a modified Research and Development technique resulted in unanimous consensus from experts in MCA resuscitation on existing and new just-in-time best practices to inform the learning objectives for an evidence-based curriculum.
AHRQ-funded; HS026169.
Citation: Shields AD, Battistelli J, Kavanagh L . Staying current: developing just-in-time evidence-ased learning objectives for a maternal cardiac arrest simulation curriculum. Cardiol Cardiovasc Med 2022 Jun;6(3):245-54. doi: 10.26502/fccm.92920260..
Keywords: Evidence-Based Practice, Education: Curriculum, Simulation, Heart Disease and Health, Cardiovascular Conditions, Women, Education: Academic
Evans LV, Ray JM, Bonz JW
Improving patient and clinician safety during COVID-19 through rapidly adaptive simulation and a randomised controlled trial: a study protocol.
The purpose of this study will be to simultaneously assess the challenges and facilitators of COVID-19 preparedness in the emergency department (ED) and the mitigation of emergency physician stress, test the effectiveness of a simulation preparedness intervention on physician physiological stress, and improve physician preparedness while decreasing physician stress and anxiety.
AHRQ-funded; HS028340.
Citation: Evans LV, Ray JM, Bonz JW . Improving patient and clinician safety during COVID-19 through rapidly adaptive simulation and a randomised controlled trial: a study protocol. BMJ Open 2022 May 19;12(5):e058980. doi: 10.1136/bmjopen-2021-058980..
Keywords: COVID-19, Patient Safety, Simulation, Burnout, Provider: Clinician
Kuijpers L, Binkhorst M, Yamada NK
Validation of an instrument for real-time assessment of neonatal intubation skills: a randomized controlled simulation study.
This study鈥檚 aim was to evaluate the construct validity and reliability of real-time assessment of a previously developed neonatal intubation scoring instrument (NIST). This randomized controlled simulation study was performed at a simulation-based research and training facility. Twenty-four experienced clinicians and 11 medical students performed two identical elective intubations on a neonatal patient simulation. The subjects were randomly assigned to either the intervention group, who received predefined feedback between the two intubations, or the control group who received no feedback. There was a statistically significant different median change in percentage scores between the intervention and control groups between the first and second intubations. Construct validity was proven for the neonatal scoring instrument.
AHRQ-funded; HS023506.
Citation: Kuijpers L, Binkhorst M, Yamada NK . Validation of an instrument for real-time assessment of neonatal intubation skills: a randomized controlled simulation study. Am J Perinatol 2022 Jan;39(2):195-203. doi: 10.1055/s-0040-1715530..
Keywords: Newborns/Infants, Simulation, Education: Continuing Medical Education
Murray DJ, Boulet JR, Boyle WA
Competence in decision making: setting performance standards for critical care.
Health care professionals must be able to make frequent and timely decisions that can alter the illness trajectory of intensive care patients. A competence standard for this ability is difficult to establish yet assuring practitioners can make appropriate judgments is an important step in advancing patient safety. In this study, the investigators hypothesized that simulation could be used effectively to assess decision-making competence.
AHRQ-funded; HS022265.
Citation: Murray DJ, Boulet JR, Boyle WA . Competence in decision making: setting performance standards for critical care. Anesth Analg 2021 Jul 1;133(1):142-50. doi: 10.1213/ane.0000000000005053..
Keywords: Critical Care, Shared Decision Making, Intensive Care Unit (ICU), Simulation, Provider Performance, Patient Safety, Quality of Care
Colman N, Newman JW, Nishisaki A
Translational simulation improves compliance with the NEAR4KIDS Airway Safety Bundle in a single-center PICU.
This single-center retrospective review discusses a translational simulation conducted to improve compliance with the National Emergency Airway Registry for Children (NEAR4KIDS) Airway Safety Quality Improvement (QI) bundle to improve the safety of tracheal intubations. The simulation was implemented between March and December 2018. Bundle adherence was assessed 12 months before simulation and 9 months after. Primary outcomes measures were compliance with the bundle and utilization of apneic oxygenation and secondary outcomes was the occurrence of adverse tracheal intubation-associated events. Preintervention bundle compliance was 66%, which increased to 93.7% after the simulation intervention. Adherence to apneic oxygenation was 27.9% before the intervention and increased to 77.9% after. There was no difference in the occurrence of tracheal intubation events.
AHRQ-funded; HS024511.
Citation: Colman N, Newman JW, Nishisaki A . Translational simulation improves compliance with the NEAR4KIDS Airway Safety Bundle in a single-center PICU. Pediatr Qual Saf 2021 May-Jun;6(3):e409. doi: 10.1097/pq9.0000000000000409..
Keywords: Children/Adolescents, Intensive Care Unit (ICU), Critical Care, Registries, Simulation, Patient Safety, Quality Improvement, Quality of Care
Sinz E, Banerjee A, Steadman R
Reliability of simulation-based assessment for practicing physicians: performance is context-specific.
Even physicians who routinely work in complex, dynamic practices may be unprepared to optimally manage challenging critical events. High-fidelity simulation can realistically mimic critical clinically relevant events, however the reliability and validity of simulation-based assessment scores for practicing physicians has not been established. In this study, standardised complex simulation scenarios were developed and administered to board-certified, practicing anesthesiologists who volunteered to participate in an assessment study during formative maintenance of certification activities.
AHRQ-funded; HS020415.
Citation: Sinz E, Banerjee A, Steadman R . Reliability of simulation-based assessment for practicing physicians: performance is context-specific. BMC Med Educ 2021 Apr 12;21(1):207. doi: 10.1186/s12909-021-02617-8..
Keywords: Simulation, Education: Continuing Medical Education, Training, Provider Performance
Mazur LM, Adams R, Mosaly PR
Effect of simulation-based training and neurofeedback interventions on radiation technologists' workload, situation awareness, and performance.
The purpose of this study was to assess the effect of a combined intervention - simulation-based training supported by neurofeedback sessions - on radiation technologists' (RTs') workload, situation awareness, and performance during routine quality assurance and treatment delivery tasks. The investigators found that RTs randomized to simulation-based training followed by neurofeedback sessions demonstrated no significant changes in perceived workload or situation awareness scores but did have better performance compared with other study groups (P < .01).
AHRQ-funded; HS025597.
Citation: Mazur LM, Adams R, Mosaly PR . Effect of simulation-based training and neurofeedback interventions on radiation technologists' workload, situation awareness, and performance. Pract Radiat Oncol 2021 Mar-Apr;11(2):e124-e33. doi: 10.1016/j.prro.2020.08.005..
Keywords: Simulation, Training, Provider Performance, Provider: Health Personnel

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