Journal ArticleDOI
Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review
TLDR
While research in this field needs improvement in terms of rigor and quality, high-fidelity medical simulations are educationally effective and simulation-based education complements medical education in patient care settings.Abstract:
SUMMARY Review date: 1969 to 2003, 34 years. Background and context: Simulations are now in widespread use in medical education and medical personnel evaluation. Outcomes research on the use and effectiveness of simulation technology in medical education is scattered, inconsistent and varies widely in methodological rigor and substantive focus. Objectives: Review and synthesize existing evidence in educational science that addresses the question, ‘What are the features and uses of high-fidelity medical simulations that lead to most effective learning?’. Search strategy: The search covered five literature databases (ERIC, MEDLINE, PsycINFO, Web of Science and Timelit) and employed 91 single search terms and concepts and their Boolean combinations. Hand searching, Internet searches and attention to the ‘grey literature’ were also used. The aim was to perform the most thorough literature search possible of peer-reviewed publications and reports in the unpublished literature that have been judged for academic quality. Inclusion and exclusion criteria: Four screening criteria were used to reduce the initial pool of 670 journal articles to a focused set of 109 studies: (a) elimination of review articles in favor of empirical studies; (b) use of a simulator as an educational assessment or intervention with learner outcomes measured quantitatively; (c) comparative research, either experimental or quasi-experimental; and (d) research that involves simulation as an educational intervention. Data extraction: Data were extracted systematically from the 109 eligible journal articles by independent coders. Each coder used a standardized data extraction protocol. Data synthesis: Qualitative data synthesis and tabular presentation of research methods and outcomes were used. Heterogeneity of research designs, educational interventions, outcome measures and timeframe precluded data synthesis using meta-analysis. Headline results: Coding accuracy for features of the journal articles is high. The extant quality of the published research is generally weak. The weight of the best available evidence suggests that high-fidelity medical simulations facilitate learning under the right conditions. These include the following:read more
Citations
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Journal ArticleDOI
High-fidelity simulation in the nonmedical domain: practices and potential transferable competencies for the medical field.
TL;DR: Examples of high-fidelity simulations in the military, maritime, and aeronautical fields are presented and the possibilities and limitations of simulators in medicine are discussed, based on recent nonmedical applications.
Journal ArticleDOI
Unannounced in situ simulation of obstetric emergencies: staff perceptions and organisational impact.
Jette Led Sørensen,Pernille Lottrup,Cees P. M. van der Vleuten,Kristine Sylvan Andersen,Mette Simonsen,Pernille Emmersen,Susanne Rosthøj,Bent Ottesen +7 more
TL;DR: The number of staff members with a positive perception of multiprofessional unannounced ISS increased after implementation; however, one-third considered ISS to be stressful and unpleasant and midwives more frequently so.
Journal ArticleDOI
Undergraduate medical education in critical care.
TL;DR: Undergraduate medical education in critical care would be advanced by consolidation and organization into formal curricula, which would teach biomedical and humanistic skills essential to critical care but valuable in all medical settings.
Dissertation
The study of supershrinks: development and deliberate practices of highly effective psychotherapists
TL;DR: In this article, the authors explored how highly effective psychotherapists develop their therapeutic skills, and more specifically, to what extent the engagement of domain specific deliberate practice predicts client outcomes.
Journal ArticleDOI
Technology for enhancing chest auscultation in clinical simulation.
TL;DR: Digital audio technology, the Internet, and high-fidelity simulators have increased opportunities for educators and learners and describe options for reproducing lung and heart sounds, as well as their advantages and potential limitations.
References
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To Err Is Human Building a Safer Health System
TL;DR: Boken presenterer en helhetlig strategi for hvordan myndigheter, helsepersonell, industri og forbrukere kan redusere medisinske feil.
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Troyen A. Brennan,Lucian L. Leape,Nan M. Laird,Liesi E. Hebert,A R Localio,Ann G. Lawthers,Joseph P. Newhouse,Paul C. Weiler,Howard H. Hiatt +8 more
TL;DR: There is a substantial amount of injury to patients from medical management, and many injuries are the result of substandard care.
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The Assessment of Clinical skills/competence/performance
TL;DR: In this article, the authors propose a method to solve the problem of homonymity of homophily in the context of homomorphic data, and no abstracts are available.