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 The aim was to perform the most thorough literature search possible of peer-reviewed publications and reports in the unpublished literature that have been judged for academic quality.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
More filters
Journal ArticleDOI
Education of student nurses - A systematic literature review.
TL;DR: There is a need to transform teaching strategies so that student nurses do not experience classroom and clinical practice teaching as separate parts during their education, and which teaching strategies provide optimal learning experiences and outcomes.
Journal ArticleDOI
Resuscitation education: narrowing the gap between evidence-based resuscitation guidelines and performance using best educational practices.
TL;DR: The quality of resuscitation delivered to patients, a brief history of the development of cardiopulmonary resuscitation, and attempts to translate the science of resuscitations to the bedside through effective educational strategies are presented.
Journal ArticleDOI
The rise of simulation in technical skills teaching and the implications for training novices in anaesthesia.
TL;DR: This review summarises the justification for the use of simulation in technical skills training in anaesthesia and the educational theory that supports its use, and outlines one of the available frameworks that can be used to aid its application.
INSTRUCTIONAL DESIGN AND ASSESSMENT An Interprofessional Course Using Human Patient Simulation to Teach Patient Safety and Teamwork Skills
TL;DR: Simulation training provided an opportunity to improve pharmacy students’ ability to recognize and react to patient safety concerns and enhanced their interprofessional collaboration and communication skills.
Journal ArticleDOI
Interprofessional intensive care unit team interactions and medical crises: A qualitative study
TL;DR: Investigation of the perceptions of ICU health care professionals regarding how acute medical crises affect their team interactions indicated that the nature of interprofessional interactions changed as teams passed through three key temporal periods around medical crises.
References
More filters
BookDOI
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.
Journal ArticleDOI
The role of deliberate practice in the acquisition of expert performance.
TL;DR: A theoretical framework is proposed that explains expert performance in terms of acquired characteristics resulting from extended deliberate practice and that limits the role of innate (inherited) characteristics to general levels of activity and emotionality.
Journal ArticleDOI
Book ReviewTo Err is Human: building a safer health system Kohn L T Corrigan J M Donaldson M S Washington DC USA: Institute of Medicine/National Academy Press ISBN 0 309 06837 1 $34.95
Journal ArticleDOI
Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I.
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.
Journal ArticleDOI
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.