Medical Errors and Patient Safety

Medical Errors and Patient Safety

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Welcome to the Februarybulletin on Simulation being produced by the HEFT Library Services. This bulletin is produced to support Simulation training carried out in the Harry Hollier Simulation Centre at Good Hope. This issue will highlight evidence published in the previous 4 weeks. Full text articles can be accessed via your HEFT Athens ID.

Human factors

Nothing to report

Medical errors and patient safety

Title: What can we learn from patient claims? - A retrospective analysis of incidence and patterns of adverse events after orthopaedic procedures in Sweden.

Citation: Patient Safety in Surgery [Electronic Resource], 2012, vol./is. 6/1(2), 1754-9493;1754-9493 (2012) Author(s): Ohrn A, Elfstrom J, Tropp H, Rutberg H

Abstract: The aim of this study was to analyze the nature of adverse events after orthopaedic surgery reported to a national database for patient claims in Sweden.

Full Text: Available in fulltext at BioMedCentral

Title: Changing the 'flight manifest' for a safer journey

Citation: Critical Care Medicine, February 2012, vol./is. 40/2(672-674), 0090-3493;1530-0293 (February 2012) Author(s): McLean B.A.

Full Text: Available in fulltext at Ovid

Title: Open Disclosure of Adverse Events: Transparency and Safety in Health Care

Citation: Surgical Clinics of North America, February 2012, vol./is. 92/1(163-177), 0039-6109;1558-3171 (February 2012) Author(s): Eaves-Leanos A., Dunn E.J.

Abstract: This article explores author’s experience of managing and implementing an open disclosure program in an acute and chronic tertiary care facility with university affiliation in the Veterans Health Administration. 2012.

Full Text: Available in fulltext at MD Consult; Note: You will need to register (free of charge) with MD Consult the first time you use it.

Medical debriefing

Title: Case-based simulation: Critical conversations surrounding resuscitation of the critically ill or injured patient

Citation: Journal of Pain and Symptom Management, February 2012, vol./is. 43/2(397-398), 0885-3924 (February 2012) Author(s): Lamba S.

Abstract: The objective of the article is to discuss how to use clear/direct, closed-loop communication with interdisciplinary teams (simulatedresuscitation).

Simulation and medical training

Title: Unexpected collateral effects of simulation-based medical education

Citation: Academic Medicine, December 2011, vol./is. 86/12(1513-1517), 1040-2446 (December 2011)Author(s): Barsuk J.H., Cohen E.R., Feinglass J., McGaghie W.C., Wayne D.B.

Abstract: In this retrospective, observational study, the authors used a checklist to test the internal jugular and subclavian CVC insertion skills of 102 Northwestern University second- and third-year internal medicine residents before they received simulation training.

Title: Innovative simulation training models.

Citation: Disease-A-Month, December 2011, vol./is. 57/12(807-26), 0011-5029;1557-8194 (2011 Dec)Author(s): Hoffman M, Krey M, Iwanicki M, Cooper J, Jones S, Ochoa P, Aitchison P, Zhao JC, Kharasch M, Wang EE

Full Text: Available in fulltext at MD Consult; Note: You will need to register (free of charge) with MD Consult the first time you use it.

Title: Simulation training in surgery.

Citation: Disease-A-Month, December 2011, vol./is. 57/12(789-801), 0011-5029;1557-8194 (2011 Dec)Author(s): Ujiki M, Zhao JC

Full Text: Available in fulltext at MD Consult; Note: You will need to register (free of charge) with MD Consult the first time you use it.

Title:Comparing Effectiveness of 3 Learning Strategies: Simulation-Based Learning, Problem-Based Learning, and Standardized Patients

Citation: Simulation in Healthcare: The Journal of The Society for Medical Simulation, 30 January 2012 Author: Smithburger, Pamela L.; Kane-Gill, Sandra L.; Ruby, Christine M.; Seybert, Amy L.

Abstract:High-fidelity simulation is an effective learning strategy. When it is compared with standardized patients and mPBL strategies, students performed better on knowledge-based quizzes and had higher levels of satisfaction.

Full Text:Available in Print from Harry Hollier Simulation Centre.

Team training

Title: Determination of the psychometric properties of a behavioural marking system for obstetrical team training using high-fidelity simulation

Citation: BMJ Quality and Safety, January 2012, vol./is. 21/1(78-82), 2044-5415 (January 2012)Author(s): Morgan P.J., Tregunno D., Pittini R., Tarshis J., Regehr G., Desousa S., Kurrek M., Milne K.

Abstract: To determine the effectiveness of high-fidelity simulation for team training, a valid and reliable tool is required. This study investigated the internal consistency, inter-rater reliability and test-retest reliability of two newly developed tools to assess obstetrical team performance.

Full Text: Available in fulltext at Highwire Press

Title: Outcomes from a labor and delivery team training program with simulation component

Citation: American Journal of Obstetrics and Gynecology, January 2012, vol./is. 206/1(3-9), 0002-9378;1097-6868 (January 2012)Author(s): Phipps M.G., Lindquist D.G., McConaughey E., O'Brien J.A., Raker C.A., Paglia M.J.

Abstract: The article highlightsthe implementation of a labor and delivery unit team training program that included didactic sessions and simulation training with an active clinical unit.

Full Text: Available in fulltext at MD Consult; Note: You will need to register (free of charge) with MD Consult the first time you use it.

Title: Construct and face validity of the American College of Surgeons/Association of Program Directors in Surgery laparoscopic troubleshooting team training exercise

Citation: American Journal of Surgery, January 2012, vol./is. 203/1(54-62), 0002-9610;1879-1883 (January 2012)Author(s): Arain N.A., Hogg D.C., Gala R.B., Bhoja R., Tesfay S.T., Webb E.M., Scott D.J.

Abstract: The objective of the study was to develop an objective scoring system and evaluate construct and face validity for a laparoscopic troubleshooting team training exercise.

Full Text: Available in fulltext at MD Consult; Note: You will need to register (free of charge) with MD Consult the first time you use it.

Title: Research priorities in surgical simulation for the 21st century

Citation: American Journal of Surgery, January 2012, vol./is. 203/1(49-53), 0002-9610;1879-1883 (January 2012)Author(s): Stefanidis D., Arora S., Parrack D.M., Hamad G.G., Capella J., Grantcharov T., Urbach D.R., Scott D.J., Jones D.B.

Abstract: The objective of this study was to develop research priorities for surgical simulation.

Full Text: Available in fulltext at MD Consult; Note: You will need to register (free of charge) with MD Consult the first time you use it.

Title: Go team go: recognizing the importance of team training in critical care.

Citation: Critical Care Medicine, December 2011, vol./is. 39/12(2755-6), 0090-3493;1530-0293 (2011 Dec)Author(s): Corriveau CO

Full Text: Available in fulltext at Ovid

Further information:

The following sources have been searched for evidence published in the previous four weeks: Journal of Healthcare Simulation; BMJ Quality and Safety in Healthcare; NHS Institute for Innovation and Improvement; Agency for Healthcare Research and Quality; and searches on databases such as MEDLINE/EMBASE. Please contact r any further information.

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