Filling a void: Developing a standard subjective assessment tool for surgical simulation through focused review of current practices

Seagull, F. Jacob; Rooney, Deborah M.

doi:10.1016/j.surg.2014.04.048

Cited by 55 publications

(38 citation statements)

References 21 publications

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“…This process should include nutrition screening, followed by formal nutrition assessment for those identified as nutritionally‐at‐risk through initial screening 8 . Multiple tools have been validated for nutrition screening and nutrition assessment to aid in accurately identifying patients with malnutrition 9 . ‐ 13 Once the preoperative patient is identified as being malnourished, nutrition therapy may be required to prevent poorer outcomes, especially during major surgery or gastrointestinal surgery 14 .…”

Section: Question 8: What Is the Role Of Perioperative Pn In Patientsmentioning

confidence: 99%

When Is Parenteral Nutrition Appropriate?

Worthington

Balint

Bechtold

et al. 2017

J Parenter Enteral Nutr

180

202

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Parenteral nutrition (PN) represents one of the most notable achievements of modern medicine, serving as a therapeutic modality for all age groups across the healthcare continuum. PN offers a life-sustaining option when intestinal failure prevents adequate oral or enteral nutrition. However, providing nutrients by vein is an expensive form of nutrition support, and serious adverse events can occur. In an effort to provide clinical guidance regarding PN therapy, the Board of Directors of the American Society for Parenteral and Enteral Nutrition (ASPEN) convened a task force to develop consensus recommendations regarding appropriate PN use. The recommendations contained in this document aim to delineate appropriate PN use and promote clinical benefits while minimizing the risks associated with the therapy. These consensus recommendations build on previous ASPEN clinical guidelines and consensus recommendations for PN safety. They are intended to guide evidence-based decisions regarding appropriate PN use for organizations and individual professionals, including physicians, nurses, dietitians, pharmacists, and other clinicians involved in providing PN. They not only support decisions related to initiating and managing PN but also serve as a guide for developing quality monitoring tools for PN and for identifying areas for further research. Finally, the recommendations contained within the document are also designed to inform decisions made by additional stakeholders, such as policy makers and third-party payers, by providing current perspectives regarding the use of PN in a variety of healthcare settings. (JPEN J Parenter Enteral Nutr. 2017;41:324-377) The etiology-based nutrition diagnoses in adults in clinical practice settings are as follows: Starvation-related malnutrition: Chronic starvation without inflammation (eg, anorexia nervosa). Chronic disease-related malnutrition: Inflammation is chronicand of mild to moderate degree (eg, organ failure, pancreatic cancer, rheumatoid arthritis, sarcopenic obesity). Acute disease or injury-related malnutrition:Inflammation is acute and of severe degree (eg, major infection burns, trauma, closed head injury). 2,3Malnutrition, pediatric: An imbalance between nutrient requirement and intake, resulting in cumulative deficits of energy, protein, or micronutrients that may negatively affect growth, development, and other relevant outcomes. It is recommended that growth charts based on a standard deviation z score system be used to track and assess nutrition status in children. 4,5Nutritionally-at-risk: Consider the individual nutritionally-atrisk if any of the following is present. Nutritionally-At-Risk Adult Summary of RecommendationsThese consensus recommendations are designed to identify best practices, guide day-to-day clinical decisions, reduce variations in practice, and enhance patient safety. They are not intended to supersede the judgment of the healthcare professional based on the circumstances of the individual patient.

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Section: Question 8: What Is the Role Of Perioperative Pn In Patientsmentioning

confidence: 99%

When Is Parenteral Nutrition Appropriate?

Worthington

Balint

Bechtold

et al. 2017

J Parenter Enteral Nutr

180

202

View full text Add to dashboard Cite

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“…Validation is critical for any simulation program to be widely adopted, which includes proving simulation fidelity and validity [11]. Fidelity is how realistic the simulation felt to the participants and was here assessed by the previously described Method Material Member Overall (MMMO) questionnaire that is derived from previously validated fidelity tools [11][12][13]. Validity is broken down into the following three subcategories: content validity, construct validity, and predictive validity [11].…”

Section: Simulation Validationmentioning

confidence: 99%

Development of an In Situ Thoracic Surgery Crisis Simulation Focused on Nontechnical Skill Training

Bierer

Memu

Leeper

et al. 2018

The Annals of Thoracic Surgery

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“…Data were collected using a Likert scale (1 = strongly disagree/bad; 2 = somewhat disagree/somewhat bad; 3 = neutral/ neutral; 4 = somewhat agree/somewhat good; 5 = strongly agree/good) on a structured standardized questionnaire [6]. The questionnaire was anonymous and the participation non-mandatory.…”

Section: Data Collection Face and Content Validity And Statistical mentioning

confidence: 99%

The avian model: a novel and cost-effective animal tissue model for training in neonatal laparoscopic surgery

et al. 2019

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Purpose To design and validate a new and cost-effective animal tissue model for training neonatal minimal access surgery (MAS) skills. Methods A prospective observational study was performed during two Minimally Access Surgery Skill Labs in June 2018 and April 2019. Selected laparoscopic exercises were performed on fresh chicken cadavers using 3 mm MAS instruments (adhesiolysis, cholecystectomy and intestinal anastomosis). Data for validation were collected with a 5-point Likert scale questionnaire based on the Michigan Standard Simulation Experience Scale (MiSSES) and analysis was performed. Results Twenty-seven course participants were recruited (18 females: 9 males). Eighteen delegates (67%) had experience < 50 MAS cases, 6 delegates (22%) 50-100 cases and 3 delegates (11%) > 100 cases. The mean perceived degree of realism was 3.

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Filling a void: Developing a standard subjective assessment tool for surgical simulation through focused review of current practices

Cited by 55 publications

References 21 publications

When Is Parenteral Nutrition Appropriate?

When Is Parenteral Nutrition Appropriate?

Development of an In Situ Thoracic Surgery Crisis Simulation Focused on Nontechnical Skill Training

The avian model: a novel and cost-effective animal tissue model for training in neonatal laparoscopic surgery

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