Healthcare simulation to prepare for the COVID-19 pandemic

Andreae, Michael H.; Dudak, A; Cherian, Vinu; Dhar, Puneet; Dalal, PG; Po, W; Pilipovic, M.; Shah, Bhavan; Hazard, William R.; Dl, Rodgers; Eh, Sinz

doi:10.1016/j.jclinane.2020.109928

Cited by 15 publications

(14 citation statements)

References 5 publications

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“…Disaster and crisis management was another prominent aspect of the COVID-19 pandemic, which was addressed in this questionnaire (factor 6), and the respondents declared their positive views regarding their role in COVID-19 crisis management (37,38). These positive feedbacks did not just pertain to the current situation; instead, could affect the clinical residents to be more experienced for similar episodes of disaster and crisis management based on their attitudes.…”

Section: Discussionmentioning

confidence: 99%

“…These positive feedbacks did not just pertain to the current situation; instead, could affect the clinical residents to be more experienced for similar episodes of disaster and crisis management based on their attitudes. However, mental preparedness in disaster and crisis management is one of the cornerstones of the whole process of disaster management (37).…”

Section: Discussionmentioning

confidence: 99%

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Attitudes of the Third-Year Clinical Anesthesiology Residents Toward an Independent Clinical Practice Rotation in COVID-19 Pandemic in Iran

et al. 2020

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Background: COVID-19 was a worldwide pandemic with international health emergencies and great challenges; health care personnel shortage and physician burnout is a potential major challenge that should be planned and managed; especially in those countries with a high COVID-19 occurrence. Objectives: This study was designed to assess the attitudes of 3rd-year anesthesiology residents toward an independent one month-length clinical care course for patients with COVID-19. Methods: A closed self-administered questionnaire was developed to assess the attitudes of 3rd-year clinical anesthesiology residents. A self-administered closed questionnaire was developed. Cronbach’s alpha was calculated to measure the reliability of the questionnaire; added with a factor analysis process. Results: All 19 clinical anesthesiology residents took part in the study, with a 100% response rate. Cronbach’s alpha for the reliability of the questionnaire was 0.678. The eigenvalue for 8 factors was equal to 1; however, further assessment led us to 7 factors. Conclusions: This one-month period could improve the competencies of the 3rd year clinical anesthesiology residents based on their viewpoints. Since the COVID-19 pandemic is ongoing health and social problem worldwide, 3rd-year anesthesiology residents could help the health system to recover health care delivery faults regarding manpower; a promising point for crisis preparedness in the COVID-19 pandemic. Besides, there were many constructive results for the clinical anesthesiology residents regarding their training and clinical service delivery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Attitudes of the Third-Year Clinical Anesthesiology Residents Toward an Independent Clinical Practice Rotation in COVID-19 Pandemic in Iran

et al. 2020

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“…In addition, at present, experiences with clinical simulation have become a strategy for the training of professionals who have to care for COVID patients, given the success they have shown [31][32][33][34].…”

Section: Introductionmentioning

confidence: 99%

Training with High Fidelity Simulation in the Care of Patients with Coronavirus—A Learning Experience in Native Health Care Multi-Professional Teams

et al. 2021

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The training of emergency and intensive care teams in technical and non-technical skills is fundamental. The general aim of this study was to evaluate the training of various professional teams with simulations based on the care of COVID-19 patients using Zone 3 simulations (native emergency medical services and intensive care units-ICU teams) in the Region of Murcia (Spain). A mixed pilot study was designed (qualitative/quantitative) comprised of three phases: Phase 1: detection of needs (focus groups), Phase 2: design of simulation scenarios, and Phase 3: training with high-fidelity simulation and evaluation of competences. The results were used to determine the real training needs of these health professionals, which were used to design four simulation scenarios in line with these needs. The team competences were evaluated before and after the training session, with increases observed after the training sessions, especially in non-technical skills such as communication. Training with zone 3 simulation, with multi-professional native emergency and intensive care teams who provided care to patients with coronavirus was shown to be an effective method, especially for training in non-technical skills. We should consider the training needs of the professionals before the start of any training program to stay one-step ahead of crisis situations.

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“…We began to summarize, interpret, critique, and discuss our data and debriefing observations in a rapid co-publication in the Journal of Clinical Anesthesia. [Healthcare Simulation to Prepare for the COVID-19 Pandemic] [5] …”

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confidence: 99%

“… Data format Analyzed Parameters for data collection Case Scenarios Simulated Anticipated COVID-19 Clinical Encounters Description of data collection Immersive healthcare simulation with seven clinical experts was conducted on four anticipated airborne contagious disease scenarios and the authors analyzed the ensuing debriefing and the case videos. Data source location Institution: Medical Simulation Center, Penn State Health Milton S. Hershey Medical Center City/Town/Region: Hershey, Pennsylvania Country: USA Data accessibility With the article Related research article Co-Publication [5] : Andreae MH, Dudak A, Cherian V, et al. Healthcare simulation to prepare for the COVID-19 pandemic [published online ahead of print, 2020 May 27].…”

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confidence: 99%

Data and debriefing observations on healthcare simulation to prepare for the COVID-19 pandemic

et al. 2020

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We report on data and debriefing observations in the context of an immersive simulation conducted to (a) train clinicians and (b) test new protocols and kits, developed in table-top exercises without prior clinical experience to fit anticipated clinical encounters in the setting of the rapidly expanding COVID-19 pandemic. We simulated scenarios with particular relevance for anesthesiology, perioperative and critical care, including (1) cardiac arrest, (2) emergency airway management, (3) tele-instruction for remote guidance and supervision, and (4) transporting an intubated patient. Using a grounded theory approach, three authors (MHA, DLR, EHS) developed emergent themes. First alone and then together, we sought consensus in uncovering overarching themes and constructs from the debriefings. We thus performed an informal qualitative thematic analysis based in a critical realist epistemological position - the understanding that our findings, while real, are affected by situational variables and the observer's perspective[ 1 , 2 ]. We compared data from videos and triangulated the data by member checking. All participants and course instructors volunteered to participate in this educational project and contributed as co-authors to this manuscript. During debriefing, we applied crisis resource management concepts including situation awareness, prioritization of tasks, and clear communication practices, conducting the debriefing with emphasis on current TeamStepps 2.0 terminology and concepts. [ 3 , 4 ] In addition, we re-evaluated formerly familiar processes, as shortcomings of protocols, kits, and interdisciplinary cooperation became apparent. The data provide detailed observations on how immersive simulation and debriefing among peers mitigated the unfamiliarity of individual clinicians and the organization at large with the demands of an unprecedented healthcare crisis. We also observed and report on the anxiety caused by resource constraints, risk to clinicians in the face of limited personal equipment, and the overall uncertainty surrounding COVID-19. We began to summarize, interpret, critique, and discuss our data and debriefing observations in a rapid co-publication in the Journal of Clinical Anesthesia. [Healthcare Simulation to Prepare for the COVID-19 Pandemic] [5]

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Healthcare simulation to prepare for the COVID-19 pandemic

Cited by 15 publications

References 5 publications

Attitudes of the Third-Year Clinical Anesthesiology Residents Toward an Independent Clinical Practice Rotation in COVID-19 Pandemic in Iran

Attitudes of the Third-Year Clinical Anesthesiology Residents Toward an Independent Clinical Practice Rotation in COVID-19 Pandemic in Iran

Training with High Fidelity Simulation in the Care of Patients with Coronavirus—A Learning Experience in Native Health Care Multi-Professional Teams

Data and debriefing observations on healthcare simulation to prepare for the COVID-19 pandemic

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