Simulation and Web-based learning increases utilization of Bier block for
                  forearm fracture reduction in the pediatric emergency department

Burstein, Brett; Fauteux-Lamarre, Emmanuelle; Cheng, Adam; Chalut, Dominic; Bretholz, Adam

doi:10.1017/cem.2016.392

Cited by 5 publications

(6 citation statements)

References 28 publications

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“…88 Other popular modalities included full-body mannequins, 89 part-task mannequin trainers, 90 and hybrid models. 85 The use of computer/web-based simulations, 91 virtual reality, 92 and tissue models 93 was less frequently reported. Most studies described the inclusion of features related to simulation effectiveness, such as individual or team debriefing, opportunities for repeated practice, and standardization across participants.…”

Section: Resultsmentioning

confidence: 99%

Exploring the Study of Simulation as a Continuing Professional Development Strategy for Physicians

Tavares

Piquette²,

Luong³

et al. 2022

J Contin Educ Health Prof

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Introduction: Practicing physicians have the responsibility to engage in lifelong learning. Although simulation is an effective experiential educational strategy, physicians seldom select it for continuing professional development (CPD) for reasons that are poorly understood. The objective of this study was to explore existing evidence on simulation-based CPD and the factors influencing physicians' engagement in simulation-based CPD. Methods: A scoping review of the literature on simulation-based CPD included MEDLINE, Embase, and CINAHL databases. Studies involving the use of simulation for practicing physicians' CPD were included. Information related to motivations for participating in simulation-based CPD, study objectives, research question(s), rationale(s), reasons for using simulation, and simulation features was abstracted.Results: The search yielded 8609 articles, with 6906 articles undergoing title and abstract screening after duplicate removal. Six hundred sixty-one articles underwent full-text screening. Two hundred twenty-five studies were reviewed for data abstraction. Only four studies explored physicians' motivations directly, while 31 studies described incentives or strategies used to enroll physicians in studies on simulation-based CPD. Most studies focused on leveraging or demonstrating the utility of simulation for CPD. Limited evidence suggests that psychological safety, direct relevance to clinical practice, and familiarity with simulation may promote future engagement. Discussion: Although simulation is an effective experiential educational method, factors explaining its uptake by physicians as a CPD strategy are unclear. Additional evidence of simulation effectiveness may fail to convince physicians to participate in simulation-based CPD unless personal, social, educational, or contextual factors that shape physicians' motivations and choices to engage in simulation-based CPD are explored.

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Section: Resultsmentioning

confidence: 99%

Exploring the Study of Simulation as a Continuing Professional Development Strategy for Physicians

Tavares

Piquette²,

Luong³

et al. 2022

J Contin Educ Health Prof

View full text Add to dashboard Cite

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“…All reference materials can be saved, printed, or emailed from within the app directly. All content was adapted from our evidence-based institutional BB training course [6].…”

Section: Methodsmentioning

confidence: 99%

“…User-perspective surveys will be developed and reported according to published guidelines [9]. Specific data on app utilization and timing of use will be tracked among users in our PED in parallel to real-world clinical use of BB for pediatric fracture reductions [6]. Tracking of app usage in our PED will make use of the external tester function of Apple TestFlight software.…”

Section: Methodsmentioning

confidence: 99%

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A Novel Smartphone App to Support Learning and Maintaining Competency With Bier Blocks for Pediatric Forearm Fracture Reductions: Protocol for a Mixed-Methods Study

Burstein

Bretholz

2018

JMIR Res Protoc

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BackgroundDistal forearm fractures are among the most common injuries presenting to the pediatric emergency department (PED). Bier block (BB), or intravenous regional anesthesia, is a safe and effective alternative to procedural sedation for closed reduction of forearm fractures; it is associated with fewer adverse events, a shorter length of stay, and reduced costs. BB has long remained relatively underutilized; however, with an increasing emphasis on efficient resource use and patient-centered care, there is renewed interest in this technique.ObjectiveOur tertiary PED recently became the first in Canada to successfully implement an active BB program. Subsequently, we developed a mobile BB smartphone app designed to support the sustained departmental use of BB. The app can be used for training and maintenance of competency and incorporates instructional material, as well as our institutional BB protocol, printable medication order sheets, and monitoring forms. The present report describes the development and functionality of the BB smartphone app.MethodsWe have described app development and content. App dissemination metrics will be tracked, and user feedback will be analyzed using a self-administered electronic survey. Additionally, app utilization in our PED will be compared with real-world clinical use of BB for fracture reductions.ResultsThe first iteration of the BB app was launched in 2015, with the most recent update in September 2018. App metric tracking is planned for January 2020 until December 2021.ConclusionsWe have highlighted how the BB app serves as a paradigm of an educational tool designed not only for individual users but also for supporting the department-wide implementation and dissemination of a new technique. App dissemination and use metrics will be tracked and correlated with clinical use of BB in the PED.International Registered Report Identifier (IRRID)PRR1-10.2196/10363

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“…Several recent researches [5][6][7][8] in the last twenty years, have lifted the lid from different problems in healthcare systems and focused on providing solutions to those issues, specifically in EDs which they suffer from several phenomena (overcrowding, resources lack, etc.). Different methodologies and techniques in the literature have applied in the process of modeling and optimization of ‗ED' systems.…”

Section: Related Workmentioning

confidence: 99%

An Advanced Heuristic Approach for the Optimization of Patient Flow in Hospital Emergency Department

Derni¹,

Boufera²,

Khelfi³

2019

IJISA

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Hospital institutions are one of the most serious organizations over the world, due to their core duty in saving lives, by providing healthcare in an efficient and swift way. Emergency Department (ED) is the main entrance to the hospital, which takes on charge the primary treatment of patients under a time restriction. Many recent studies focused on minimizing the patient Length Of Stay (LOS) by extending resources or altering ‗ED' organization (medical teams, scheduling, etc.), without defecting the fundamentals processes. The objective of this study is to improve patient care quality. The improvement is based on resource extending, in order to determine the suitable amount of resource to be added, a Fuzzy Logic system was designed to calculate the target improvement appropriated with the amount of resource and the number of incoming patients. Then, a colored Petri net simulation model was built to measure the reached improvement by comparing it to the current system state. The case study was realized at the ‗ED' of Benaouda Benzerdjeb Hospital, located in Oran city, Algeria. As the results of this study, the total patient length of stay inside the ‗ED' was minimized, as well as the rate of treated patients.

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Simulation and Web-based learning increases utilization of Bier block for forearm fracture reduction in the pediatric emergency department

Cited by 5 publications

References 28 publications

Exploring the Study of Simulation as a Continuing Professional Development Strategy for Physicians

Exploring the Study of Simulation as a Continuing Professional Development Strategy for Physicians

A Novel Smartphone App to Support Learning and Maintaining Competency With Bier Blocks for Pediatric Forearm Fracture Reductions: Protocol for a Mixed-Methods Study

An Advanced Heuristic Approach for the Optimization of Patient Flow in Hospital Emergency Department

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