Simulation-Based Education Improves Quality of Care During Cardiac Arrest Team Responses at an Academic Teaching Hospital

Use of simulation‐based mastery learning to improve the quality of central venous catheter placement in a medical intensive care unit

“…It is possible that ultrasound training accounts for the improvement in the simulatortrained group. However, we do not believe that ultrasound training is entirely responsible as prior work has shown that deliberate practice using mastery learning without ultrasound significantly improved resident performance of thoracentesis 11 and ACLS 12,19 procedures. We did not show a significant reduction in complications such as pneumothorax or arterial puncture.…”

“…Our data support prior work showing that procedural skills that are poor at baseline can be increased significantly using simulation-based training and deliberate practice. [11][12][13][14][15][16][17][18]28 This report on CVC insertion adds to the growing body of literature showing that simulation training complements standard medical education, [11][12][13][14][15][16][17][18][19]28 and expands the clinical application of the mastery model beyond thoracentesis and ACLS. 11,12 Use of the mastery model described in this study also has important implications for patients.…”

“…9,10 We previously used simulation-based mastery learning to improve the thoracentesis and advanced cardiac life support (ACLS) skills of internal medicine residents. 11,12 Although a few small studies have linked simulation-based interventions to improved quality of care, [13][14][15][16][17][18][19] more work is needed to show that results from a simulated environment transfer to actual patient care.…”

Prospective Randomized Crossover Study of Simulation vs. Didactics for Teaching Medical Students the Assessment and Management of Critically Ill Patients

“…In a randomized controlled trial, Hall et al found that when tested on intubating real patients in the operating room, paramedic students who were trained on a simulator were as effective as students trained on human subjects (25). In a retrospective case-control study, Wayne et al reported that SIMtrained residents showed significantly higher adherence to American Heart Association standards when compared to traditionally trained residents during real Advanced Cardiac Life Support events in the hospital (26). These data suggest that performance on SIM may translate favorably to patient care.…”

Review article: Simulation in anesthesia: state of the science and looking forward

“…There is accumulating evidence that well-designed simulation-based training can translate to improved performance in the clinical setting for both technical tasks 23,57,58 and management of high-acuity events. 59,60 In a prospective single-blinded randomized controlled trial on weaning from cardiopulmonary bypass, Bruppacher et al 61 observed that simulation-based training led to improved performance in a real clinical setting compared with interactive seminars. In a study of central venous line insertions in intensive care units, Barsuk et al 62,63 observed that mastery-level simulation training led to higher success rates as well as reduced rates of infections with real patients.…”