Towards the Next Frontier for Simulation-Based Training

Arora, Sonal; Cox, Charles; Davies, Simon; Kassab, Eva; Mahoney, Peter F.; Sharma, Eshaa; Darzi, Ara; Vincent, Charles; Sevdalis, Nick

doi:10.1097/sla.0000000000000305

Cited by 27 publications

(10 citation statements)

References 32 publications

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“…Multiplication of 3D-SC1 scenarios and the next production of SC2 and SC3 could lead to the building of a virtual simulation platform for SC training, incorporated as part of a large military medical simulation-training program combining both SGs and physical simulation. Multiplayer large-scale virtual exercises could be included in predeployment training [ 42 , 43 ]. Finally, upcoming technologies such as augmented reality or haptic simulation could add to the definite 3D-SC program development [ 34 , 43 , 44 ].…”

Section: Discussionmentioning

confidence: 99%

A Serious Game for Massive Training and Assessment of French Soldiers Involved in Forward Combat Casualty Care (3D-SC1): Development and Deployment

Pasquier¹,

Mérat²,

Malgras³

et al. 2016

JMIR Serious Games

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BackgroundThe French Military Health Service has standardized its military prehospital care policy in a ‘‘Sauvetage au Combat’’ (SC) program (Forward Combat Casualty Care). A major part of the SC training program relies on simulations, which are challenging and costly when dealing with more than 80,000 soldiers. In 2014, the French Military Health Service decided to develop and deploy 3D-SC1, a serious game (SG) intended to train and assess soldiers managing the early steps of SC.ObjectivesThe purpose of this paper is to describe the creation and production of 3D-SC1 and to present its deployment.MethodsA group of 10 experts and the Paris Descartes University Medical Simulation Department spin-off, Medusims, coproduced 3D-SC1. Medusims are virtual medical experiences using 3D real-time videogame technology (creation of an environment and avatars in different scenarios) designed for educational purposes (training and assessment) to simulate medical situations. These virtual situations have been created based on real cases and tested on mannequins by experts. Trainees are asked to manage specific situations according to best practices recommended by SC, and receive a score and a personalized feedback regarding their performance.ResultsThe scenario simulated in the SG is an attack on a patrol of 3 soldiers with an improvised explosive device explosion as a result of which one soldier dies, one soldier is slightly stunned, and the third soldier experiences a leg amputation and other injuries. This scenario was first tested with mannequins in military simulation centers, before being transformed into a virtual 3D real-time scenario using a multi-support, multi–operating system platform, Unity. Processes of gamification and scoring were applied, with 2 levels of difficulty. A personalized debriefing was integrated at the end of the simulations. The design and production of the SG took 9 months. The deployment, performed in 3 months, has reached 84 of 96 (88%) French Army units, with a total of 818 hours of connection in the first 3 months.ConclusionsThe development of 3D-SC1 involved a collaborative platform with interdisciplinary actors from the French Health Service, a university, and videogame industry. Training each French soldier with simulation exercises and mannequins is challenging and costly. Implementation of SGs into the training program could offer a unique opportunity at a lower cost to improve training and subsequently the real-time performance of soldiers when managing combat casualties; ideally, these should be combined with physical simulations.

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Section: Discussionmentioning

confidence: 99%

A Serious Game for Massive Training and Assessment of French Soldiers Involved in Forward Combat Casualty Care (3D-SC1): Development and Deployment

Pasquier¹,

Mérat²,

Malgras³

et al. 2016

JMIR Serious Games

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“…full-hospital simulation across the entire patient pathway. 63 This may include a simulated patient admitted to the emergency department, reviewed by the surgical resident with a decision made to proceed to the simulated operating theatre with a computer-based mannequin simulator. This can be followed by a post-operative complication in a simulated ward environment that requires prompt recognition and escalation of care.…”

Section: Communicationmentioning

confidence: 99%

Modern Plastic Surgical Practice: Technical Competence Alone Is Not Enough

Khajuria

2020

wjps

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Annually, an estimated 234 million major surgical operations occur worldwide, with concomitant seven million complications and one million deaths. It is now well established that technical competence is necessary, but not sufficient for modern surgical practice and outcomes. Breakdown in non-technical skills has been attributed as a key root cause for near misses and patient harm in the operating room. This article discusses the multi-faceted skills-set that is necessary for the modern surgeon to succeed and for optimal patient outcomes. This includes technical skills, non-technical skills, with a focus on key CanMEDS framework domains, including leadership, communication, evidence-based surgery and mentorship.

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“…One of the representatives of service industries is certainly a health system. A review of the available literature shows that there is not a great number of authors who are dealing with the implementation of the lean concept in clinical laboratories supported by the simulation application, and that it is a trend that is rising (see [26][27][28][29]). According to author Majed et al implementation of the lean concept is not related just to the improvement of a medical institution as a whole, but to the implementation of the lean concepts in each subsystem of a medical institution [30].…”

Section: Introductionmentioning

confidence: 99%

Case Study of Healthcare Organization Improvement with Lean Concept

et al. 2019

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The goal of each company today is to improve business and increase profit through the reorganization and simplification of its processes, decrease of costs and resources utilization etc. Improving the business is usually implemented through different techniques and methodologies that have been developed. One of the ways to improve service processes, and health system processes also, is the implementation of the lean concept. This study shows benefits from using Lean tools value stream mapping (VSM) and simulations to simplify the laboratory work process. Using the VSM and simulation in department of clinical biochemistry authors showed significant improvement of the clinical processes such as eliminating non-value added times (NVAT) by minimum 30 working days/year, increasing number of laboratories analyses by approximately 80.000 analyses/year, eliminating unnecessary movement of 39,000-52,000 meters/year for samples and 78,000-104,000 meters/year for stuff and decreasing patient waiting times from average 70 to 20 min/patient.

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Towards the Next Frontier for Simulation-Based Training

Abstract: This is the first study to describe the value of a full-hospital simulation across the entire patient pathway. Such macrosimulations may be the way forward for integrating the complex training needs of expert clinicians and testing organizational "fitness for purpose" of entire hospitals.

Cited by 27 publications

References 32 publications

A Serious Game for Massive Training and Assessment of French Soldiers Involved in Forward Combat Casualty Care (3D-SC1): Development and Deployment

A Serious Game for Massive Training and Assessment of French Soldiers Involved in Forward Combat Casualty Care (3D-SC1): Development and Deployment

Modern Plastic Surgical Practice: Technical Competence Alone Is Not Enough

Case Study of Healthcare Organization Improvement with Lean Concept

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