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Health Care Simulation

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Health Care Simulation

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    1. Health Care Simulation Brendan Flanagan FANZCA Southern Health Simulation Centre Melbourne

    2. Simulation in Health Care Verbal Role play Standardised patient Screen-based Part-task Trainers Computerised Mannequin Virtual Reality Reminder of the many facets simulation can and is taking in health careReminder of the many facets simulation can and is taking in health care

    5. Part Task Trainers Not True Simulators But Widely Used Part-task trainers, e.g.: IV arms, skeletons, airway trainers ResusciAnne & equivalent (CPR, ACLS) Harvey (cardiac auscultation)

    6. Late 1990s - Early 2000s: New Manufacturers for Simulators Laerdal: SimMan (Mannequin-based)

    7. Procedure / Surgery Simulation and Part-Task Training Important in many medical domains: surgical, endoscopic, & cath. procedures

    8. Development of Simulation CENTRES Facility simulation room(s), control room(s), debriefing room(s) support room(s) part-task trainers, VR, standardised patients offices Core faculty interdisciplinary

    13. Human Factors (CRM) Training Helmreich, RL et al: Aviation, Space Environ.Med. 61:576-579 (1990)

    15. So, the IOM reminds us that health care is probably THE most complex of human endeavours! And of course it makes frequent reference to the place of simulation training – in particular CRM-style training – to improve the system. Establish interdisciplinary team training programs that incorporate proven methods such as Crew Resource Management (CRM) techniques employed in aviation - including simulation. So, the IOM reminds us that health care is probably THE most complex of human endeavours! And of course it makes frequent reference to the place of simulation training – in particular CRM-style training – to improve the system. Establish interdisciplinary team training programs that incorporate proven methods such as Crew Resource Management (CRM) techniques employed in aviation - including simulation.

    16. Simulation in Health Care vs. in Other Industries Unlike other industries we don’t build human beings -- we don’t even get the manual! Pt. simulators inherently less realistic But then…there is no “average” patient In other industries training & assessment is built into the work over a whole career… not (yet) in health care

    17. Patient Simulation: Where Are We Now? Patient simulation is a maturing new endeavour “… not the end, not the beginning of the end, maybe the end of the beginning”! Manufacturers of diverse products Diverse curricula & target populations

    18. Domains using simulation Undergraduate & Postgraduate Paramedics & Emergency Medicine Anaesthesia, Surgery Primary Care Practitioners Intensive Care Medicine/ Arrest Teams Obstetrics/ Neonatal Interventional Radiology & Cardiology Endoscopy Simulation in all its forms is becoming increasingly widespread in health care. Who is NOT using it? Underlined are the groups that our Centre and similar centres use simulation for – in our case with a CRM emphasis. All the underlined groups are involved in complete or near complete true team training. We have had little “buy in” at the surgical level – one of the original criticisms of CRM by Gaba is that it was not true team training! That still holds true in terms of OR training – but is not the case with pretty much all other aspects of what we do. NB Basel in Switzerland.Simulation in all its forms is becoming increasingly widespread in health care. Who is NOT using it? Underlined are the groups that our Centre and similar centres use simulation for – in our case with a CRM emphasis. All the underlined groups are involved in complete or near complete true team training. We have had little “buy in” at the surgical level – one of the original criticisms of CRM by Gaba is that it was not true team training! That still holds true in terms of OR training – but is not the case with pretty much all other aspects of what we do. NB Basel in Switzerland.

    19. Australian Centres Melbourne x 2, Sydney, Perth RACS in Melbourne Brisbane Flinders & Royal Adelaide Hospital Sydney hospitals 28 SimMen around Australasia inc. 7 Defence Forces installations

    21. Patient Simulation: Where Are We Going? Simultaneous innovation and consolidation of approaches VISION: Simulation completely embedded in fabric of health care for education, training, performance assessment, research, device certification, and other applications

    22. Some mutually important topics! Team Training Training Transfer Human Factors Performance Assessment Synthetic Environments Simulator Fidelity Analysis Knowledge Elicitation and Capture Validation, Verification and Accreditation Cost Benefit Analysis of Simulation Systems Policy Issues

    23. SimTect 1-day Health & Medical Symposium 2000, 2001, 2003 2004 – a 3-day meeting local & international keynote speakers live feed to Perth simulation centre shared haptovisual environment with Stanford Standards workshops

    24. The Way Forward? Society name Australian/A & NZ/Asia-Pacific Health Care (v. Medical) mission/vision structure relationship with SIAA

    25. The Way Forward Steering Committee to pursue these and related issues No web page as yet www.simtect.com for time being Input/questions/comments to b.flanagan@southernhealth.org.au

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