Books about medical errors

Both books “Avoiding Common Anesthesia Errors” and “Avoiding Common ICU Errors” are very interesting. Could be a great source to create simulation scenarios.

clipped from www.amazon.com

“Consumer Report” of Doctors

There are several websites let consumers search and rate physicians. Patient and their families can use those information to make informed medical and health care decision.

UCompareHealthcare, HealthGrades, Vitals, Vimo, Dr. Score

Those sites get the information from different sources regarding doctors profiles (training, specialty,etc.). Some of the sites are also provide different tools/metrics for rating physicians. As those rating have be used for patients/family, simulation based assessment might also be used for physician competency assessment in the future.

Consensus Conference: THE SCIENCE OF SIMULATION IN HEALTHCARE

Society for Academic Emergency Medicine just host a Consensus Conference regarding the National Agenda for Simulation Research in Undergraduate, Graduate, and Continuing Medical Education. Those meeting topic tracks include: Individual/ Cognitive Expertise: global Provider Competency; Group Expertise: Effective Teamwork and Communication; Technical Expertise: Procedural and Surgical Skills and System Expertise:Effective Simulation at the Organizational Level. This is a very dynamic field and growing very fast.

Ultrasound Guided Internal Jugular Access

Simulation training for Ultrasound guided Internal Jugular Access have been introduced recently. American College of Emergency Physicians and American College of Surgeon have policy statements regarding the ultrasound application for their own practices. Last year paper published by Chest suggests an standard approach for training and practice. This could be a good guideline to develop simulation based training program. This also bring a another question, how to coordinate the simulation training with clinical training/practice.

Building a Better Delivery System: A New Engineering/Health Care Partnership

National Academy of Engineering and the Institute of Medicine published this book emphasized the need for two disciplines working together to address the health care and patient safety issues.

Medical Modeling and Simulation Database (MMSD)

The database is a great resource for simulation related literature by Eastern Virginia Medical School and the American College of Surgeons. Hope it will offer RSS feed soon for more convenience.

New Vistas in Patient Safety and Simulation

New Vistas in Patient Safety and Simulation is a good resource for update collections of medical simulation in patient safety.

Safety Dashboard for PCI

Just like consumer report for healthcare, a paper published from BMJ using plot to help public aware of hospital and surgeron’s performance based on the historical adverse events. This kind of tool along with other info on the web will educate patients and encourage them more involvements of the process of care. The trend of transparency is across the whole health care industry now. It has been talked a lot by business people.

High-stake Clinical Skill Assessment

One example of using medication simulation for clinician skill assessment by NBOME which includign both physical exam, history taking and communications, professionalism, etc.  This allow the examination conducted in a controlled simulation environment without any risk to patients.

Simulation Education and Assessment

It is important to recognize the difference between formative assessment and summative assessment. Simulation based education activity always involve some forms of assessment. Those assessments are normally not happened at same physical location. During scenario based course, the debriefing session lead by the instructor gives formative assessment to the learner (a in process assessment with PDSA context). The clinical based assessment (eg. checklist ) is a form summative assessment. For learner, it will give their direction what skill they need to improve by more exercise/practice.  For instructor, it will help to guide the improvement of the instruction and course development.  There is need to distinguish the difference between assessment of education activity itself and assessment of individual learner (clinical sill).