Konsep SBL

Healthcare Education
To err is human . . . .
• 100‘000 americans die due to „medical errors“ each

year
• More than caused by
– Traffic Accidents
– Breast cancer
– AIDS
2
Incidents in anesthesia
???
12%
TEC
22%
HUM
66%
Review: 419 Reports by

Anaesthestic Incident Monitoring Study (AIMS)
3
Human Factor as main cause for
accidents
ENVIRONMENT
26,1%
HUMAN 60,9%
TECNICAL
16,3%
Statistik – Lufthansa Flight Training. FFM. Source AQAI

Same problem: different outcome
5
One difference: Simulation training
 Training in standardized conditions

 Training corresponding to progress of
trainee
 Training of critical procedures without risks
 Training to resolve problems
 Training with structured escalation
 Training of team-interaction
6
Performance in critical situations and
Performanc emergencies
simulator simulator
e
time 7
Why Simulation ?
 Lessons from aviation

 Nursing students have less opportunities to directly practice
since patient safety and patient right consideration, including
psychomotor skills and attitude to patients
 Nursing students have less opportunities to participant in or
aware the situation of patient safety
 The first time to aware the situation may be in the real world
 Nurses are expected to know more and do more than ever
before, making the demand for quality nurses a top priority
in the healthcare community.
 As result, nursing schools around the world are looking for
ways to better educate and prepare nursing students for the
important roles they will play in the healthcare industry.
 Quality of EDUCATION = Quality of SERVICE

 Quality of NURSING EDUCATION = Quality of PATIENT
CARE
Definitions of Simulation
McGaghie (1999) defines simulation as:
“ A person, device or set of conditions that tries to present

problems authentically. The student or trainee is required to
respond to the problems as he or she would under natural
circumstance”
Anatomy of a full-scale
simulator
The Simulator is an
artificial Patient.
We define his condition:

E.g. Hypertension
E.g. Pregnancy.
We define the
problems in a case
E.g. Acute Lung
Failure
This is possible due

to Physiologic
models
Human Patient Simulation (HPS)
 Incorporates the use of a full sized manikin

 Programmed to provide realistic responses to actions by a
student
 Includes bedside monitor with :
– Realistic heart, lung and bowel sounds
– Blood pressure, pulses, pulse oximetry
– Hemodynamic and respiratory monitoring on a bedside monitor
 Voice responses can be programmed in or can be done in
real time
 Video and Audio recording can be made of the simulations
– Can be a vital part of the reccomended debriefing session
(Decker, Sportsman, Puetz, & Billings, 2008)

Cockpit simulator vs. Patient
simulator
It can be simple in fundamental
nursing teaching
Or More complex in critical care teaching
Moulage - Trauma
BURNED FOREARM FULL ARM AMPUTATION
PARTIAL ARM AMPUTATON PARTIAL LEG AMPUTATION

Moulage - Trauma
FACE/HEAD INJURY - ISTAN BRUISED CHEST SKIN - ISTAN

Advantage of Simulation
 There is no risk to a patient

 Scenarios can be presented at will
– Routine procedures can be repeated intensively
 Specific Learning Opportunities - GUARANTEED
 The same known scenario can be presented independently
to multiple subjects
 Errors can be allowed to occur, confidence & technical skills
improved
 The simulation can be paused, restarted, or begun a new, to
demonstrate clinical alternatives. Performance can be
observed/recorded
 Participants use actual, complex, clinical devices
 Recording, replay and critique of performance are facilitated
What should simulations programs achieve ?
 Micro Skills
– Programs that are focused on individual clinicians, technical
skills
 Meso Skills
– Programs that are focused on Clinical teams, Human Factors,
Non- Technical Skills
 Macro Skills
– Programs that focus Organizations, Institutional Preparation,
Redesign
We Believe
“ I hear and i forget,

I see and i remember,
I DO and I
UNDERSTAND”
(Confusius)
Healthcare Education Products:
• Human Patient Simulators  METI

• USG Simulator  CAE Healthcare
• Surgical Simulators  CAE Healthcare
METI, CAE Healthcare ??
● METI:
o Medical Education Technologies Inc., Florida, USA
o Est. 1996, specializing in Human Patient Simulators
o Patented human physiological and pharmacological models
permits life-like simulator reactions to treatments and
interventions
o Acquired by CAE Healthcare in August 2011
● CAE Healthcare:
o CAE (Canadian Aviation Electronics Ltd.), 1947
o Part of CAE Corporate (Flight Simulation, Mining Technology,
Military Training, Public Safety & Services)
o Patient Simulator for Military, Surgical and USG Simulators
o Previously based in Canada, now shift all manufacturing in
Sarasota, Fl, USA
METI – Human Patient Simulator
HPS (Human Patient Simulator)

Top-of-the-line; the only simulator capable
of anesthesia gas delivery, respiratory
training and critical care
iSTAN
Full wireless and theterless; real-like skin
and physiology (hair folicles and secretion);
suitable for evacuation, transportation and
military training
ECS (Emergency Care Simulator)

Rich in features (bleeding, breathing,
blinking, and convulsion); suitable for
emergency training
METIman
Affordable solution to simulation; full
wireless and theterless; combination of
portability and basic features of a
simulator; suitable for nursing and
transportation training
PediaSIM
Full automatic response to treatment
received; distinction in anatomy, response
to drugs and clinical problems
BabySIM
Representation of a 6-9 months old; adapts
METI’s advanced feature of accurate airway;
capable of incubation training
CAESAR (CAE Healthcare)
● Trauma patient simulator

● Rugged, durable, wireless, water-resistant
● 21 pre-programmed trauma scenarios: airways,
hemorrhaging, chest injuries
● Modular change of limbs
Learning Modules
 METI’s Learning Modules include a collection of carefully

defined Simulated Clinical Experiences (SCEs™) that allow
easy integration of specific learning content into educational
curricula and add critical learning opportunities to real-life
simulated environments quickly and easily.
Learning Modules
Adult Nursing Patient-Centered Acute Care Training
Advanced Cardiac Life Support Pediatric Emergencies
Pediatric Advanced Life Support
Combat Medic Advanced
Pediatric Nursing
Skills Training
Perioperative Management
Disaster Medical Readiness Program for Nursing Curriculum
Emergency Medical Services Integration
Foundations of Nursing Practice Respiratory Education Simulation
Infant Emergencies Program Module
Trauma Medical Care
Infant Nursing
Nurse Residency Program
VIMEDIX™ Ultrasound Simulator
Real-time interactive capabilities; features
TTE, TEE and FAST examinations; a wide
range of cardiac pathologies; augmented
reality for anatomical knowledge
CathLabVR Endovascular Simulator

Most accurate physiology and most
advanced cardiovascular content;
hemodynamic wave tracings; superior
force feedback
EndoscopyVR Simulator
Capable of bronchoscopic and endoscopic
procedures; features complete examination of
bronchial and gastrointestinal tracts
LaparoscopyVR Simulator
Features an advanced modular curriculum
derived from actual patient data; provides
multisensory feedback (visual, audio and tactile);
frequently performed cases such as, gall bladder
removal and tubal occlusion
30

Konsep SBL

Uploaded by

Copyright:

Available Formats

Konsep SBL

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Konsep SBL

Uploaded by

Copyright:

Available Formats

Healthcare Education

• 100‘000 americans die due to „medical errors“ each

Review: 419 Reports by

Statistik – Lufthansa Flight Training. FFM. Source AQAI

 Training in standardized conditions

 Lessons from aviation

 Quality of EDUCATION = Quality of SERVICE

McGaghie (1999) defines simulation as:

“ A person, device or set of conditions that tries to present

We define his condition:

This is possible due

 Incorporates the use of a full sized manikin

(Decker, Sportsman, Puetz, & Billings, 2008)

BURNED FOREARM FULL ARM AMPUTATION

PARTIAL ARM AMPUTATON PARTIAL LEG AMPUTATION

FACE/HEAD INJURY - ISTAN BRUISED CHEST SKIN - ISTAN

 There is no risk to a patient

“ I hear and i forget,

• Human Patient Simulators  METI

HPS (Human Patient Simulator)

ECS (Emergency Care Simulator)

● Trauma patient simulator

 METI’s Learning Modules include a collection of carefully

CathLabVR Endovascular Simulator

You might also like

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.