scholarly journals Virtual application of in situ simulation during a pandemic

CJEM ◽  
2020 ◽  
Vol 22 (5) ◽  
pp. 563-566 ◽  
Author(s):  
Erich Hanel ◽  
Monika Bilic ◽  
Kelly Hassall ◽  
Mary Hastings ◽  
Farah Jazuli ◽  
...  

ABSTRACTThe coronavirus disease 2019 (COVID-19) pandemic introduced challenges to the use of simulation, including limited personal protective equipment and restricted time and personnel. Our use of video for in situ simulation aimed to circumvent these challenges and assist in the development of a protocol for protected intubation and simultaneously educate emergency department (ED) staff. We video-recorded a COVID-19 respiratory failure in situ simulation event, which was shared by a facilitator both virtually and in the ED. The facilitator led discussions and debriefs. We followed this with in situ run-throughs in which staff walked through the steps of the simulation in the ED, handling medications and equipment and becoming comfortable with use of isolation rooms. This application of in situ simulation allowed one simulation event to reach a wide audience, while allowing participants to respect social distancing, and resulted in the education of this audience and successful crowdsourcing for a protocol amidst a pandemic.

2020 ◽  
Vol 34 ◽  
pp. 23-27 ◽  
Author(s):  
Umair Ansari ◽  
Cyprian Mendonca ◽  
Ratidzo Danha ◽  
Richard Robley ◽  
Tim Davies

2021 ◽  
pp. bmjstel-2020-000840
Author(s):  
Fernande Lois ◽  
Claude Hallet ◽  
Nicolas Samalea Suarez ◽  
Alexandre Ghuysen ◽  
Jean François Brichant

IntroductionSelf-efficacy is defined as people’s internal beliefs about their ability to have an impact on events that affect their lives. As part of the COVID-19 pandemic, we carried out in situ simulation for anaesthesiologists and operating room (OR) nurses. Simulation was focused on the recommendations on the use of specific personal protective equipment (PPE) as well as on airway management and intubation. We hypothesised that in situ procedural simulation should increase their perceived self-efficacy.MethodsBetween 16 March and 20 March 2020, 208 healthcare workers took part in in situ procedural simulation. A questionnaire was sent to participants on 21 April 2020. Six self-efficacy items related to PPE and airway manoeuvres were assessed before and after training on a Numeric Rating Scale from 0 to 10.ResultsSixty-seven participants (32%) replied to the questionnaire. The before–after comparison of the six items revealed an increase in perceived self-efficacy for each of them. A before training difference was observed between nurses, board-certified anaesthetists and trainees in anaesthesia in perceived self-efficacy for putting on (6 (3–8) vs 4.5 (2.25–6) vs 2 (0–6), p=0.007) and remove PPE (8 (5–8) vs 4.5 (3.25–6) vs 4 (1–6), p=0.009). No difference in perceived self-efficacy after training was observed between nurses, board-certified anaesthetists and trainees in anaesthesia.ConclusionsIn situ simulation improves the perceived self-efficacy of OR nurses and anaesthesiologists on specific skills related to the care of patients with COVID-19.


2021 ◽  
Author(s):  
Sohrab Effati ◽  
Eman Tavakoli

Abstract Biological phenomena such as disease outbreaks can be modeled as a subset of natural phenomena. Coronaviruses, first identified in the 1960s, are contagious diseases being constantly in the area of research and modeling in human society. The latest version of this group, SARS-COVID-2, has caused the Coronavirus disease one of the greatest pandemics in recent years. Due to the nature of this disease, being aware of the ways of transmission and how to prevent it, including social distancing and the use of personal protective equipment (PPE) to improve the general condition of society is of particular importance. In this study, dynamic systems (Susceptible, Exposed, Infected, Asymptomatic, and Recovered individuals as SEIAR), control systems, and Agent-based modeling (ABM) were used to forecast the behavior of the SARS-COVID-2 virus in the community. The numerical results display the undeniable impact of adhering to hygiene protocols. A significant decline in the number of people with the Coronavirus disease, after applying the control measures, indicates their remarkable impact on reducing the disease peak. Moreover, the result of the Agent-based simulation, which is in four ideal cases, show a significant reduction in the number of death as well.


2018 ◽  
Vol 14 (1) ◽  
pp. 127-132 ◽  
Author(s):  
Simona Barni ◽  
Francesca Mori ◽  
Mattia Giovannini ◽  
Marco de Luca ◽  
Elio Novembre

2020 ◽  
Vol Volume 12 ◽  
pp. 293-303 ◽  
Author(s):  
Anmol Purna Shrestha ◽  
Abha Shrestha ◽  
Taylor Sonnenberg ◽  
Roshana Shrestha

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