Discover Simulation

Agenda

• Overview of Discover Simulation Toolkit

• Needs Assessment / Implementation

• Knowledge/Skill Acquisition• Simulation in Teams• Debriefing• Close the Performance Gap

Agenda

What are the most

important issues?

1 note per table

Overview

Laerdal and JEMS provide comprehensive approach to teaching using blended learning

methodology

Overview

Goal: Help make simulation training easy

Title that best describes your role

A. Dept. Training OfficerB. College

Faculty/InstructorC. Medical DirectorD. Quality RoleE. NursingF. Other

Dept. Training O

fficer

College Facu

lty/In

structo

r

Medical D

irecto

r

Quality

Role

Nursing

Other

21%

31%

21%18%

10%

0%

Program’s current use of simulation in training programs

A. Regularly (once a month)B. Occasionally (few times

a year)C. LimitedD. Never

Regularly (o

nce a m

onth)

Occasio

nally (fe

w times a...

Limite

dNeve

r

23%26%

19%

32%

How do you use simulation?

A. TeachingB. AssessmentC. Do not useD. Other

Teaching

Assessm

ent

Do not use

Other

36%

10%

18%

36%

Previous Simulation Training

A. Formal classB. User NetworkC. Read DirectionsD. WebinarE. ConferenceF. Other

Form

al class

User N

etwork

Read Directi

ons

Webinar

ConferenceOther

11%15%

41%

19%

4%

11%

What Leads to Effective Learning?

Well-designed simulation trainingimproves performance

My Overall Proficiency Using Simulation

A. Expert – can teach other instructors

B. Competent to teach students

C. Not ready to teach students

D. Just starting to learn

Overview

Turn-key education system…

Phases of Sim-Based Education

PERFORM LEARNINGNEEDS ASSESSMENT

KNOWLEDGEACQUISITION

Administer Knowledge Pre-Test

AssignAsthma Article

Discuss AsthmaCase Study

Administer Knowledge Post-Test Practice Skills

SKILLS PROFICIENCY

SIMULATION IN TEAMS

Perform AsthmaSimulation

FacilitateDebriefing

CLOSE PERFORMANCEGAPS & REPORT

Discover Simulation Components

Objectives linked toEMT & EMT-P

Curricula >

Perform Learning Needs Assessment

Assess Needs -Why Use Simulation?

Assess Systems

On-Demand Access to Patients

Reduce Human Error

Increase Skill Development

Practice in Controlled Environment

RegulatoryRequirements

How does your organization perform needs assessment?

A. QI data analysisB. SurveysC. InterviewsD. Direct observationE. Other

QI data analys

is

Surveys

Interviews

Direct

observation

Other

40%

20%

13%17%

10%

Assess Needs

Review and discuss case study – select group spokesperson

Knowledge Acquisition

Discover Simulation Components

Article &Pre/Post Test >

Discover Simulation Components

Item analysis worksheet >

Knowledge Acquisition

Discuss how data from the pre-test and post-test may be used to improve the quality of training.

Knowledge Acquisition

REMEMBER: Reflection, combined with feedback, enhances performance.

Skills Proficiency – Individual

Skills Proficiency

Discuss the availability of relevant skills checklistsDiscuss the importance of validity and reliability

Skills Proficiency – Teams & Systems

Discover Simulation – Scenario Operations

Prepare…

1.the learners2.the instructors3.the simulator4.the learning

environment

Prepare for Simulation >

SimManALS Simulator

SimPad

Discover Simulation – Scenario Operations

Scenario Operations >

Discover Simulation Components

Discover Simulation – Scenario Operations

1. Watch learner’s performance2. Click events

3. Performance is registered in the debriefing log

Discover Simulation- Scenario Operations

Initial State

Improvement

Deterioration

FailImprovement

O2 & Beta Agonist 7 minutes

O2 & Beta Agonist

2 minutes

Discover Simulation – Facilitated Debriefing

Debriefing can make or break a simulation session

Discover Simulation - Facilitated Debriefing

Rudolph J, et al. There’s no such thing as ”nonjudgmental” debriefing” A theory and method for debriefing with good judgment. Simul Healthcare 2006;1: 49–55

You can see actions, but never frames

Discover Simulation – Facilitated Debriefing

Advocacy• My perspective

• Use first person

• Make perspective clear

• I observed _______________

• I’m concerned / pleased because _______________________

Inquiry• Short, open ended questions

• “I wonder what happened…”

• I’m curious how you see it?”

Discover Simulation – Facilitated Debriefing

Beginning – Reactions PhaseAllow participants to express their initial reactions (emotion OK)

Discusses facts as necessary to eliminate confusionAvoid ridiculing or shifting right to analysis

Middle – Analysis PhaseAsk questions that prompt the learner to discuss and reflect

Listen with genuine curiosity – seek to understand their “frames”Avoid telling the participants what to do without getting them to reflect first

End – Summary PhaseAsk participants to summarize what they learned

“what went well?”“Given a similar situation, what would you do differently?”

Evaluate the Simulation Education Program

Level I Level II Level III Level IV

Reaction Learning Behavior Outcome / ROIReturn on

Expectations

Kirkpatrick, D.L., Evaluating Training Programs: The Four Levels. San Francisco, CA: Berret-Koehler Publishers, 1998.

Implementation

Next Actions

1. Visit www.laerdal.com/discoversimulation2. Register for follow-up webinar3. Request toolkit and scenario4. Join the Discover Simulation forum

www.laerdal.com/discoversimulation

Review & Questions