Ipssw2014 welcome

INSPIRE @ IPSSW 2014Willkommen!

22 April 2014

Wien, Österreich

Todd P Chang, MD - Das Krankenhaus für Kinder Los Angeles

International Network for Simulation-based Pediatric Innovation, Research and Education

InternationalNetwork for Simulation-based Pediatric Innovation, Research and Education

Unzer Zeitplan

Ur

1800 – 1830 Willkommen und Einführung

1830 – 1900 FACTS & die internationale Traumaforschung mit Ralph MacKinnon

1900 – 1930 ALERT Präsentationen

1930 – 2030 ALERT kleine Sitzungen

2030 – 2100 Einbetten Simulation in der Praxis "ohne sich in der Übersetzung verloren“ mit Vinay Nadkarni

2100 – 2200 Gruppe-Mentoring


Our schedule

Hour

1800 – 1830 Welcome & Introduction

1830 – 1900 FACTS & International Trauma Research - Ralph MacKinnon

1900 – 1930 ALERT Presentations

1930 – 2030 ALERT Breakout Sessions

2030 – 2100 Embedding Simulation into Practice ‘without getting lost in the translation’ - Vinay Nadkarni

2100 – 2200 Informal Group Mentoring

Introduction – Answering Questions about INSPIRE

22 April 2014

Vienna, Austria

Todd P Chang, MD – Children’s Hospital Los Angeles


Wer sind Wir?


Leadership


Was sind Wir?

2 Types of Organizing

• Governance Documents

• Review Committees

• Executive Liaisons

• Contracts

Top-Down

Promotes:

• Infrastructure

• Professionalism and Maintenance of Quality

• Longevity

Top-Down

• Social Media

• Presentations & Workshops at International Conferences

• Informal Networking

Bottom-Up

Promotes:

• Novelty

• Ingenuity

• Technological Advancement

• Growth

Bottom-Up


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Sites


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Members


Mission

We aim to improve the delivery of medical care to acutely ill children by answering important research questions pertaining to resuscitation, technical skills, behavioural skills, debriefing and simulation-based education


Consensus on simulation research priorities

Merlin exercise (2012), Consensus (2013)

Research Themes


INSPIRE Research Themes

TRAINING AND ASSESSMENT

Debriefing Develop/assess/implement effective techniques for debriefing real/sim events

IPE, Teamwork, Communication

Develop/assess/implement effective techniques for team training

Procedural, Psychomotor Skills

Develop/assess/implement effective techniques for skills development retention

HEALTH CARE INNOVATIONS

Technology Develop/assess/implement novel technologies designed to improve processes of care and pediatric patient outcomes

Acute Care and Resuscitation

Develop/assess/implement novel techniques for improving care of pediatric patients

Human Factors Assess the role of human factors when providing care to pediatric patients

Patient Safety Explore the key variables that influence patient safety and assess strategies to mitigate

Current INSPIRE Projects

TRAINING AND ASSESSMENT * new projects

Debriefing • Cheng: Co-Debriefing in Simulation-based Education*

• Halamek: DART- Debriefing AssessmentIPE, Teamwork,

Communication• Knight: Improving Code Team Performance and Survival Outcomes: Implementation of Pediatric Composite

Resuscitation Training*

• Hunt/Rosen: Team Leadership Under Stress • Overly: Structured-patient encounter• Tensing Maa- PALS performance tool

Procedural,

Psychomotor

Skills

• Pusic: Learning Retention/Refreshers After DP of Radiograph Interpretation*

• Dadiz: Exploring Facilitators/Barriers to Implementing Competency Assessments*

• Arnold: Simulation to teach management of tracheostomy emergencies *

• White M. Development of a Standardized Process for INSPIRE Procedure Kits*

• Byrne: Comparison of ETI + UVC vs. LMA + IO Needle in NRP*

• Mehta: The effect of Simulation to determine Frequency for Competency Skill Training*

• Smith: Pediatric Simulation and the Milestones*

• Sawyer: Neonatal Intuabation• Chang: Train-the-trainer LP, Script Concordance LP• Brown: PRIDE Disaster Triage • Barry: BVM training• Kummett: Neonatal Skills

HEALTH CARE INNOVATIONSTechnology

• Kessler: Randomized Trial of Continuous Capnography During Simulated Arrests*

• Burhop: The Difficult Pediatric Airway: A Simulation study examining the Efficacy of Videolaryngoscopy in Trisomy 21*

• Gee: Hybrid-simulator

Acute Care and

Resuscitation

• Lemke: Rapid Cycle Deliberate Practice for Resuscitation Teams*

• Meyer: Donation after Circulatory Death*

• Auerbach: GED-PED Disparities• McKinnon: Critical Neurotrauma Sim• Mehta: Health literacy• Levy: PALS tool validation

Human Factors • Sens: Handoff AssessmentPatient Safety • Fiedor-Hamilton: EpiPen

• Sherzer: Epi pen community


What do we provide?


How have we done well?

1. Consultation

2. Research Structure

3. Mentorship

4. Multi-center Strength & Productivity


1. Consultation

Study protocol

Specific Consultative Questions

Online submission (http://www.INSPIRESim.com/)

Online submission (http://www.INSPIRESim.com/)

Research Design Committee feedback

Any grant proposal Grant feedback

One-time access to Experts and feedback


2. Research Structure

Young Investigator with Research Idea

•Online Research Series •Senior INSPIRE mentor (via online mentor match) to help with establishing research goals and development of 1 page “specific aims” page

Systematic Review or Needs

Assessment

• INSPIRE Research Coordinator to assist with methodology for systematic review• INSPIRE Librarian to assist with literature search

Pilot Study

•Review and revise study protocol with INSPIRE mentor•Review study protocol with INSPIRE technology director to discuss possible tech-assisted outcome measures•Review with INSPIRE statistical consultant to solidify analysis plan, feasibility, and power analysis

Multicenter Study

• INSPIRE scientific committee to review protocol and grant proposal• INSPIRE website to assist in finding collaborators and recruitment sites• INSPIRE research portal for data collection•Data analysis and submission to Manuscript Oversight Committee (MOC)

Knowledge Translation

• INSPIRE research assistant and graphic designer to assist with poster preparation• INSPIRE writing group and scientific committee to assist with review of manuscripts and mitigation of authorship issues and byline•Submission of manuscript for peer review, amend with mentor and writing group, publish

Publication

Publication

Publication


3. Mentorship


4. Strength in Numbers


Upcoming

• Consultations– Technology

– Statistical support

– Psychometric support

• Mentorship / Idea Exchange

• Video Capture Centralization

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INSPIRE Research Collaborative

Manuscripts, Writing Groups and Authorship

Manuscript Oversight Committee (MOC)

MOC Committee Members:

Vinay Nadkarni (chair), Adam Cheng, Marc Auerbach, Betsy Hunt, David Kessler, Martin Pusic, Todd

Chang, Jordan Duval-Arnould, Ralph McKinnon, Beth Mancini, Mary Patterson, Peter Weinstock, David

Grant

MOC Guiding Principles:

The MOC will ensure that INSPIRE research projects are peer-reviewed for publication in a manner

that ensures timely and effective communication of research findings to our stakeholders and that

INSPIRE members are properly credited for their hard work. Additionally, the MOC will advocate

for the involvement of young researchers in the publication process.

1. To be listed as an author an individual must significantly contribute to a published as described

by the International Committee of Medical Journal Editors criteria (www.icjme.org). Authors must meet

ALL THREE of the following criteria:

! Substantial contribution(s) to conception and design, acquisition of data, or analysis and

interpretation of data

! Drafting the article or revising it critically for important intellectual content

! Final approval of the version to be published.

2. Authorship and the order of authorship (first, second, third and last) will be assigned as early as

possible in the research process. The first author will be responsible for leading the writing process as

described below and delegating roles to co-authors.

3. Authorship and the order of authorship are subject to change if contributions to the final work

product are not consistent with the expectations outlined by the lead author (ie. development and

organization of protocol or tool, recruited many subjects, etc). Any research team member can contact

the MOC for assistance in decisions related to authorship order and inclusion as an author.

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International*Network*for*Simulation2based*Pediatric*Innovation,*Research*and*Education*!

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Writing Group Procedures

This document describes the writing process, including roles, expectations, and procedures for writing

papers related to studies conducted through INSPIRE. This writing process was developed to facilitate

the timely dissemination of research findings in the academic press, to reduce stress, and to increase

communication among INSPIRE members.

Key Roles in the Writing Process

Primary Author: This person is responsible for the main writing task and is the corresponding author for

the paper.

Production Manager/Research Assistant: This person will manage the entire writing process. S/he is

responsible for setting appropriate deadlines, maintaining progress, compiling sections written by

others into a single draft, setting up a document template, and formatting the paper in accordance with

the journal’s style.

Core Writing Group: This group of 3-5 people is responsible for the content of the paper, including the

main outcomes and messages reported there. They make decisions concerning the manuscript. If

conflict arises, this group must reach consensus.

Steps in Writing Process:

1. The Writing Group identifies the main outcome of the paper.

2. The Primary Author writes a 200-300 word abstract and shares it with Writing Group

3. The Production Manager works with Primary Author to identify a timeline for the project and divide up

writing tasks. If an author misses a deadline for the same product twice in a row then the Production

Manager has the authority to reassign this work product and adjust that person’s authorship status.

4. All manuscripts must receive final approval of the INSPIRE MOC prior to submission

5. Primary author submits for publication

7. Once submitted, production manager is responsible for coordinating all replies to peer reviewers,

though it is expected that the Primary Author will take the major responsibility in preparing these

replies. Any secondary submission that requires re-analysis of data or re-interpretation of the primary

findings of the paper should be done within 2 weeks of receipt of the comments.

8. Re-submissions are to be completed within 4 weeks of receipt of comments.


Productivity

• Publications- 22

• Manuscripts in progress- 31

• Abstracts/Presentations- 81

• Grants- 27

• Awards- 10


Structure & Creativity


Dan so…was sind Wir?

• Visionary Collaborators– Answering important questions

– Developing pillars of research• Building programs of simulation research

– Sharing resources• Connecting mentors, institutions, collaborators


Let’s meet!


Project Presentations

Ralph MacKinnon FACTS & International Trauma Research

Donna Moro-Sutherland Low-cost Simulation in Global Health Arena

Marjorie White,Taylor Sawyer

INSPIRE Procedures Working Group –Development of a Standardized Process for Procedure Kits

Leah Mallory Using Simulation for Competency-based Assessment of Pediatric Resident / Registrar performance

Burkhard Wermter Improving Realism of PALS-courses with smart simulation tools & children

Paul Simonson Evaluation of a drug prescribing app in a

simulated scenario

Kevin Ching Effectiveness Of A Simulation Curriculum

On Clinical Execution

(Informal) Group Mentoring

22 April 2014

Vienna, Austria


Group Mentoring Instructions

1. Relax and let’s chat

2. Write down 2 or more questions / topics about simulation as a career that you would like to talk about

3. Place these in a hat

4. Form groups of 3 – 6 to talk about the various topics