Publications by authors named "Doreen Mirante"
Stress Testing the Cardiac Catheterization Laboratory: A Novel Use of In Situ Simulation to Identify and Mitigate Latent Safety Threats During Acute Airway Management.
Simul Healthc
April 2024
Article Synopsis
- Cardiac arrests in the catheterization laboratory (CCL) are rare but increasingly serious, prompting a study using in situ simulation (ISS) to identify safety issues in airway management.
- Researchers conducted three cycles of a quality improvement process (PDSA) throughout 2021, identifying 101 latent safety threats (LSTs) and measuring improvements using the SAFER-Matrix.
- The results showed a significant reduction in the SAFER score, indicating fewer airway-related threats and a correlation between communication issues and increased time for intubation.
Introduction: Teamwork training is critical in the development of high-functioning rapid response teams (RRT). Rapid response teams involve interactions between a patient's core care team and a hospital contingency team, which can lead to disorganized and unsafe resuscitations, largely due to problems with communication and information dissemination. An extensive literature search found no assessment tools specific to the unique communicative challenges of an RRT, and thus, this study sought to develop an assessment rubric validated for training RRTs.
View Article and Find Full Text PDFIntroduction: The Stop the Bleed (STB) program trains the general public on identifying and treating life-threatening bleeding. Data on efficacy and retention of skills taught through this program are limited, with the role of high-technology modalities to augment the program, such as simulation and feedback devices, untested.
Methods: A convenience sample of 66 school personnel participated in an open-label observational study from January to August 2019.
Introduction: Crisis Resource Management (CRM) is a team training tool used in healthcare to enhance team performance and improve patient safety. Our program intends to determine the feasibility of high-fidelity simulation for teaching CRM to an interprofessional team in a community hospital and whether a microdebriefing intervention can improve performance during simulated pediatric resuscitation.
Methods: We conducted a single-center prospective interventional study with 24 teams drawn from 4 departments.