Introduction: ProVation Medical documentation software was introduced in our Department of Gastroenterology (GI). We evaluated the use of a simulation module to improve the introduction of new documentation software into a tertiary care center GI department.
Materials And Methods: Train-the-trainer education was provided by the vendor of the new documentation module. A simulation module was developed to simulate the preparatory, intraprocedural, and postprocedure phase of active utilization of the software. A standardized patient (SP)/medical actor was used for provision of data to be entered in to the ProVation Medical preprocedure module. A procedural suite was configured to allow for staff to assume their roles during endoscopic cases. A checklist of key activities was used by observers during the training. A postscenario evaluation document was collected for perceptions of training.
Results: Twenty-one GI nurses and technicians spent 3 hours in groups of 7 over a 3-day period completing activities commensurate with these procedural phases. Nineteen of 21 learners felt the simulation was nonthreatening, and the same number gave the course an overall 5/5 rating. There were no specimen labeling errors, patient identification errors, or sentinel events related to the software rollout. All learners felt that physician involvement in the simulation would have been beneficial.
Conclusions: Simulation can be used to improve the rollout of new software in a tertiary care center. Staff satisfaction associated with this type of learning activity was high, and a communicated level of comfort was achieved as a result of the simulation-based experiential learning.
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http://dx.doi.org/10.1097/PTS.0b013e31829e4cc0 | DOI Listing |
Simul Healthc
October 2024
From the UCSF Health and Anesthesia and Perioperative Care (A.L.), UCSF School of Medicine, San Francisco, CA; Enterprise Anesthesiology Quality and Safety, Mass General Brigham (M.C.M.P.-S.), Harvard Medical School, Massachusetts General Hospital, Boston, MA; Clinical Skills and Simulation Education (A.B.), Cooper Medical School of Rowan University and Cooper University Healthcare, Camden, NJ; Surgery UMMS-Chan-Baystate (G.L.F.), Baystate Health, Springfield, MA; Anesthesiology and Critical Care Medicine (S.A.F.), University of New Mexico School of Medicine, Albuquerque, NM; Surgery, Undergraduate Medical Education (R.V.R.), University of Texas Southwestern Medical Center, Dallas, TX; Department of Surgery (D.P.S.), University of Illinois at Chicago, Chicago, IL; Surgery, Surgical Innovation (J.M.V.), Rush University, Chicago, IL; Department of Anesthesia, Critical Care and Pain Medicine (J.B.C.), Harvard Medical School and Massachusetts General Hospital, Boston, MA; and Department of Anesthesiology and Critical Care (R.H.S.), Houston Methodist Hospital, Houston, TX.
Simulation is underutilized as a tool to improve healthcare quality and safety despite many examples of its effectiveness to identify and remedy quality and safety problems, improve teamwork, and improve various measures of quality and safety that are important to healthcare organizations, eg, patient safety indicators. We urge quality and safety and simulation professionals to collaborate with their counterparts in their organizations to employ simulation in ways that improve the quality and safety of care of their patients. These collaborations could begin through initiating conversations among the quality and safety and simulation professionals, perhaps using this article as a prompt for discussion, identifying one area in need of quality and safety improvement for which simulation can be helpful, and beginning that work.
View Article and Find Full Text PDFTech Innov Gastrointest Endosc
December 2023
Department of Medicine, Division of Gastroenterology and Hepatology, University of North Carolina School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Background And Aims: Inadequate bowel preparation during colonoscopy is associated with decreased adenoma detection, increased costs, and patient procedural risks. This study aimed to develop a prediction model for identifying patients at high risk of inadequate bowel preparation for potential clinical integration into the EMR.
Methods: A retrospective study was conducted using outpatient screening/surveillance colonoscopies at the University of North Carolina (UNC) from 2017 to 2022.
Am J Gastroenterol
October 2024
NYU Grossman School of Medicine, Bethpage, New York, USA.
Perioper Med (Lond)
June 2023
US Anesthesia Partners, Dallas, TX, USA.
Background: Intraoperative hypotension (IOH) is well-described in the academic setting but not in community practice. IOH is associated with risk of postoperative morbidity and mortality. This is the first report of IOH in the community setting using the IOH measure definition from the Centers for Medicare and Medicaid Services Merit-based Incentive Payment System program.
View Article and Find Full Text PDFIntern Med J
January 2024
Monash Health, Melbourne, Victoria, Australia.
Background: Dysplasia surveillance in inflammatory bowel disease (IBD) is often suboptimal and deviates from guidelines.
Aims: To assess dysplasia surveillance behaviours and adherence to guidelines amongst a large tertiary teaching health network with a specialised IBD unit to identify areas where dysplasia surveillance could be improved.
Methods: A retrospective audit of IBD surveillance colonoscopy practice over an 18-month period was performed using the Provation Endoscopy Database and the hospital's primary sclerosing cholangitis database.
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