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  1. Article ; Online: Debrief it all: a tool for inclusion of Safety-II.

    Bentley, Suzanne K / McNamara, Shannon / Meguerdichian, Michael / Walker, Katie / Patterson, Mary / Bajaj, Komal

    Advances in simulation (London, England)

    2021  Volume 6, Issue 1, Page(s) 9

    Abstract: Safety science in healthcare has historically focused primarily on reducing risk and minimizing harm by learning everything possible from when things go wrong (Safety-I). Safety-II encourages the study of all events, including the routine and mundane, ... ...

    Abstract Safety science in healthcare has historically focused primarily on reducing risk and minimizing harm by learning everything possible from when things go wrong (Safety-I). Safety-II encourages the study of all events, including the routine and mundane, not only bad outcomes. While debriefing and learning from positive events is not uncommon or new to simulation, many common debriefing strategies are more focused on Safety-I. The lack of inclusion of Safety-II misses out on the powerful analysis of everyday work.A debriefing tool highlighting Safety-II concepts was developed through expert consensus and piloting and is offered as a guide to encourage and facilitate inclusion of Safety-II analysis into debriefings. It allows for debriefing expansion from the focus on error analysis and "what went wrong" or "could have gone better" to now also capture valuable discussion of high yield Safety-II concepts such as capacities, adjustments, variation, and adaptation for successful operations in a complex system. Additionally, debriefing inclusive of Safety-II fosters increased debriefing overall by encouraging debriefing when "things go right", not historically what is most commonly debriefed.
    Language English
    Publishing date 2021-03-29
    Publishing country England
    Document type Journal Article
    ISSN 2059-0628
    ISSN (online) 2059-0628
    DOI 10.1186/s41077-021-00163-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Enhancing Safety of a System-Wide In Situ Simulation Program Using No-Go Considerations.

    Minors, Anjoinette M / Yusaf, Tricia C / Bentley, Suzanne K / Grueso, Daisy / Campbell-Taylor, Kimberly / Harford, Marlene / Mehri, Sepideh / Williams, Lorren J / Bajaj, Komal

    Simulation in healthcare : journal of the Society for Simulation in Healthcare

    2023  Volume 18, Issue 4, Page(s) 226–231

    Abstract: Introduction: A large-scale in situ simulation initiative on cardiac arrest in pregnancy was implemented across NYC Health + Hospitals. In situ simulation must be safely balanced with clinical conditions such as through application of no-go ... ...

    Abstract Introduction: A large-scale in situ simulation initiative on cardiac arrest in pregnancy was implemented across NYC Health + Hospitals. In situ simulation must be safely balanced with clinical conditions such as through application of no-go considerations or standardized reasons to cancel or postpone the simulation. Our objective is to describe our findings on the application of no-go considerations during this simulation initiative.
    Methods: NYC Health + Hospitals/Simulation Center developed an in situ simulation program focused on cardiac arrest in pregnancy, implemented at 11 acute care facilities. The program's toolkit included no-go considerations for in situ simulation safety: situations prompting a need to cancel, reschedule, or postpone a simulation to ensure patient and/or staff safety.
    Results: Data were collected from June 2018 through December 2019. The simulation sites reviewed the 13 established no-go considerations before each simulation event to assess if the simulation was safe to "go". After the conclusion of the initiative, all data related to no-go considerations were analyzed.Two hundred seventy-four in situ simulations were scheduled and 223 simulations (81%) were completed. Fifty-one no-go events were reported, with 78% identifying a reason by category. Twenty-two percent did not report a reason or category. Four of the 13 suggested no-go considerations were not reported.
    Conclusions: The no-go considerations framework promotes standardized and strategic scheduling of in situ simulation. Analysis of no-go consideration application during this system-wide initiative provides a model for the usage of tracking no-go data to enhance safety and inform future simulation planning.
    MeSH term(s) Pregnancy ; Female ; Humans ; Heart Arrest/therapy
    Language English
    Publishing date 2023-01-10
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2223429-9
    ISSN 1559-713X ; 1559-2332
    ISSN (online) 1559-713X
    ISSN 1559-2332
    DOI 10.1097/SIH.0000000000000711
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Intervening on high-risk responses during ecological momentary assessment of suicidal thoughts: Is there an effect on study data?

    Bentley, Kate H / Millner, Alexander J / Bear, Adam / Follet, Lia / Fortgang, Rebecca G / Zuromski, Kelly L / Kleiman, Evan M / Coppersmith, Daniel D L / Castro-Ramirez, Franchesca / Millgram, Yael / Haim, Adam / Bird, Suzanne A / Nock, Matthew K

    Psychological assessment

    2023  Volume 36, Issue 1, Page(s) 66–80

    Abstract: Ecological momentary assessment (EMA) is increasingly used to study suicidal thoughts and behaviors (STBs). There is a potential ethical obligation for researchers to intervene when receiving information about suicidal thoughts in real time. A possible ... ...

    Abstract Ecological momentary assessment (EMA) is increasingly used to study suicidal thoughts and behaviors (STBs). There is a potential ethical obligation for researchers to intervene when receiving information about suicidal thoughts in real time. A possible concern, however, is that intervening when receiving responses that indicate high risk for suicide during EMA research may impact how participants respond to questions about suicidal thoughts and thus affect the validity and integrity of collected data. We leveraged data from a study of adults and adolescents (
    MeSH term(s) Adult ; Adolescent ; Humans ; Suicidal Ideation ; Ecological Momentary Assessment ; Suicide ; Surveys and Questionnaires
    Language English
    Publishing date 2023-11-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1000939-5
    ISSN 1939-134X ; 1040-3590
    ISSN (online) 1939-134X
    ISSN 1040-3590
    DOI 10.1037/pas0001288
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Workshop in Simulation Debriefing for Educators in Medicine: Creation, implementation, and evaluation of a debriefing curriculum for novice simulation educators.

    Chen, Tina H / Bentley, Suzanne K / Nadir, Nur-Ain / Beattie, Lars K / Lei, Charles / Hock, Sara M / Munzer, Brendan W / Moadel, Tiffany / Paetow, Glenn / Young, Amanda / Stapleton, Stephanie N

    AEM education and training

    2023  Volume 7, Issue Suppl 1, Page(s) S58–S67

    Abstract: Objectives: Debriefing is an integral component of simulation education, and effective debriefing education is required to maintain effective simulation programs. However, many educators report financial and logistical barriers to accessing formal ... ...

    Abstract Objectives: Debriefing is an integral component of simulation education, and effective debriefing education is required to maintain effective simulation programs. However, many educators report financial and logistical barriers to accessing formal debriefing training. Due to limited educator development opportunities, simulation program leaders are often compelled to utilize educators with insufficient debriefing training, which can limit the impact of simulation-based education. To address these concerns, the SAEM Simulation Academy Debriefing Workgroup authored the Workshop in Simulation Debriefing for Educators in Medicine (WiSDEM), a freely available, concise, and ready-to-deploy debriefing curriculum with a target audience of novice educators without formal debriefing training. In this study, we describe the development, initial implementation, and evaluation of the WiSDEM curriculum.
    Methods: The Debriefing Workgroup iteratively developed the WiSDEM curriculum by expert consensus. The targeted level of content expertise was introductory. The curriculum's educational impact was assessed by surveying participants on their impressions of the curriculum and their confidence and self-efficacy in mastery of the material. Additionally, facilitators of the WiSDEM curriculum were surveyed on its content, usefulness, and future applicability.
    Results: The WiSDEM curriculum was deployed during the SAEM 2022 Annual Meeting as a didactic presentation. Thirty-nine of 44 participants completed the participant survey, and four of four facilitators completed the facilitator survey. Participant and facilitator feedback on the curriculum content was positive. Additionally, participants agreed that the WiSDEM curriculum improved their confidence and self-efficacy in future debriefing. All surveyed facilitators agreed that they would recommend the curriculum to others.
    Conclusions: The WiSDEM curriculum was effective at introducing basic debriefing principles to novice educators without formal debriefing training. Facilitators felt that the educational materials would be useful for providing debriefing training at other institutions. Consensus-driven, ready-to-deploy debriefing training materials such as the WiSDEM curriculum can address common barriers to developing basic debriefing proficiency in educators.
    Language English
    Publishing date 2023-06-27
    Publishing country United States
    Document type Journal Article
    ISSN 2472-5390
    ISSN (online) 2472-5390
    DOI 10.1002/aet2.10869
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Debrief it all

    Suzanne K. Bentley / Shannon McNamara / Michael Meguerdichian / Katie Walker / Mary Patterson / Komal Bajaj

    Advances in Simulation, Vol 6, Iss 1, Pp 1-

    a tool for inclusion of Safety-II

    2021  Volume 6

    Abstract: Abstract Safety science in healthcare has historically focused primarily on reducing risk and minimizing harm by learning everything possible from when things go wrong (Safety-I). Safety-II encourages the study of all events, including the routine and ... ...

    Abstract Abstract Safety science in healthcare has historically focused primarily on reducing risk and minimizing harm by learning everything possible from when things go wrong (Safety-I). Safety-II encourages the study of all events, including the routine and mundane, not only bad outcomes. While debriefing and learning from positive events is not uncommon or new to simulation, many common debriefing strategies are more focused on Safety-I. The lack of inclusion of Safety-II misses out on the powerful analysis of everyday work. A debriefing tool highlighting Safety-II concepts was developed through expert consensus and piloting and is offered as a guide to encourage and facilitate inclusion of Safety-II analysis into debriefings. It allows for debriefing expansion from the focus on error analysis and “what went wrong” or “could have gone better” to now also capture valuable discussion of high yield Safety-II concepts such as capacities, adjustments, variation, and adaptation for successful operations in a complex system. Additionally, debriefing inclusive of Safety-II fosters increased debriefing overall by encouraging debriefing when “things go right”, not historically what is most commonly debriefed.
    Keywords Safety-II ; Debriefing ; Simulation ; Error ; Patient safety ; Computer applications to medicine. Medical informatics ; R858-859.7
    Subject code 600
    Language English
    Publishing date 2021-03-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Guidance and Patient Instructions for Proning and Repositioning of Awake, Nonintubated COVID-19 Patients.

    Bentley, Suzanne K / Iavicoli, Laura / Cherkas, David / Lane, Rikki / Wang, Ellen / Atienza, Maria / Fairweather, Phillip / Kessler, Stuart

    Academic emergency medicine : official journal of the Society for Academic Emergency Medicine

    2020  Volume 27, Issue 8, Page(s) 787–791

    MeSH term(s) COVID-19/therapy ; Guidelines as Topic ; Humans ; Hypoxia ; Patient Positioning ; Respiration, Artificial/standards ; SARS-CoV-2 ; Wakefulness
    Keywords covid19
    Language English
    Publishing date 2020-07-27
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1329813-6
    ISSN 1553-2712 ; 1069-6563
    ISSN (online) 1553-2712
    ISSN 1069-6563
    DOI 10.1111/acem.14067
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: In their own words: Experiences of emergency health care workers during the COVID-19 pandemic.

    Blanchard, Janice / Messman, Anne M / Bentley, Suzanne K / Lall, Michelle D / Liu, Yiju Teresa / Merritt, Rory / Sorge, Randy / Warchol, Jordan M / Greene, Christopher / Diercks, Deborah B / Griffith, James / Manfredi, Rita A / McCarthy, Melissa

    Academic emergency medicine : official journal of the Society for Academic Emergency Medicine

    2022  Volume 29, Issue 8, Page(s) 974–986

    Abstract: Background: During the COVID-19 pandemic, a substantial number of emergency health care workers (HCWs) have screened positive for anxiety, depression, risk of posttraumatic stress disorder, and burnout. The purpose of this qualitative study was to ... ...

    Abstract Background: During the COVID-19 pandemic, a substantial number of emergency health care workers (HCWs) have screened positive for anxiety, depression, risk of posttraumatic stress disorder, and burnout. The purpose of this qualitative study was to describe the impact of COVID-19 on emergency care providers' health and well-being using personal perspectives. We conducted in-depth interviews with emergency physicians, emergency medicine nurses, and emergency medical services providers at 10 collaborating sites across the United States between September 21, 2020, and October 26, 2020.
    Methods: We developed a conceptual framework that described the relationship between the work environment and employee health. We used qualitative content analysis to evaluate our interview transcripts classified the domains, themes, and subthemes that emerged from the transcribed interviews.
    Results: We interviewed 32 emergency HCWs. They described difficult working conditions, such as constrained physical space, inadequate personnel protective equipment, and care protocols that kept changing. Organizational leadership was largely viewed as unprepared, distant, and unsupportive of employees. Providers expressed high moral distress caused by ethically challenging situations, such as the perception of not being able to provide the normal standard of care and emotional support to patients and their families at all times, being responsible for too many sick patients, relying on inexperienced staff to treat infected patients, and caring for patients that put their own health and the health of their families at risk. Moral distress was commonly experienced by emergency HCWs, exacerbated by an unsupportive organizational environment.
    Conclusions: Future preparedness efforts should include mechanisms to support frontline HCWs when faced with ethical challenges in addition to an adverse working environment caused by a pandemic such as COVID-19.
    MeSH term(s) Burnout, Professional/epidemiology ; Burnout, Professional/prevention & control ; Burnout, Professional/psychology ; COVID-19 ; Health Personnel ; Humans ; Pandemics ; United States/epidemiology ; Workplace
    Language English
    Publishing date 2022-05-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1329813-6
    ISSN 1553-2712 ; 1069-6563
    ISSN (online) 1553-2712
    ISSN 1069-6563
    DOI 10.1111/acem.14490
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Guidance and Patient Instructions for Proning and Repositioning of Awake, Nonintubated COVID-19 Patients

    Bentley, Suzanne K / Iavicoli, Laura / Cherkas, David / Lane, Rikki / Wang, Ellen / Atienza, Maria / Fairweather, Phillip / Kessler, Stuart

    Acad. emerg. med

    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #618704
    Database COVID19

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  9. Article ; Online: Guidance and Patient Instructions for Proning and Repositioning of Awake, Nonintubated COVID‐19 Patients

    Bentley, Suzanne K. / Iavicoli, Laura / Cherkas, David / Lane, Rikki / Wang, Ellen / Atienza, Maria / Fairweather, Phillip / Kessler, Stuart

    Academic Emergency Medicine

    2020  Volume 27, Issue 8, Page(s) 787–791

    Keywords Emergency Medicine ; General Medicine ; covid19
    Language English
    Publisher Wiley
    Publishing country us
    Document type Article ; Online
    ZDB-ID 1329813-6
    ISSN 1553-2712 ; 1069-6563
    ISSN (online) 1553-2712
    ISSN 1069-6563
    DOI 10.1111/acem.14067
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article ; Online: Hospital-wide cardiac arrest in situ simulation to identify and mitigate latent safety threats.

    Bentley, Suzanne K / Meshel, Alexander / Boehm, Lorraine / Dilos, Barbara / McIndoe, Mamie / Carroll-Bennett, Rachel / Astua, Alfredo J / Wong, Lillian / Smith, Colleen / Iavicoli, Laura / LaMonica, Julia / Lopez, Tania / Quitain, Jose / Dube, Guirlene / Manini, Alex F / Halbach, Joseph / Meguerdichian, Michael / Bajaj, Komal

    Advances in simulation (London, England)

    2022  Volume 7, Issue 1, Page(s) 15

    Abstract: Background: Cardiac arrest resuscitation requires well-executed teamwork to produce optimal outcomes. Frequency of cardiac arrest events differs by hospital location, which presents unique challenges in care due to variations in responding team ... ...

    Abstract Background: Cardiac arrest resuscitation requires well-executed teamwork to produce optimal outcomes. Frequency of cardiac arrest events differs by hospital location, which presents unique challenges in care due to variations in responding team composition and comfort levels and familiarity with obtaining and utilizing arrest equipment. The objective of this initiative is to utilize unannounced, in situ, cardiac arrest simulations hospital wide to educate, evaluate, and maximize cardiac arrest teams outside the traditional simulation lab by systematically assessing and capturing areas of opportunity for improvement, latent safety threats (LSTs), and key challenges by hospital location.
    Methods: Unannounced in situ simulations were performed at a city hospital with multidisciplinary cardiac arrest teams responding to a presumed real cardiac arrest. Participants and facilitators identified LSTs during standardized postsimulation debriefings that were classified into equipment, medication, resource/system, or technical skill categories. A hazard matrix was used by multiplying occurrence frequency of LST in simulation and real clinical events (based on expert opinion) and severity of the LST based on agreement between two evaluators.
    Results: Seventy-four in situ cardiac arrest simulations were conducted hospital wide. Hundreds of safety threats were identified, analyzed, and categorized yielding 106 unique latent safety threats: 21 in the equipment category, 8 in the medication category, 41 in the resource/system category, and 36 in the technical skill category. The team worked to mitigate all LSTs with priority mitigation to imminent risk level threats, then high risk threats, followed by non-imminent risk LSTs. Four LSTs were deemed imminent, requiring immediate remediation post debriefing. Fifteen LSTs had a hazard ratio greater than 8 which were deemed high risk for remediation. Depending on the category of threat, a combination of mitigating steps including the immediate fixing of an identified problem, leadership escalation, and programmatic intervention recommendations occurred resulting in mitigation of all identified threats.
    Conclusions: Hospital-wide in situ cardiac arrest team simulation offers an effective way to both identify and mitigate LSTs. Safety during cardiac arrest care is improved through the use of a system in which LSTs are escalated urgently, mitigated, and conveyed back to participants to provide closed loop debriefing. Lastly, this hospital-wide, multidisciplinary initiative additionally served as an educational needs assessment allowing for informed, iterative education and systems improvement initiatives targeted to areas of LSTs and areas of opportunity.
    Language English
    Publishing date 2022-05-21
    Publishing country England
    Document type Journal Article
    ISSN 2059-0628
    ISSN (online) 2059-0628
    DOI 10.1186/s41077-022-00209-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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