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  1. Article ; Online: A review on the evolution of simulation-based training to help build a safer future.

    Bienstock, Jared / Heuer, Albert

    Medicine

    2022  Volume 101, Issue 25, Page(s) e29503

    Abstract: Abstract: Throughout history, simulation has been used to demonstrate various techniques, acquire skills, and maintain best practices in healthcare. Simulation has evolved significantly, primarily because of the extent to which it can enhance both ... ...

    Abstract Abstract: Throughout history, simulation has been used to demonstrate various techniques, acquire skills, and maintain best practices in healthcare. Simulation has evolved significantly, primarily because of the extent to which it can enhance both clinical proficiency and patient care. Although simulation-based training (SBT) in healthcare has grown exponentially in the 21st century, it has been around for centuries. This paper aims to reflect on the history and evolution of simulation in healthcare and review its current applications in order to provide a foundation for developing new applications for future expanded use.
    MeSH term(s) Clinical Competence ; Computer Simulation ; Humans ; Simulation Training/methods
    Language English
    Publishing date 2022-06-24
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 80184-7
    ISSN 1536-5964 ; 0025-7974
    ISSN (online) 1536-5964
    ISSN 0025-7974
    DOI 10.1097/MD.0000000000029503
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

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    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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  2. Article ; Online: Inadequate reporting of the use of simulation-based training by certified clinical perfusionists.

    Bienstock, Jared / Heuer, Albert

    Perfusion

    2022  Volume 38, Issue 2, Page(s) 441–442

    MeSH term(s) Humans ; Cardiopulmonary Bypass/education ; Perfusion
    Language English
    Publishing date 2022-01-08
    Publishing country England
    Document type Letter
    ZDB-ID 645038-6
    ISSN 1477-111X ; 0267-6591
    ISSN (online) 1477-111X
    ISSN 0267-6591
    DOI 10.1177/02676591211053823
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

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    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  3. Article: Is a Health and Wellness Coach a Missing Link in Improving Outcomes for Patients on ECMO?

    Bienstock, Jared / Pizzuti, Summer / Edwards, Jodi-Ann

    The journal of extra-corporeal technology

    2023  Volume 54, Issue 4, Page(s) 343–344

    MeSH term(s) Humans ; Extracorporeal Membrane Oxygenation
    Language English
    Publishing date 2023-02-06
    Publishing country France
    Document type Journal Article
    ZDB-ID 390977-3
    ISSN 0022-1058
    ISSN 0022-1058
    DOI 10.1182/ject-2200037
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.B 2148: Show issues Location:
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  4. Article ; Online: Simulation-Based Training Within Selected Allied Health Professions: An Evidence-Based Systematic Review.

    Heuer, Albert / Bienstock, Jared / Zhang, Yingting

    Journal of allied health

    2022  Volume 51, Issue 1, Page(s) 59–71

    Abstract: Objectives: This systematic review (SR) describes how simulation-based training (SBT) is utilized by selected allied health professions (AHPs).: Data sources: PubMed, CINAHL, Cochrane CENTRAL, Scopus, Web of Science, and Google Scholar were searched ... ...

    Abstract Objectives: This systematic review (SR) describes how simulation-based training (SBT) is utilized by selected allied health professions (AHPs).
    Data sources: PubMed, CINAHL, Cochrane CENTRAL, Scopus, Web of Science, and Google Scholar were searched from 2010 to 2020.
    Review methods: Standard SR methodology was utilized according to PRISMA guidelines. Eligibility criteria included English studies conducted in the United States or Canada. Study designs were somewhat heterogeneous and included quantitative, qualitative, and mixed-methods projects. Populations included selected AHPs that function primarily in an acute care setting, including radiology technologists, respiratory therapists, medical laboratory technologists, perfusionists, radiation therapists, paramedics, emergency medical technicians, physician assistants, physical therapists, and occupational therapists.
    Results: 584 articles were initially identified and reviewed, 33 of which met inclusion criteria. Of them, the most common AHPs documented in the literature as using SBT appeared to be paramedics and emergency medical technicians (22 studies) as well as respiratory therapists (6 studies). Almost half of the studies were conducted in a stationary or mobile simulation lab. Most commonly, the simulations involved the use of manikins and simulated patients and could be classified as high-fidelity. Most of the impact of SBT in the AHPs appears to be on either short-term objective measures, such as post-SBT skill improvement, or subjective metrics like enhanced participant confidence. The more sustained impact such as that on intermediate and long-term skill retention in such disciplines seems uncommon, and those related to enhanced patient outcomes were not found.
    Conclusions: It appears that SBT can be effectively utilized to enhance subjective measures such as participant confidence, as well as short-term skill enhancement within selected AHPs. However, their impact on more substantive measures such as sustained skill enhancement and patient outcomes remains unclear. In addition, the use of SBT varies greatly throughout allied health practice, and the opportunities for expanded use are significant.
    MeSH term(s) Allied Health Personnel ; Canada ; Health Occupations ; Humans ; Manikins ; Simulation Training
    Language English
    Publishing date 2022-03-03
    Publishing country United States
    Document type Systematic Review
    ZDB-ID 197884-6
    ISSN 1945-404X ; 0090-7421
    ISSN (online) 1945-404X
    ISSN 0090-7421
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.B 1874: Show issues Location:
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  5. Article: Pulmonary barotrauma in mechanically ventilated coronavirus disease 2019 patients: A case series.

    Edwards, Jodi-Ann / Breitman, Igal / Bienstock, Jared / Badami, Abbasali / Kovatch, Irina / Dresner, Lisa / Schwartzman, Alexander

    Annals of medicine and surgery (2012)

    2020  Volume 61, Page(s) 24–29

    Abstract: Background: Coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) may result in hypoxic respiratory failure necessitating mechanical ventilation. Barotrauma is a well-documented complication of ... ...

    Abstract Background: Coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) may result in hypoxic respiratory failure necessitating mechanical ventilation. Barotrauma is a well-documented complication of mechanical ventilation.
    Objective: To describe the presentation, characteristics, and management of mechanically ventilated patients with COVID-19 who developed barotrauma.
    Methods: Retrospective case series study of 13 adult, mechanically ventilated, laboratory-confirmed COVID-19 positive patients admitted between 3/15/2020 and 4/14/2020 to a community hospital in New York City. Patient demographics, clinical course, ventilatory parameters, and radiographic results were obtained from electronic medical records. Barotrauma was defined as pneumomediastinum, subcutaneous emphysema, and or pneumothorax on chest X-ray. Descriptive analyses and Mann-Whitney
    Results: Of the 574 COVID-19 positive patients, 139 (24.2%) needed mechanical ventilation and 13 (9.4%) of those developed barotrauma. Majority of patients were Black race (92.3%), older than age 65 (56.8%), male (69.2%), and had comorbidities (76.9%). Most common presenting symptoms were cough (84.6%) and dyspnea (76.9%). Barotrauma presentations included 3/13 pneumothoraces and pneumomediastinum, 12/13 pneumomediastinum and subcutaneous emphysema, and 1/13 pneumothorax alone. The average days on ventilator was 3.4, average positive expiratory-end pressure 15.5 cmH2O, dynamic compliance 33.8 mL/cmH2O, and P/F ratio 165. Interventions were 4/13 chest tubes and 2/13 pigtail catheters.
    Conclusions: Barotrauma is a common complication of mechanical ventilation of COVID-19 patients. Despite high ventilatory pressures, tension pneumothorax is rare and barotrauma could potentially be managed conservatively. Further studies are needed to evaluate the indication and outcome of thoracostomies and conservative management.
    Language English
    Publishing date 2020-11-28
    Publishing country England
    Document type Journal Article
    ZDB-ID 2745440-X
    ISSN 2049-0801
    ISSN 2049-0801
    DOI 10.1016/j.amsu.2020.11.054
    Database MEDical Literature Analysis and Retrieval System OnLINE

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