Improving Proficiency in Central Venous Catheter Insertion: Standardized Simulation Based Training for Internal Medicine House Staff

Objectives: The objectives of this study are to assess residents\u27 pre-workshop ability and comfort with CVC placement, undergo a standardized online didactic and hands-on clinical training simulation workshop, and subsequently undergo a proficiency test using simulation models to assess competency. The goal of a standardized training module is to create a universal approach to CVC placement in our institution and improve comfort and technical ability of house staff. We hypothesize that this will reduce complications and improve patient care and safety.https://jdc.jefferson.edu/patientsafetyposters/1063/thumbnail.jp

A SPATIAL ANALYSIS OF THE ECONOMIC AND ECOLOGICAL EFFICACY OF LAND RETIREMENT

Most land management policies, such as land retirement, have multiple objectives. This study uses a cellular automata simulation model to explore how various spatial characteristics of land parcels on a hypothetical landscape contribute to the efficacy of land retirement in the presence of multiple retirement objectives- hydrological improvement, habitat improvement, and cost. Statistical analysis of the simulation results is used to tie particular spatial characteristics back to achievement of the three distinct objectives. In order to combine the three objectives into a measure that allows decision-makers to rank the desirability of different retirement strategies, linear and nonlinear goal programming frameworks are introduced. These frameworks are explored to determine what each implies about the tradeoffs that must be made among objectives and among the spatial land parcel characteristics that contribute to those objectives.Land Economics/Use,

Enhancing simulation education with intelligent tutoring systems

The demand for education in the area of simulation is in the increase. This paper describes how education in the field of simulation can take advantage of the virtues of intelligent tutoring with respect to enhancing the educational process. For this purpose, this paper gives an overview of what constitutes the objectives and the content of a comprehensive course in discrete event simulation. The architecture of an intelligent tutoring system is presented and it is discussed how these sophisticated learning aids offer individualised student guidance and support within a learning environment. The paper then introduces a prototype intelligent tutoring system, the simulation tutor, and suggests how the system might be developed to enhance education in simulation

Crew interface definition study, phase 1

The timeline analysis of the Shuttle orbiter missions which was conducted in the Phase I Crew Interface Definition Study and the requirements for the man-in-the-loop simulation study are presented. Mission definitions and objectives are presented as they relate to various Shuttle Orbiter missions. The requirements for crew participation and the information required by the crew are discussed, and finally the rationale behind the display concept and calling procedures is given. The simulation objectives, the simulation mechanization, including a detailed presentation of the display and control concept, the simulator test plan and the results are discussed

Using National Measures of Patients' Perceptions of Health Care to Design and Debrief Clinical Simulations

This article describes an innovative approach to using national measures of patients' perspectives of quality health care. Nurses from a regional simulation consortium designed and executed a simulation using the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey to prepare nurses to improve care and, in turn, enhance patients' perceptions of care. The consortium is currently revising the reporting mechanism to collect data about specific learning objectives based on national quality indicator benchmarks, specifically HCAHPS. This revision reflects the changing needs of health care to include quality metrics in simulation

The First Five Minutes: Enhancing Simulation Education for First-Year Pediatric Residents

We are looking at the feasibility of redesigning the existing simulation education for first-year residents within the Children’s Hospital of Richmond at VCU’s pediatric residency program to increase learning opportunities and to enhance exposure to pediatric medical emergencies. Novel simulation scenarios were designed to provide an introduction to managing the first five minutes of commonly encountered emergencies on the inpatient wards. These shortened simulations allow for educational objectives to be tailored to the expected knowledge and responsibilities of first-year residents

EUCARS: A partial equilibrium model of EUropean CAR emissions (Version 3.0).

EUCARS has been designed to analyse the cost-effectiveness of various transport policy measures to reach air quality objectives. A general description and a thorough technical presentation of this partial equilibrium model of passenger transport are given. Some simulation results are then discussed to illustrate the simulation properties.eucars, transport, emissions, modelling

Development of a device to simulate tooth mobility

Objectives: The testing of new materials under simulation of oral conditions is essential in medicine. For simulation of fracture strength different simulation devices are used for test set-up. The results of these in vitro tests differ because there is no standardization of tooth mobility in simulation devices. The aim of this study is to develop a simulation device that depicts the tooth mobility curve as accurately as possible and creates reproducible and scalable mobility curves. Materials and methods: With the aid of published literature and with the help of dentists, average forms of tooth classes were generated. Based on these tooth data, different abutment tooth shapes and different simulation devices were designed with a CAD system and were generated with a Rapid Prototyping system. Then, for all simulation devices the displacement curves were created with a universal testing machine and compared with the tooth mobility curve. With this new information, an improved adapted simulation device was constructed. Results: A simulations device that is able to simulate the mobility curve of natural teeth with high accuracy and where mobility is reproducible and scalable was developed