2 New Products to Amplify Your Simulations

培训和教育的好处using simulation in a clinical environment have been proven across healthcare. Learners who participate in simulation training see improvements in retention, skills acquisition, and confidence compared to those who experience only didactic training.

In situ simulation creates even more learning-rich circumstances, giving learners an opportunity to practice complex scenarios in their real clinical environment. One study found that in situ simulation helped to identify latent safety threats (LSTs) in one hospital system. And, in situ simulation helped improve deliberate practice of teamwork, communication skills, and patient safety outcomes.¹With in situ simulation, team behaviors and system processes that might put a patient at risk can be uncovered and corrected before a real patient enters the room.

尽管有越来越多的证据支持模拟，但在创造现实主义方面，人们经常忽略一些领域。在任何给定的医院中，医疗设备的种类几乎是无法估量的。根据设备，地板或房间，最重要和最重要的救生设备可以不同地存储，操作不同，需要不同的培训。从不同的制造商或在不同时间购买的独特型号购买的相同类型的设备可能有多种变体。The time to discover that these variables can lead to risk is during a simulation -- not during an actual emergency.

In addition to identifying latent risk through in situ simulation, there is an opportunity to integrate existing medical equipment in your simulations. Doing this can lead to a positive impact on patient care. In this article, we explain how introducing the use of real medical equipment in simulations can better prepare your learners to:

• Manage a ventilated patient
• 监视患者的生命体征

Breathe Life into Your Simulation Environment

Managing a patient-ventilator interaction can be challenging, especially because of the complexity of today’s ventilators and the various ventilation modes. In situ simulation affords learners the opportunity to gain hands-on practice, which is made even more realistic when using a real ventilator.

For example, research has shown that acute respiratory distress syndrome (ARDS) is undertreated in terms of the use of recommended approaches to mechanical ventilation (MV). And, in-hospital mortality rate remains high.²Additionally, there is little consistency among physicians when selecting ventilator settings to treat patients in ARDS cases.³使用呼吸机的仿真培训使学习者可以相应地调整压力并作为整体的一部分进行互动，包括向其他医疗团队表达问题。

一项研究anaesthetist居民证明，使用模拟器的模拟在与MV相关的知识和技能方面比仅基于计算机的模拟更有效。⁴A firm understanding and implementation of lung-protective ventilation strategies has been shown to reduce mortality, and learners can achieve this level of competency through in situ training with a ventilator.

Simman 3G在ASL 5000的帮助下由呼吸机支持^TMLung Solution

To help you seamlessly integrate any ventilator into your scenario, we have introduced the newASL 5000™ Lung Solutionfor the SimMan platform. Compatible with SimMan 3G, SimMan Essential, SimMan Essential Bleeding, and SimMan 3G Trauma, you can conduct training with a spontaneously breathing patient supported on a ventilator. With this practice, learners can develop the confidence and skill to manage a ventilated patient, while also acclimating to their real-world clinical environment.

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Monitor Your Simulator the Same Way You Would a Patient

When a patient emergency occurs, the critical means for detecting, diagnosing, and treating the patient is to track the patient’s vital signs. Likewise, nurses monitor vital signs at regular intervals to confirm that the patient is stable. In the context of all the patient’s physiologic parameters, and under life-threatening conditions, continuous patient monitoring has proved to save lives.

事实是，患者监视器是一件重要的设备，这是护士和医生的训练，可以作为日常工作，尤其是在紧急情况或ICU环境中。在现场模拟期间，您可以通过允许他们看到并依靠他们在现实生活中使用的患者监视器来做好最好的准备。

One study of fourth-year medical students found that simulation-based learning aided the development of their critical assessment and management skills.⁵This kind of training can lose its benefit, however, if learners are suddenly thrown a curve by experiencing details in real life that they did not experience in simulation. The detail of the correct patient monitor is an important one.

Even outside of the emergency department (ED) and intensive care unit (ICU) the benefits of using a real patient monitor are manifold—especially in an environment like MedSurg where patient monitoring can be more of a scheduled event and where alarm fatigue poses its own known issues. And, in this environment the benefits of improved clinical assessment skills are significant.Simulation not only helps to improve a clinician’s performance and ability to complete tasks, but also helps to reduce patient discomfort, complication rates, and costs of care.⁶

VitalsBridge enables SimBaby to connect to a real patient monitor

VitalsBridge使您可以将自己的患者监视器连接到模拟器，从而提供一种更准确地与您设施中真正临床体验相似的体验。学习者可以充满信心，他们的培训使他们为“真正的交易”做好了准备。评估生命体征的舒适度提高可以减少对医疗保健专业人员的认知需求，并最终导致患者的干预更快。⁷

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Improve Your In Situ Simulations With Added Realism

Learners cite increased confidence in their clinical environment and better knowledge acquisition after they have participated in a simulation.

In situ simulation is associated with a higher rate of skill application at the bedside.¹⁰

To augment the reality of your simulations, consider integrating your own medical equipment in the scenario. By doing this, your learners can gain exposure and familiarity with the equipment that will later help them to save lives.