PMID- 31120409
OWN - NLM
STAT- MEDLINE
DCOM- 20190530
LR  - 20190530
IS  - 0748-321X (Print)
IS  - 0748-321X (Linking)
VI  - 46
IP  - 2
DP  - 2019 Summer
TI  - The Effect of Simulation Training in Anesthesia on Student Operational 
      Performance and Patient Safety.
PG  - 205-213
LID - 10.3138/jvme.0717-097r [doi]
AB  - A veterinary anesthesia simulated environment (VASE) with clinical scenarios has 
      been integrated into the pre-clinical curriculum at Midwestern University College 
      of Veterinary Medicine to simulate anesthesia of a live patient within a surgical 
      suite. Although this modality was shown to significantly improve veterinary 
      students' perceived preparedness to perform anesthesia on live patients, whether 
      this would improve anesthesia competency in the actual clinical environment, 
      described as operational performance, remained unclear. Our goal was to examine 
      the relationship between anesthesia simulation training and student anesthesia 
      operational performance. Anesthesia operational performance assessment of 
      students was determined by quantifying critical event occurrences that negatively 
      impacted patient safety during the anesthesia of 287 patients during students' 
      initial surgical experience in 2015 and 2016. The relationship between total 
      numbers of critical incidents to students having anesthesia simulation training 
      was determined through evaluation of anesthesia records from 2015 and 2016, where 
      students did not have anesthesia simulation training or they had pre-clinical 
      training, respectively. Results showed a significant relationship between 
      simulation training and critical incident occurrence, with a critical incident 
      more likely to occur during patient anesthesia for students who did not 
      experience pre-clinical anesthesia simulation training. Of the total critical 
      incidents that occurred in the two-year study, 88% were in patients anesthetized 
      by students who did not have simulation training. Our findings suggest that 
      students who were given the opportunity to participate in anesthesia-focused 
      simulations before a live-animal anesthesia encounter demonstrated significant 
      improvements in anesthesia operational performance and improved patient safety.
FAU - Jones, Jana L
AU  - Jones JL
FAU - Rinehart, Jim
AU  - Rinehart J
FAU - Englar, Ryane E
AU  - Englar RE
LA  - eng
PT  - Journal Article
DEP - 20181219
PL  - Canada
TA  - J Vet Med Educ
JT  - Journal of veterinary medical education
JID - 7610519
SB  - IM
MH  - Anesthesia/methods/*veterinary
MH  - Animals
MH  - Clinical Competence
MH  - *Education, Veterinary
MH  - *Patient Safety
MH  - Patient Simulation
MH  - *Simulation Training
MH  - Students
OTO - NOTNLM
OT  - anesthesia competency
OT  - classroom-to-clinical transition
OT  - outcome of veterinary patients in anesthesia
OT  - peri-operative veterinary patient care
OT  - veterinary anesthesia simulation training
EDAT- 2019/05/24 06:00
MHDA- 2019/05/31 06:00
CRDT- 2019/05/24 06:00
PHST- 2019/05/24 06:00 [entrez]
PHST- 2019/05/24 06:00 [pubmed]
PHST- 2019/05/31 06:00 [medline]
AID - 10.3138/jvme.0717-097r [doi]
PST - ppublish
SO  - J Vet Med Educ. 2019 Summer;46(2):205-213. doi: 10.3138/jvme.0717-097r. Epub 2018 
      Dec 19.