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The Human Simulation and Patient Safety Center
The
Human Simulation and Patient Safety Center features both an adult
and pediatric Human Patient Simulator from Medical Education Technologies,
Inc. (METI) of Sarasota, Florida. The simulators are full-size mannequins
whose major organ systems have been programmed to respond appropriately
to the environment and to a user's intervention by physical or pharmacologic
means. The mannequins are computer controlled either at the bedside
or from a distant room. Scenarios may be preprogrammed or run "on-the-fly".
The mannequins may be used to teach simple physiology and pharmacology,
bedside medical examination techniques, cardiopulmonary resuscitation,
and complex medical management. Most medical settings may be replicated
from a simple floor bed to the complex operating room environment.
Physiologic parameters that can be simulated include: EKG, invasive
and non-invasive blood pressures, expired gas composition, oxygen
saturation, central venous pressure, pulmonary artery pressure, intracranial
pressure, and body temperature.
Technology
The Simulation Center is a state-of-the-art facility in the Duke
University Medical Center that includes a simulation lab, multimedia
classroom, and high-tech communications and control room. The ability
to record simulation sessions to tape or disc is possible at the
Simulation Center. A recorded simulation session is immediately
available for playback in the multimedia classroom. The Center also
can produce live or delayed broadcasts of simulation training and
activities in the multimedia classroom. Within the multimedia classroom
is a SmartBoard--a multipurpose unit that serves as a projector
backdrop and an interactive tool. Using the SmartBoard, an instructor
may write notes and interact with a presentation or software without
the need of a keyboard or mouse.
Training
Many challenging cases have already been developed for use at Duke.
Students from the School of Medicine, School of Nursing, and Department
of Anesthesia use the facility on a regular rotating schedule. Additionally,
the Simulation Center is used to train a wide array of professionals
throughout the healthcare continuum. An example of the ever expanding
role of the Center is it's ongoing involvement in clinical research
training.
Research
The Center is building an active medical human factors engineering
program focused on patient safety. Sample protocols being developed
include: (1) the effectiveness of simulation in the learning and
retention of cardiovascular medical concepts, (2) the evaluation
of new equipment displays, (3) the use of collaborative web environments
in simulation development, and (4) the use of new forms of data
representation in the operating room environment. The Center also
conducts usability tests and participates in the design of new medical
equipment.
International Collaboration
The international human simulation discussion list MedicalSim-L
was started and is moderated from Duke University. It was instituted
to facilitate communication between simulation users worldwide.
Another resource, SimDot, allows Simulation Centers around the world
to share high-fidelity simulation programming and didactics over
the Internet. Specialty specific editorial boards have been named
to peer review cases in the library, which will eventually encompass
multiple specialties and support multiple simulators.
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Simulation Center Staff
Director
Jeffrey Taekman, MD (cv)
Associate Director
Sharon Hawks, CRNA
Director of Research
Senior Human Factors Engineer
Melanie Wright, PhD (cv)
Technician/Coordinator
Gene Hobbs, CHT
Human Factors Engineer
Noa Segall, PhD
Staff Assistant
Sheryl Madden
Advisory Committee
Ed Buckley, MD
Jonathan Mark, MD
J. Victor Nadler, PhD
Mark Newman, MD
Barbara Turner, RN, DNSc, FAAN
Facilitators
Bob Blessing, MS
Charles S. Brudney, MD
Peter Dwane, MD
John Eck, MD
Ellen Flanagan, MD PhD
Lou Hodgins, MD
Stuart Grant, MD
Katherine Grichnik, MD
Nancy Knudsen, MD
John Keifer, MD
Cathy Lineberger, MD
Jonathan Mark, MD
Eugene Moretti, MD
Meredith Muncy, CRNA, MS
Adeyemi Olufolabi, MD
Susan Promes, MD
Becky Schroeder, MD
Bret Stolp, MD, PhD
Steve Talbert, PhD
Jim Temo, CRNA, MSN, MBA
Wade Weigel, MD
Resident Facilitators
Andrew Matisoff, M.D.
Christina Reiter, M.D.
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