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Human Simulation and Patient Safety Center
Duke University Medical Center
Box 3094
Durham, NC 27710

Phone 919-684-3661
Fax 919-684-6251

Simulation Center Brochure

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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.

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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[ Department of Anesthesiology | School of Medicine | School of Nursing ]