[ { "key": "GRPW48K6", "version": 5, "library": { "type": "group", "id": 171534, "name": "EMT Stress", "links": { "alternate": { "href": "https://www.zotero.org/groups/emt_stress", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/171534/items/GRPW48K6", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/emt_stress/items/GRPW48K6", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/171534/items/84PHHWC9", "type": "application/json" } }, "meta": { "createdByUser": { "id": 1236916, "username": "DethWench", "name": "Monika Wahi", "links": { "alternate": { "href": "https://www.zotero.org/dethwench", "type": "text/html" } } } }, "data": { "key": "GRPW48K6", "version": 5, "parentItem": "84PHHWC9", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2015-08-31T12:16:11Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/19680082", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2015-08-31T12:16:11Z", "dateModified": "2015-08-31T12:16:11Z" } }, { "key": "84PHHWC9", "version": 5, "library": { "type": "group", "id": 171534, "name": "EMT Stress", "links": { "alternate": { "href": "https://www.zotero.org/groups/emt_stress", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/171534/items/84PHHWC9", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/emt_stress/items/84PHHWC9", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1236916, "username": "DethWench", "name": "Monika Wahi", "links": { "alternate": { "href": "https://www.zotero.org/dethwench", "type": "text/html" } } }, "creatorSummary": "Dayal et al.", "parsedDate": "2009", "numChildren": 1 }, "data": { "key": "84PHHWC9", "version": 5, "itemType": "journalArticle", "title": "Simulation training improves medical students' learning experiences when performing real vaginal deliveries", "creators": [ { "creatorType": "author", "firstName": "Ashlesha K.", "lastName": "Dayal" }, { "creatorType": "author", "firstName": "Nelli", "lastName": "Fisher" }, { "creatorType": "author", "firstName": "Diane", "lastName": "Magrane" }, { "creatorType": "author", "firstName": "Dena", "lastName": "Goffman" }, { "creatorType": "author", "firstName": "Peter S.", "lastName": "Bernstein" }, { "creatorType": "author", "firstName": "Nadine T.", "lastName": "Katz" } ], "abstractNote": "OBJECTIVE: To determine the relationship between simulation training for vaginal delivery maneuvers and subsequent participation in live deliveries during the clinical rotation and to assess medical students' performance and confidence in vaginal delivery maneuvers with and without simulation training.\nMETHODS: Medical students were randomized to receive or not to receive simulation training for vaginal delivery maneuvers on a mannequin simulator at the start of a 6-week clerkship. Both groups received traditional didactic and clinical teaching. One researcher, blinded to randomization, scored student competence of delivery maneuvers and overall delivery performance on simulator. Delivery performance was scored (1-5, with 5 being the highest) at weeks 1 and 5 of the clerkship. Students were surveyed to assess self-confidence in the ability to perform delivery maneuvers at weeks 1 and 5, and participation in live deliveries was evaluated using student obstetric patient logs.\nRESULTS: Thirty-three students were randomized, 18 to simulation training [simulation group (SIM)] and 15 to no simulation training [control group (CON)]. Clerkship logs demonstrated that SIM students participated in more deliveries than CON students (9.8 +/- 3.7 versus 6.2 +/- 2.8, P < 0.005). SIM reported increased confidence in ability to perform a vaginal delivery, when compared with CON at the end of the clerkship (3.81 +/- 0.83 versus 3.00 +/- 1.0, respectively, P < 0.05). The overall delivery performance score was significantly higher in SIM, when compared with CON at week 1 (3.94 +/- 0.94 versus 2.07 +/- 1.22, respectively, P < 0.001) and week 5 (4.88 +/- 0.33 versus 4.31 +/- 0.63, P < 0.001) in the simulated environment.\nCONCLUSIONS: Students who receive simulation training participate more actively in the clinical environment during the course of the clerkship. Student simulation training is beneficial to learn obstetric skills in a minimal risk environment, demonstrate competency with maneuvers, and translate this competence into increased clinical participation and confidence.", "publicationTitle": "Simulation in Healthcare: Journal of the Society for Simulation in Healthcare", "publisher": "", "place": "", "date": "2009", "volume": "4", "issue": "3", "section": "", "partNumber": "", "partTitle": "", "pages": "155-159", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Simul Healthc", "DOI": "10.1097/SIH.0b013e3181b3e4ab", "citationKey": "", "url": "", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "1559-2332", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "eng", "libraryCatalog": "PubMed", "callNumber": "", "rights": "", "extra": "PMID: 19680082", "tags": [ { "tag": "Clinical Competence", "type": 1 }, { "tag": "Data Collection", "type": 1 }, { "tag": "Delivery, Obstetric", "type": 1 }, { "tag": "Educational Measurement", "type": 1 }, { "tag": "Female", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Learning", "type": 1 }, { "tag": "Male", "type": 1 }, { "tag": "Manikins", "type": 1 }, { "tag": "Models, Theoretical", "type": 1 }, { "tag": "Practice (Psychology)", "type": 1 }, { "tag": "Self Efficacy", "type": 1 }, { "tag": "Students, Medical", "type": 1 } ], "collections": [], "relations": {}, "dateAdded": "2015-08-31T12:16:11Z", "dateModified": "2015-08-31T12:16:11Z" } }, { "key": "K5M8947B", "version": 4, "library": { "type": "group", "id": 171534, "name": "EMT Stress", "links": { "alternate": { "href": "https://www.zotero.org/groups/emt_stress", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/171534/items/K5M8947B", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/emt_stress/items/K5M8947B", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/171534/items/6BEHT8RI", "type": "application/json" } }, "meta": { "createdByUser": { "id": 1236916, "username": "DethWench", "name": "Monika Wahi", "links": { "alternate": { "href": "https://www.zotero.org/dethwench", "type": "text/html" } } } }, "data": { "key": "K5M8947B", "version": 4, "parentItem": "6BEHT8RI", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed Central Full Text PDF", "accessDate": "2014-07-21T12:30:03Z", "url": "http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2932803/pdf/nihms195808.pdf", "note": "", "contentType": "application/pdf", "charset": "", "tags": [], "relations": {}, "dateAdded": "2014-07-21T12:30:03Z", "dateModified": "2014-07-21T12:30:03Z" } }, { "key": "V39595HC", "version": 4, "library": { "type": "group", "id": 171534, "name": "EMT Stress", "links": { "alternate": { "href": "https://www.zotero.org/groups/emt_stress", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/171534/items/V39595HC", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/emt_stress/items/V39595HC", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/171534/items/6BEHT8RI", "type": "application/json" } }, "meta": { "createdByUser": { "id": 1236916, "username": "DethWench", "name": "Monika Wahi", "links": { "alternate": { "href": "https://www.zotero.org/dethwench", "type": "text/html" } } } }, "data": { "key": "V39595HC", "version": 4, "parentItem": "6BEHT8RI", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed Central Link", "accessDate": "2014-07-21T12:30:03Z", "url": "http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2932803/", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2014-07-21T12:30:03Z", "dateModified": "2014-07-21T12:30:03Z" } }, { "key": "6BEHT8RI", "version": 4, "library": { "type": "group", "id": 171534, "name": "EMT Stress", "links": { "alternate": { "href": "https://www.zotero.org/groups/emt_stress", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/171534/items/6BEHT8RI", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/emt_stress/items/6BEHT8RI", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1236916, "username": "DethWench", "name": "Monika Wahi", "links": { "alternate": { "href": "https://www.zotero.org/dethwench", "type": "text/html" } } }, "creatorSummary": "Cushman et al.", "parsedDate": "2010", "numChildren": 2 }, "data": { "key": "6BEHT8RI", "version": 4, "itemType": "journalArticle", "title": "Ambulance Personnel Perceptions of Near Misses and Adverse Events in Pediatric Patients", "creators": [ { "creatorType": "author", "firstName": "Jeremy T", "lastName": "Cushman" }, { "creatorType": "author", "firstName": "Rollin J", "lastName": "Fairbanks" }, { "creatorType": "author", "firstName": "Kevin G", "lastName": "O'Gara" }, { "creatorType": "author", "firstName": "Crista N", "lastName": "Crittenden" }, { "creatorType": "author", "firstName": "Elliot C", "lastName": "Pennington" }, { "creatorType": "author", "firstName": "Matthew A", "lastName": "Wilson" }, { "creatorType": "author", "firstName": "Nancy P", "lastName": "Chin" }, { "creatorType": "author", "firstName": "Manish N", "lastName": "Shah" } ], "abstractNote": "Objective\nTo identify Emergency Medical Services (EMS) provider perceptions of factors that may affect the occurrence, identification, reporting, and reduction of near misses and adverse events in the pediatric EMS patient.\n\nMethods\nThis was a subgroup analysis of a qualitative study examining the nature of near misses and adverse events in EMS as it relates to pediatric prehospital care. Complimentary qualitative methods of focus groups, interviews, and anonymous event reporting were used to collect results and emerging themes were identified and assigned to specific analytic domains.\n\nResults\nEleven anonymous event reports, 17 semi-structured interviews, and 2 focus groups identified 61 total events, of which 12 (20%) were child-related. Eight (66%) of those were characterized by participants as having resulted in no injury, 2 (16%) resulted in potential injury, and 2 (16%) involved an ultimate fatality. Three analytic domains were identified which included the following five themes: reporting is uncommon, blaming errors on others, provider stress/discomfort, errors of omission, and limited training. Among perceived causes of events, participants noted factors relating to management problems specific to pediatrics, problems with procedural skill performance, medication problems/calculation errors, improper equipment size, parental interference, and omission of treatment related to providers’ discomfort with the patient’s age. Few participants spoke about errors they had themselves committed; most discussions centered on errors participants observed being made by others.\n\nConclusions\nIt appears that adverse events and near misses in the pediatric EMS environment may go unreported in a large proportion of cases. Participants attributed the occurrence of errors to the stress and anxiety produced by a lack of familiarity with pediatric patients and to a reluctance to cause pain or potential harm, as well as to inadequate practical training and experience in caring for the pediatric population. Errors of omission, rather than those of commission, were perceived to predominate. This study provides a foundation on which to base additional studies of both qualitative and quantitative nature that will shed further light on the factors contributing to the occurrence, reporting, and mitigation of adverse events and near misses in the pediatric EMS setting.", "publicationTitle": "Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors", "publisher": "", "place": "", "date": "2010", "volume": "14", "issue": "4", "section": "", "partNumber": "", "partTitle": "", "pages": "477-484", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Prehosp Emerg Care", "DOI": "10.3109/10903127.2010.497901", "citationKey": "", "url": "http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2932803/", "accessDate": "2014-07-21T12:30:03Z", "PMID": "", "PMCID": "", "ISSN": "1090-3127", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "", "libraryCatalog": "PubMed Central", "callNumber": "", "rights": "", "extra": "PMID: 20662679\nPMCID: PMC2932803", "tags": [], "collections": [], "relations": {}, "dateAdded": "2014-07-21T12:30:03Z", "dateModified": "2014-07-21T12:30:03Z" } }, { "key": "EN8KE8M8", "version": 3, "library": { "type": "group", "id": 171534, "name": "EMT Stress", "links": { "alternate": { "href": "https://www.zotero.org/groups/emt_stress", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/171534/items/EN8KE8M8", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/emt_stress/items/EN8KE8M8", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/171534/items/433SVWMJ", "type": "application/json" } }, "meta": { "createdByUser": { "id": 1236916, "username": "DethWench", "name": "Monika Wahi", "links": { "alternate": { "href": "https://www.zotero.org/dethwench", "type": "text/html" } } } }, "data": { "key": "EN8KE8M8", "version": 3, "parentItem": "433SVWMJ", "itemType": "attachment", "linkMode": "linked_url", "title": "Patient_Involvement_in_Patient_Safety___A.99739.aspx", "accessDate": "2014-07-21T12:28:02Z", "url": "http://journals.lww.com/journalpatientsafety/Abstract/publishahead/Patient_Involvement_in_Patient_Safety___A.99739.aspx", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2014-07-21T12:28:02Z", "dateModified": "2014-07-21T12:28:02Z" } }, { "key": "433SVWMJ", "version": 3, "library": { "type": "group", "id": 171534, "name": "EMT Stress", "links": { "alternate": { "href": "https://www.zotero.org/groups/emt_stress", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/171534/items/433SVWMJ", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/emt_stress/items/433SVWMJ", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1236916, "username": "DethWench", "name": "Monika Wahi", "links": { 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"text/html" } } }, "numChildren": 0 }, "data": { "key": "IE23NAAS", "version": 2, "itemType": "webpage", "title": "Stay Safe on the Job", "creators": [], "abstractNote": "", "websiteTitle": "", "websiteType": "", "date": "", "publisher": "", "place": "", "DOI": "", "citationKey": "", "url": "http://www.naemt.org/emshealthsafety/staysafeonthejob.aspx", "accessDate": "2013-05-28T13:26:15Z", "shortTitle": "", "language": "", "rights": "", "extra": "", "tags": [], "collections": [], "relations": {}, "dateAdded": "2013-05-28T13:26:15Z", "dateModified": "2013-05-28T13:26:15Z" } } ]