Simulation Spotlight
Jan. 29, 2014

Mayo Clinic study finds standardized protocol and surgery improve mortality outcomes
For patients who have experienced a large stroke that cuts off blood supply to a large part of the brain, the use of standardized medical management protocol and surgery to decompress swelling can improve life expectancy, Mayo Clinic researchers found in a recent study. The medical protocol provided each patient with consistent procedures for airway management, ventilator settings, blood pressure control, fluid and electrolyte management, gastrointestinal and nutritional management, hematologic monitoring and management, intracranial pressure monitoring, sedation, use of medication, anticonvulsants, prevention against deep-vein thrombosis and rehabilitationMore

Could gamification be a secret to cutting costs?
Dr. Jeffrey Burns, of Boston Children's Hospital, was inspired by watching his 15-year-old son gaming with players outside the country. Wondering why he couldn't share knowledge with colleagues working in other parts of the world, he embarked on an initiative to build a community-centric learning lab and platform with a social wrapper around simulations and training modules. The result: OpenPediatrics, a demonstration of gamification for distant training. Using OpenPediatrics, which Boston Children's developed in conjunction with IBM, surgeons can now participate in a shared virtual surgery, and if the particular patient has a unique set of needs the simulation changes and becomes part of the community forum. From there, the data is indexed at a very granular level for fast retrieval.More

Stage 2 meaningful use readiness a growing concern
By Pamela Lewis Dolan
A survey recently released by the Centers for Disease Control and Prevention found there has been tremendous growth in electronic health record use in the U.S. over the past several years, thanks in part to the meaningful use incentive program. But there may be a speed bump in the road to a connected healthcare system as the meaningful use program enters its second stage. The survey found the number of office-based physicians with some type of EHR system grew from 18 percent in 2001 to 78 percent in 2013. But just 13 percent had systems capable of meeting at least 14 of the 17 core objectives required for Stage 2 of the three-stage program.More

What exactly is the job outlook for nurses?
By Keith Carlson
As 2014 begins, there is a great deal of discussion regarding the job prospects for nurses, especially those just entering the profession. With confusing opinions and projections about the reality of a nursing shortage in the United States, nursing students and recent graduates are understandably concerned. According to the Department of Labor Bureau of Labor Statistics, the growth in jobs for nurses is expected to increase 19 percent between 2012 and 2022, a rate of growth that apparently outpaces all other occupations. But several other factors must be taken into account as well.More

Are stethoscopes going the way of the dodo?
Some experts are saying it's time for doctors to toss their stethoscopes in the trash. Dr. Jagat Narula, associate dean for global affairs at Mount Sinai School of Medicine in New York, and Dr. Bret Nelson, associate professor of emergency medicine at Mount Sinai, wrote in an editorial in the December 2013 issue of Global Heart that they believe doctors in the near future will hang up their stethoscopes in exchange for portable ultrasound devices.More

Covidien opens advanced medical training and education center in Mumbai, India
Covidien, a leading global healthcare products company that creates innovative medical solutions for better patient outcomes and delivers value through clinical leadership and excellence, has officially opened its first training and education center in India. The Covidien Center of Innovation India (CCI India), located in Mumbai, offers clinicians training on advanced procedures and techniques using leading equipment and technology.More

Innovative medical plastic devices define the road ahead
By Don Rosato
Metal-to-plastic device conversion offers many advantages. The most prominent advantage is cost where expensive metals such as titanium parts can be replaced by lower-cost plastic materials. Hospitals gain by using disposable devices that eliminate the need to manage resterilization and help cut down the spread of infection. Doctors benefit through the use of lighter devices that are easier to control and reduce fatigue. Patients benefit through the elimination of metal ion and metal particulate issues. These future plastic medical device innovations are expected to center around six major technological areas.More

Silencing many hospital alarms leads to better healthcare
Go into almost any hospital these days and you'll hear a constant stream of beeps and boops. To most people it sounds like medical Muzak. But to doctors and nurses, it's not just sonic wallpaper. Those incessant beeps contain important coded messages. "The three-burst is a crisis alarm," systems engineer James Piepenbrink of Boston Medical Center explains on a tour of 7 North, the hospital's cardiac care unit. That might signal that a patient's heart has gone into a potentially fatal arrhythmia or even stopped altogether.More