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Petersen JA, Bray L, Østergaard D. Continuing professional development (CPD) for anesthetists: A systematic review. Acta Anaesthesiol Scand 2024; 68:2-15. [PMID: 37432773 DOI: 10.1111/aas.14306] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2023] [Revised: 06/15/2023] [Accepted: 06/28/2023] [Indexed: 07/13/2023]
Abstract
BACKGROUND In accordance with the focus on patient safety and quality in healthcare, continuing professional development (CPD) has received increasing levels of attention as a means to ensure physicians maintain their clinical competencies and are fit to practice. There is some evidence of a beneficial effect of CPD, though few studies have evaluated its effect within anesthesia. The primary aim of this systematic review was to establish which CPD activities anesthetists are engaged in and their effectiveness. The secondary aim was to explore which methods are employed to evaluate anesthetists' clinical performance. METHODS Databases searched: Medline, Embase and Web of Science, in May 2023. Additional papers were identified through searching the references of included studies. Eligible studies included anesthetists, either exclusively or combined with other healthcare professionals, who underwent a learning activity or assessment method as part of a formalized CPD program or a stand-alone activity. Non-English language studies, non-peer reviewed studies and studies published prior to 2000 were excluded. Eligible studies were quality assessed and narratively synthesized, with results presented as descriptive summaries. RESULTS A total of 2112 studies were identified, of which 63 were eligible for inclusion, encompassing more than 137,518 participants. Studies were primarily of quantitative design and medium quality. Forty-one studies reported outcomes of single learning activities, whilst 12 studies investigated different roles of assessment methods in CPD and ten studies evaluated CPD programs or combined CPD activities. A 36 of the 41 studies reported positive effects of single learning activities. Investigations of assessment methods revealed evidence of inadequate performance amongst anesthetists and a mixed effect of feedback. Positive attitudes and high levels of engagement were identified for CPD programs, with some evidence of a positive impact on patient/organizational outcomes. DISCUSSION Anesthetists are engaged in a variety of CPD activities, with evidence of high levels of satisfaction and a positive learning effect. However, the impact on clinical practice and patient outcomes remains unclear and the role of assessment is less well-defined. There is a need for further, high-quality studies, evaluating a broader range of outcomes, in order to identify which methods are most effective to train and assess specialists in anesthesia.
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Affiliation(s)
- John Asger Petersen
- Department of Day Case Surgery, Copenhagen University Hospital - Amager and Hvidovre Hospital, Hvidovre, Denmark
| | - Lucy Bray
- Copenhagen Academy for Medical Education and Simulation (CAMES), Center for HR and Education, Copenhagen, Denmark
| | - Doris Østergaard
- Copenhagen Academy for Medical Education and Simulation (CAMES), Center for HR and Education, Copenhagen, Denmark
- Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark
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Colgan J, Kourouche S, Tofler G, Buckley T. Use of Videos by Health Care Professionals for Procedure Support in Acute Cardiac Care: A Scoping Review. Heart Lung Circ 2023; 32:143-155. [PMID: 36404221 DOI: 10.1016/j.hlc.2022.10.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2022] [Revised: 09/14/2022] [Accepted: 10/05/2022] [Indexed: 11/19/2022]
Abstract
BACKGROUND Cardiology procedures are often life-saving and time-critical, but some are so infrequent that health care staff may have rarely encountered them in practice or need to refresh their skills rapidly. Videos demonstrating procedures have the potential to assist health care professionals and support safe patient care. This scoping review explores the research literature involving the use of video by health care professionals in hospitals. AIM To identify what is known from research regarding the use of video to support clinical procedures in hospitals or health care facilities. METHOD The Joanna Briggs Institute Scoping review methodology guided our systematic search of peer-reviewed evidence related to video use to support procedures in a hospital or health care facility. Data sources included the electronic databases: ProQuest, Cumulative Index of Nursing and Allied Health Literature (CINAHL), Medline, Excerpta Medica dataBASE (EMBASE), Scopus, and PubMed. FINDINGS Seventeen (17) studies that met the inclusion criteria were included in the review, all published between 2012 and 2022. Since 2005, YouTube has become the dominant platform for publishing or sourcing videos related to clinical procedures. Studies to date can be summarised under five themes: 1) video content and purpose, 2) target audience, 3) video hosting site-internal websites versus YouTube, 4) curated versus original 'homegrown' video content, and 5) video development process. DISCUSSION/CONCLUSION Research on the development and utility of videos to support clinical procedures is emerging, with the ability to host videos on platforms such as YouTube becoming more accessible in recent years. All videos were designed to enhance health care professionals' existing knowledge and skills within their scope of practice. The available literature suggests that video can be a valuable clinical resource for both simple and skilled procedures. Video resources can help clinicians perform or assist with rare procedures, providing 'just in time' patient safety prompts and information.
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Affiliation(s)
- Jacqueline Colgan
- Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia; Cardiology, Critical Care, Central Coast Local Health District, NSW, Australia.
| | - Sarah Kourouche
- Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia
| | - Geoffrey Tofler
- Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia; Royal North Shore Hospital, Sydney, NSW, Australia
| | - Thomas Buckley
- Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia; Royal North Shore Hospital, Sydney, NSW, Australia
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Anugrahsari S, Chaeruman UA, Abbas H, Suryadi S. Patient Safety Education for Clinical Students: A Systematic Literature Review. Open Access Maced J Med Sci 2022. [DOI: 10.3889/oamjms.2022.8345] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND: Patient safety education has been studied from diverse views, from academic to the professional level, yet research on its effective learning methods remain limited.
AIM: This study investigated the implementation of patient safety in the hospital, the significance of patient safety education for students, and the search for effective practical learning methods.
METHODS: It employs a systematic review of articles from 2011 to 2021.
RESULTS: The research result indicates that patient safety implementation in the hospitals and patient safety education are currently significant trends in search of effective learning methods. Several studies denote that E-Learning and videos on patient safety can effectively increase the students’ knowledge, skill, and attitude.
CONCLUSION: With the limitations of scientific writing related to patient safety learning in clinical learners, it is expected that this study can contribute to the development of patient safety teaching in the future. Future research may further examine and analyze the effect of instructional videos in detail.
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Koizumi S, Shojima M, Dofuku S, Saito A, Nomura S, Ono H, Ishikawa O, Saito N. Neuroendovascular Training Using Multisource Video-Recording System in a Hybrid Operating Room. World Neurosurg 2021; 154:e320-e324. [PMID: 34271148 DOI: 10.1016/j.wneu.2021.07.029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2021] [Revised: 07/06/2021] [Accepted: 07/07/2021] [Indexed: 10/20/2022]
Abstract
BACKGROUND Increasing restrictions over trainees' working hours and the recent coronavirus disease 2019 pandemic warrant new educational methods of surgical skills. We assessed a novel video-recording system for neuroendovascular skill education, developed with the installation of a hybrid operating room (OR) at our institution. METHODS A single-plane angiography unit with a large flat display (FlexVision XL; Philips Medical Systems) was installed in our OR. All media sources in the OR, including live fluoroscopy and ceiling-mounted camcorders, were connected to a video switcher. This video switcher laid up to 8 video images into one big image, which was transferred to the large display and the professional-use Blu-ray recorder. The recording was performed continuously during the procedure. This recording system was evaluated retrospectively with a questionnaire administered to the 5 trainees. RESULTS Using this system, 68 interventional procedures were recorded. Among the potential merits, the trainees assigned the greatest value to the simultaneous recording of the operator's hand motions and the fluoroscopy images. Among the potential limitations of the system, the prolonged time and the increased volume of the video data bothered the trainees the most. The recorded video looked like a live demonstration. CONCLUSIONS Our "selfie" video recording system was useful for skill training of neuroendovascular interventions.
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Affiliation(s)
- Satoshi Koizumi
- Department of Neurosurgery, The University of Tokyo, Tokyo, Japan; Department of Neurosurgery, Asama General Hospital, Nagano, Japan
| | - Masaaki Shojima
- Departmemt of Neurosurgery, Saitama Medical Center, Saitama, Japan; Department of Neurosurgery, Asama General Hospital, Nagano, Japan.
| | - Shogo Dofuku
- Department of Neurosurgery, The University of Tokyo, Tokyo, Japan; Department of Neurosurgery, Asama General Hospital, Nagano, Japan
| | - Akira Saito
- Departmemt of Neurosurgery, Saitama Medical Center, Saitama, Japan; Department of Neurosurgery, Asama General Hospital, Nagano, Japan
| | - Seiji Nomura
- Department of Neurosurgery, Yamada Memorial Hospital, Tokyo, Japan; Department of Neurosurgery, Asama General Hospital, Nagano, Japan
| | - Hideaki Ono
- Department of Neurosurgery, Fuji Brain Institute and Hospital, Shizuoka, Japan; Department of Neurosurgery, Asama General Hospital, Nagano, Japan
| | - Osamu Ishikawa
- Department of Neurosurgery, The University of Tokyo, Tokyo, Japan; Department of Neurosurgery, Asama General Hospital, Nagano, Japan
| | - Nobuhito Saito
- Department of Neurosurgery, The University of Tokyo, Tokyo, Japan; Department of Neurosurgery, Asama General Hospital, Nagano, Japan
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Tscholl DW, Rössler J, Said S, Kaserer A, Spahn DR, Nöthiger CB. Situation Awareness-Oriented Patient Monitoring with Visual Patient Technology: A Qualitative Review of the Primary Research. SENSORS (BASEL, SWITZERLAND) 2020; 20:E2112. [PMID: 32283625 PMCID: PMC7180744 DOI: 10.3390/s20072112] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/01/2020] [Revised: 04/01/2020] [Accepted: 04/04/2020] [Indexed: 12/15/2022]
Abstract
Visual Patient technology is a situation awareness-oriented visualization technology that translates numerical and waveform patient monitoring data into a new user-centered visual language. Vital sign values are converted into colors, shapes, and rhythmic movements-a language humans can easily perceive and interpret-on a patient avatar model in real time. In this review, we summarize the current state of the research on the Visual Patient, including the technology, its history, and its scientific context. We also provide a summary of our primary research and a brief overview of research work on similar user-centered visualizations in medicine. In several computer-based studies under various experimental conditions, Visual Patient transferred more information per unit time, increased perceived diagnostic certainty, and lowered perceived workload. Eye tracking showed the technology worked because of the way it synthesizes and transforms vital sign information into new and logical forms corresponding to the real phenomena. The technology could be particularly useful for improving situation awareness in settings with high cognitive demand or when users must make quick decisions. This comprehensive review of Visual Patient research is the foundation for an evaluation of the technology in clinical applications, starting with a high-fidelity simulation study in early 2020.
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Affiliation(s)
- David Werner Tscholl
- Institute of Anesthesiology, University and University Hospital Zurich, Rämistrasse 100, 8091 Zurich, Switzerland; (J.R.); (S.S.); (A.K.); (D.R.S.); (C.B.N.)
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Abstract
The word ‘compliance' comes from the Latin word complire, meaning to fill up and hence to complete an action, transaction, or process and to fulfil a promise. In the Oxford English Dictionary, the relevant definition is ‘The acting in accordance with, or the yielding to a desire, request, condition, direction, etc.; a consenting to act in conformity with; an acceding to; practical assent”. Compliance with therapy is simply patients understanding of medication, motivation toward having this medication is a prescribed manner with the belief that the prescriber and prescribed medicine will be beneficial for his well-being. Although this is often the case, in a number of situations, the physician and pharmacist have not provided the patient with adequate instructions or have not presented the instructions in such a manner that the patient understands them. Nothing should be taken for granted regarding the patient's understanding of how to use medication, and appropriate steps must be taken to provide patients with the information and counseling necessary to use their medications as effectively and as safely as possible. 20% to 30% of new prescriptions are never filled at the pharmacy. Medication is not taken as prescribed 50% of the time. For patients prescribed medications for chronic diseases, after six months, the majority take less medication than prescribed or stop the medication altogether. There are both federal and state laws that make using or sharing prescription drugs illegal. If someone take a pill that was prescribed to someone else or give that pill to another person, not only is it against the law, it's extremely dangerous.
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Affiliation(s)
- A K Mohiuddin
- Department of Pharmacy, World University of Bangladesh
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Park MS, Brock A, Mortimer V, Taussky P, Couldwell WT, Quigley E. GoPro Hero Cameras for Creation of a Three-Dimensional, Educational, Neurointerventional Video. J Digit Imaging 2018; 30:561-565. [PMID: 28097497 DOI: 10.1007/s10278-017-9948-7] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
Neurointerventional education relies on an apprenticeship model, with the trainee observing and participating in procedures with the guidance of a mentor. While educational videos are becoming prevalent in surgical cases, there is a dearth of comparable educational material for trainees in neurointerventional programs. We sought to create a high-quality, three-dimensional video of a routine diagnostic cerebral angiogram for use as an educational tool. A diagnostic cerebral angiogram was recorded using two GoPro HERO 3+ cameras with the Dual HERO System to capture the proceduralist's hands during the case. This video was edited with recordings from the video monitors to create a real-time three-dimensional video of both the actions of the neurointerventionalist and the resulting wire/catheter movements. The final edited video, in either two or three dimensions, can serve as another instructional tool for the training of residents and/or fellows. Additional videos can be created in a similar fashion of more complicated neurointerventional cases. The GoPro HERO 3+ camera and Dual HERO System can be used to create educational videos of neurointerventional procedures.
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Affiliation(s)
- Min S Park
- Department of Neurosurgery, Clinical Neurosciences Center, University of Utah Health Care, Salt Lake City, UT, 84132, USA.
| | - Andrea Brock
- Department of Neurosurgery, Clinical Neurosciences Center, University of Utah Health Care, Salt Lake City, UT, 84132, USA
| | - Vance Mortimer
- Department of Neurosurgery, Clinical Neurosciences Center, University of Utah Health Care, Salt Lake City, UT, 84132, USA
| | - Philipp Taussky
- Department of Neurosurgery, Clinical Neurosciences Center, University of Utah Health Care, Salt Lake City, UT, 84132, USA
| | - William T Couldwell
- Department of Neurosurgery, Clinical Neurosciences Center, University of Utah Health Care, Salt Lake City, UT, 84132, USA
| | - Edward Quigley
- Department of Radiology, University of Utah, Salt Lake City, UT, USA
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Damude S, Hoekstra-Weebers JEHM, van Leeuwen BL, Hoekstra HJ. Melanoma patients' disease-specific knowledge, information preference, and appreciation of educational YouTube videos for self-inspection. Eur J Surg Oncol 2017; 43:1528-1535. [PMID: 28684059 DOI: 10.1016/j.ejso.2017.06.008] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2016] [Revised: 05/02/2017] [Accepted: 06/08/2017] [Indexed: 10/19/2022] Open
Abstract
BACKGROUND Informing and educating melanoma patients is important for early detection of a recurrence or second primary. This study aimed to investigate Dutch melanoma patients' disease-specific knowledge, and their opinions on information provision and the value of e-Health videos. METHODS All AJCC stage I-II melanoma patients in follow-up between March 2015 and March 2016 at a single melanoma center were invited to complete 19 online questions, addressing respondents' characteristics, knowledge on melanoma, and opinions on melanoma-specific information received and the educational YouTube videos. RESULTS In total, 100 patients completed the survey (response = 52%); median age was 60 years and 51% were female. Breslow tumor thickness was unknown by 34% and incorrectly indicated by 19%, for presence of ulceration this was 33% and 11%, for mitosis 65% and 14%, and for AJCC stage 52% and 23%, respectively. Only 5% correctly reproduced all four tumor characteristics. Orally delivered information regarding warning signs, severity, treatment possibilities, and importance of self-inspection was clearest for patients, compared to information in the melanoma brochure. According to 77% of patients, YouTube videos regarding self-inspection of the skin and regional lymph nodes had additional value. Altogether, 63% preferred receiving information in multiple ways; 92% orally by their physician, 62% through videos, and 43% through brochures. CONCLUSIONS Patients' melanoma-specific knowledge appears to be limited. There is an urgent need for further improvement of providing information and patient education. In addition to oral and written information, e-Health videos seem to be a convenient supplemental and easy accessible method for patient education.
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Affiliation(s)
- S Damude
- University of Groningen, University Medical Center Groningen, Department of Surgical Oncology, Hanzeplein 1, P.O. Box 30.001, 9700 RB Groningen, The Netherlands.
| | - J E H M Hoekstra-Weebers
- University of Groningen, University Medical Center Groningen, Wenckebach Institute, Hanzeplein 1, P.O. Box 30.001, 9700 RB Groningen, The Netherlands.
| | - B L van Leeuwen
- University of Groningen, University Medical Center Groningen, Department of Surgical Oncology, Hanzeplein 1, P.O. Box 30.001, 9700 RB Groningen, The Netherlands.
| | - H J Hoekstra
- University of Groningen, University Medical Center Groningen, Department of Surgical Oncology, Hanzeplein 1, P.O. Box 30.001, 9700 RB Groningen, The Netherlands.
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