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Cases & Commentaries
- Web M&M
Jeffrey H. Barsuk, MD, MS, and Cynthia Barnard, MBA, MSJS; December 2014
In a simulation exercise conducted in an institution that felt it was prepared for patients with actual or suspected Ebola, a man presented to the emergency department with symptoms of nausea, vomiting, and fever. He had recently returned to the US from Sierra Leone. The nurse initiated an isolation protocol and the critical care team all donned personal protective equipment. During transport, confusion about which elevators to use potentially exposed 30 staff members to Ebola. Additional issues occurred including breaching sterile technique while inserting a central line and confusion about the process to transport the patient's blood to the lab.
Journal Article > Review
Littlewood KE. Best Pract Res Clin Anaesthesiol. 2011;25:473-487.
This review explores simulation as a method to identify safety issues related to team, equipment, and system performance.
Journal Article > Study
Park CS, Stojiljkovic L, Milicic B, Lin BF, Dror IE. Simul Healthc. 2014;9:85-93.
This educational study found that anesthesiology residents were more likely to initiate an airway technique for which they had received simulation training, even if another technique (for which they received didactic training) would have been more appropriate. This finding demonstrates how training may inadvertently introduce cognitive bias.