Page 1
Incorporating Simulation into Medical
Education and AssessmentPaul E Phrampus MD
DirectorPeter M Winter Institute for Simulation
Education and Research (WISER)University of Pittsburgh
Learning OBJECTIVES
At the conclusion of this session you should be able to
bull Describe simulation-based education assessmentbull List opportunities that can be implemented with
simulation based education assessmentbull Identify barriers associated with the implementation of
simulation based education assessment programs
What is ldquosimulationrdquohellip Reallyhellip
ldquoSimulationrdquo amp Medicine
Simulation Definition
bull simmiddotumiddotlamiddottion
1 Imitation or enactment as of something anticipated or in testing
2 The act or process of pretending feigning 3 An assumption or imitation of a particular appearance or form
counterfeit sham 4 Psychiatry a conscious attempt to feign some mental or
physical disorder to escape punishment or to gain a desired objective
5 The representation of the behavior or characteristics of one system through the use of another system esp a computer program designed for the purpose
Overview of WISER
UPMC
WISER Missionndash Create a safer environment for patients by using simulation and other state of
the art educational technology in the training and assessment of the healthcare system professionals
ndash Serve as a laboratory to research the use of simulation and other advanced instructional technology in healthcare education and to publish the results
ndash Create simulation based education programs for primary education in various domains of the healthcare delivery system
ndash Develop and validate simulation based technology as a competency assessment evaluation tool for healthcare professionals
ndash Contribute to the education and mentorship of future generations of healthcare system educators and education researchers interested in creating or evaluating simulation based teaching methodologies
Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo
12000 square feet 16 training rooms 23 simulators many part task trainers
Physical Plant
Demographics of Participantsbull Medicine
ndash Medical Students (MS 2-4)ndash Residents
bull Anesthesiology bull Emergency Medicinebull ENTbull Internal Medicinebull OBGYN (course work in development)bull Pediatricsbull Surgery
ndash Fellowsbull Critical Carebull Pediatric Intensivists
ndash Faculty Members and Community Physicians
bull Anesthesiologybull Critical Care Medicinebull Emergency Medicine
bull Nursingndash Undergraduate Nursing Studentsndash Practicing Nurses
bull Med Surgbull ICUbull OR
ndash Nurse Anesthetistsndash Student Nurse Anesthetists
Pharmacy Students
Paramedics EMTs Respiratory Therapists Other Simulation Centers
Educators Many Others
bull11000 simulation encounters last year
bull3000 unique individuals
Who Does WISER Support
bull 75 Learning Systems (Courses)bull 55 Course Directorsbull 228 Facilitatorsbull University of Pittsburghbull UPMC
The Job of Healthcare EducatorsPsychomotor Skills
Communications Skills
Professionalism Skills
Decision MakingBase Knowledge
Teamwork Skills
Whatrsquos the Goal
Expert Curriculum
Which Tool
The Tool Box
PowerPoint
Case Study
Syllabus
On Line Learning
Chalk Board
Textbooks
Lectures
Simulation
EXPERT CurriculumSimulation
Why Simulation Pyramid of Learning
and Retention
TESTING TEACHING
Why Simulation
Psychomotor SkillsDecision Making
Skills and Decisions
Individuals Teams
Why Now
bull Residents Get to Sleepbull Residents Get to Go Homebull Residents have to have Mints on the
Pillowsbull Etc etc etc 20 hours per week x 50 weeks X 5 Years = 5000 less hours of training
Why Not Simulation
bull Not Very Easybull Not Very Efficientbull Must Plan Aheadbull Difficult to Developbull Status Quo is Easier
What does WISER do
bull Lower the Barriers for Successfulndash Creationndash Implementationndash Sustainment
Teaching Tools
Outcomes amp Impact
SIMS
Research
Simulation Based EducationSystems
Feedback
Internet-based Trainee
Performance Feedback
(including videos)
Curriculum
Assessment Tools
What do you think of first
Expert Curriculum
Basic Components of Successful Simulation Program
WISER the EnablerSubject Matter
Experts
StudentsInstructors
WISER
Goal Successful Programs
Domain 1
Domain 2
Domain 3
Domain 4
Simulation Help
(The tool Box)
SuccessfulProgram 1
SuccessfulProgram 2
SuccessfulProgram 3
SuccessfulProgram 4
Support
Rules
Evaluation
Evaluation bull Individual Trainee Evaluation
ndash Per episode performancendash Per class performance (group
of episodes)
Evaluationbull Group Performance
ndash Validate Scenariosndash Validate Curriculum Deployment
Evaluationbull Individual Instructor
Evaluationndash Feedback from Traineendash Performance by Trainees
ndash By Scenariondash By Class
Evaluationbull Group Instructor Evaluation
ndash Assess Curriculum Deployment
ndash Reliability of Scenariosndash Interrater Reliability
Data Examplesbull Evaluations
bull Pre Course
Data Examplesbull Evaluations
bull Post Course
Data Examplesbull Evaluations
bull Feedback on Instructors
Select WISER Programs
Difficult Airway Management
bull Anesthesiologybull Emergency Physicians
Central Venous Cannulation Training
Substantial reduction of Related Infections
Procedural Sedation for Pediatric Emergencies
bull Required Coursebull Pre-Course Contentbull Pre-Testbull Multiple Scenarios
Health System Integration Crisis Team Training
Position Task Completion
0
25
50
75
100
1 2 3
Session
Com
plet
ion
Perc
enta
ge
AirwayAirway AssistantChest compressionsFloor RNICU RN (Cart)Procedure MDRecorder ICURNTeam Leader
Improvement is rapid and measurable
Chart1 Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
01111111111
04497354497
02632275132
03814814815
02166666667
02462962963
00888888889
01944444444
0837037037
07925925926
07657407407
07518518519
07592592593
06222222222
04388888889
06388888889
09333333333
0962962963
08412698413
08074074074
08685185185
08444444444
07777777778
08055555556
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers 000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 3 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 4 3 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 2 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 2 Grand Total 8 11 13 15 13 60 August Session 1 4 2 Session 2 5 5 Session 3 1 5 5 September Session 1 1 3 Session 2 4 1 Session 3 3 3 5 October Session 1 3 1 Session 2 4 3 Session 3 2 4 2 November Session 1 5 4 Session 2 2 5 Session 3 4 5 2 December Session 1 4 1 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3
Page 2
Learning OBJECTIVES
At the conclusion of this session you should be able to
bull Describe simulation-based education assessmentbull List opportunities that can be implemented with
simulation based education assessmentbull Identify barriers associated with the implementation of
simulation based education assessment programs
What is ldquosimulationrdquohellip Reallyhellip
ldquoSimulationrdquo amp Medicine
Simulation Definition
bull simmiddotumiddotlamiddottion
1 Imitation or enactment as of something anticipated or in testing
2 The act or process of pretending feigning 3 An assumption or imitation of a particular appearance or form
counterfeit sham 4 Psychiatry a conscious attempt to feign some mental or
physical disorder to escape punishment or to gain a desired objective
5 The representation of the behavior or characteristics of one system through the use of another system esp a computer program designed for the purpose
Overview of WISER
UPMC
WISER Missionndash Create a safer environment for patients by using simulation and other state of
the art educational technology in the training and assessment of the healthcare system professionals
ndash Serve as a laboratory to research the use of simulation and other advanced instructional technology in healthcare education and to publish the results
ndash Create simulation based education programs for primary education in various domains of the healthcare delivery system
ndash Develop and validate simulation based technology as a competency assessment evaluation tool for healthcare professionals
ndash Contribute to the education and mentorship of future generations of healthcare system educators and education researchers interested in creating or evaluating simulation based teaching methodologies
Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo
12000 square feet 16 training rooms 23 simulators many part task trainers
Physical Plant
Demographics of Participantsbull Medicine
ndash Medical Students (MS 2-4)ndash Residents
bull Anesthesiology bull Emergency Medicinebull ENTbull Internal Medicinebull OBGYN (course work in development)bull Pediatricsbull Surgery
ndash Fellowsbull Critical Carebull Pediatric Intensivists
ndash Faculty Members and Community Physicians
bull Anesthesiologybull Critical Care Medicinebull Emergency Medicine
bull Nursingndash Undergraduate Nursing Studentsndash Practicing Nurses
bull Med Surgbull ICUbull OR
ndash Nurse Anesthetistsndash Student Nurse Anesthetists
Pharmacy Students
Paramedics EMTs Respiratory Therapists Other Simulation Centers
Educators Many Others
bull11000 simulation encounters last year
bull3000 unique individuals
Who Does WISER Support
bull 75 Learning Systems (Courses)bull 55 Course Directorsbull 228 Facilitatorsbull University of Pittsburghbull UPMC
The Job of Healthcare EducatorsPsychomotor Skills
Communications Skills
Professionalism Skills
Decision MakingBase Knowledge
Teamwork Skills
Whatrsquos the Goal
Expert Curriculum
Which Tool
The Tool Box
PowerPoint
Case Study
Syllabus
On Line Learning
Chalk Board
Textbooks
Lectures
Simulation
EXPERT CurriculumSimulation
Why Simulation Pyramid of Learning
and Retention
TESTING TEACHING
Why Simulation
Psychomotor SkillsDecision Making
Skills and Decisions
Individuals Teams
Why Now
bull Residents Get to Sleepbull Residents Get to Go Homebull Residents have to have Mints on the
Pillowsbull Etc etc etc 20 hours per week x 50 weeks X 5 Years = 5000 less hours of training
Why Not Simulation
bull Not Very Easybull Not Very Efficientbull Must Plan Aheadbull Difficult to Developbull Status Quo is Easier
What does WISER do
bull Lower the Barriers for Successfulndash Creationndash Implementationndash Sustainment
Teaching Tools
Outcomes amp Impact
SIMS
Research
Simulation Based EducationSystems
Feedback
Internet-based Trainee
Performance Feedback
(including videos)
Curriculum
Assessment Tools
What do you think of first
Expert Curriculum
Basic Components of Successful Simulation Program
WISER the EnablerSubject Matter
Experts
StudentsInstructors
WISER
Goal Successful Programs
Domain 1
Domain 2
Domain 3
Domain 4
Simulation Help
(The tool Box)
SuccessfulProgram 1
SuccessfulProgram 2
SuccessfulProgram 3
SuccessfulProgram 4
Support
Rules
Evaluation
Evaluation bull Individual Trainee Evaluation
ndash Per episode performancendash Per class performance (group
of episodes)
Evaluationbull Group Performance
ndash Validate Scenariosndash Validate Curriculum Deployment
Evaluationbull Individual Instructor
Evaluationndash Feedback from Traineendash Performance by Trainees
ndash By Scenariondash By Class
Evaluationbull Group Instructor Evaluation
ndash Assess Curriculum Deployment
ndash Reliability of Scenariosndash Interrater Reliability
Data Examplesbull Evaluations
bull Pre Course
Data Examplesbull Evaluations
bull Post Course
Data Examplesbull Evaluations
bull Feedback on Instructors
Select WISER Programs
Difficult Airway Management
bull Anesthesiologybull Emergency Physicians
Central Venous Cannulation Training
Substantial reduction of Related Infections
Procedural Sedation for Pediatric Emergencies
bull Required Coursebull Pre-Course Contentbull Pre-Testbull Multiple Scenarios
Health System Integration Crisis Team Training
Position Task Completion
0
25
50
75
100
1 2 3
Session
Com
plet
ion
Perc
enta
ge
AirwayAirway AssistantChest compressionsFloor RNICU RN (Cart)Procedure MDRecorder ICURNTeam Leader
Improvement is rapid and measurable
Chart1 Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
01111111111
04497354497
02632275132
03814814815
02166666667
02462962963
00888888889
01944444444
0837037037
07925925926
07657407407
07518518519
07592592593
06222222222
04388888889
06388888889
09333333333
0962962963
08412698413
08074074074
08685185185
08444444444
07777777778
08055555556
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers 000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 3 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 4 3 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 2 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 2 Grand Total 8 11 13 15 13 60 August Session 1 4 2 Session 2 5 5 Session 3 1 5 5 September Session 1 1 3 Session 2 4 1 Session 3 3 3 5 October Session 1 3 1 Session 2 4 3 Session 3 2 4 2 November Session 1 5 4 Session 2 2 5 Session 3 4 5 2 December Session 1 4 1 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3
Page 3
What is ldquosimulationrdquohellip Reallyhellip
ldquoSimulationrdquo amp Medicine
Simulation Definition
bull simmiddotumiddotlamiddottion
1 Imitation or enactment as of something anticipated or in testing
2 The act or process of pretending feigning 3 An assumption or imitation of a particular appearance or form
counterfeit sham 4 Psychiatry a conscious attempt to feign some mental or
physical disorder to escape punishment or to gain a desired objective
5 The representation of the behavior or characteristics of one system through the use of another system esp a computer program designed for the purpose
Overview of WISER
UPMC
WISER Missionndash Create a safer environment for patients by using simulation and other state of
the art educational technology in the training and assessment of the healthcare system professionals
ndash Serve as a laboratory to research the use of simulation and other advanced instructional technology in healthcare education and to publish the results
ndash Create simulation based education programs for primary education in various domains of the healthcare delivery system
ndash Develop and validate simulation based technology as a competency assessment evaluation tool for healthcare professionals
ndash Contribute to the education and mentorship of future generations of healthcare system educators and education researchers interested in creating or evaluating simulation based teaching methodologies
Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo
12000 square feet 16 training rooms 23 simulators many part task trainers
Physical Plant
Demographics of Participantsbull Medicine
ndash Medical Students (MS 2-4)ndash Residents
bull Anesthesiology bull Emergency Medicinebull ENTbull Internal Medicinebull OBGYN (course work in development)bull Pediatricsbull Surgery
ndash Fellowsbull Critical Carebull Pediatric Intensivists
ndash Faculty Members and Community Physicians
bull Anesthesiologybull Critical Care Medicinebull Emergency Medicine
bull Nursingndash Undergraduate Nursing Studentsndash Practicing Nurses
bull Med Surgbull ICUbull OR
ndash Nurse Anesthetistsndash Student Nurse Anesthetists
Pharmacy Students
Paramedics EMTs Respiratory Therapists Other Simulation Centers
Educators Many Others
bull11000 simulation encounters last year
bull3000 unique individuals
Who Does WISER Support
bull 75 Learning Systems (Courses)bull 55 Course Directorsbull 228 Facilitatorsbull University of Pittsburghbull UPMC
The Job of Healthcare EducatorsPsychomotor Skills
Communications Skills
Professionalism Skills
Decision MakingBase Knowledge
Teamwork Skills
Whatrsquos the Goal
Expert Curriculum
Which Tool
The Tool Box
PowerPoint
Case Study
Syllabus
On Line Learning
Chalk Board
Textbooks
Lectures
Simulation
EXPERT CurriculumSimulation
Why Simulation Pyramid of Learning
and Retention
TESTING TEACHING
Why Simulation
Psychomotor SkillsDecision Making
Skills and Decisions
Individuals Teams
Why Now
bull Residents Get to Sleepbull Residents Get to Go Homebull Residents have to have Mints on the
Pillowsbull Etc etc etc 20 hours per week x 50 weeks X 5 Years = 5000 less hours of training
Why Not Simulation
bull Not Very Easybull Not Very Efficientbull Must Plan Aheadbull Difficult to Developbull Status Quo is Easier
What does WISER do
bull Lower the Barriers for Successfulndash Creationndash Implementationndash Sustainment
Teaching Tools
Outcomes amp Impact
SIMS
Research
Simulation Based EducationSystems
Feedback
Internet-based Trainee
Performance Feedback
(including videos)
Curriculum
Assessment Tools
What do you think of first
Expert Curriculum
Basic Components of Successful Simulation Program
WISER the EnablerSubject Matter
Experts
StudentsInstructors
WISER
Goal Successful Programs
Domain 1
Domain 2
Domain 3
Domain 4
Simulation Help
(The tool Box)
SuccessfulProgram 1
SuccessfulProgram 2
SuccessfulProgram 3
SuccessfulProgram 4
Support
Rules
Evaluation
Evaluation bull Individual Trainee Evaluation
ndash Per episode performancendash Per class performance (group
of episodes)
Evaluationbull Group Performance
ndash Validate Scenariosndash Validate Curriculum Deployment
Evaluationbull Individual Instructor
Evaluationndash Feedback from Traineendash Performance by Trainees
ndash By Scenariondash By Class
Evaluationbull Group Instructor Evaluation
ndash Assess Curriculum Deployment
ndash Reliability of Scenariosndash Interrater Reliability
Data Examplesbull Evaluations
bull Pre Course
Data Examplesbull Evaluations
bull Post Course
Data Examplesbull Evaluations
bull Feedback on Instructors
Select WISER Programs
Difficult Airway Management
bull Anesthesiologybull Emergency Physicians
Central Venous Cannulation Training
Substantial reduction of Related Infections
Procedural Sedation for Pediatric Emergencies
bull Required Coursebull Pre-Course Contentbull Pre-Testbull Multiple Scenarios
Health System Integration Crisis Team Training
Position Task Completion
0
25
50
75
100
1 2 3
Session
Com
plet
ion
Perc
enta
ge
AirwayAirway AssistantChest compressionsFloor RNICU RN (Cart)Procedure MDRecorder ICURNTeam Leader
Improvement is rapid and measurable
Chart1 Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
01111111111
04497354497
02632275132
03814814815
02166666667
02462962963
00888888889
01944444444
0837037037
07925925926
07657407407
07518518519
07592592593
06222222222
04388888889
06388888889
09333333333
0962962963
08412698413
08074074074
08685185185
08444444444
07777777778
08055555556
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers 000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 3 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 4 3 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 2 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 2 Grand Total 8 11 13 15 13 60 August Session 1 4 2 Session 2 5 5 Session 3 1 5 5 September Session 1 1 3 Session 2 4 1 Session 3 3 3 5 October Session 1 3 1 Session 2 4 3 Session 3 2 4 2 November Session 1 5 4 Session 2 2 5 Session 3 4 5 2 December Session 1 4 1 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3
Page 4
ldquoSimulationrdquo amp Medicine
Simulation Definition
bull simmiddotumiddotlamiddottion
1 Imitation or enactment as of something anticipated or in testing
2 The act or process of pretending feigning 3 An assumption or imitation of a particular appearance or form
counterfeit sham 4 Psychiatry a conscious attempt to feign some mental or
physical disorder to escape punishment or to gain a desired objective
5 The representation of the behavior or characteristics of one system through the use of another system esp a computer program designed for the purpose
Overview of WISER
UPMC
WISER Missionndash Create a safer environment for patients by using simulation and other state of
the art educational technology in the training and assessment of the healthcare system professionals
ndash Serve as a laboratory to research the use of simulation and other advanced instructional technology in healthcare education and to publish the results
ndash Create simulation based education programs for primary education in various domains of the healthcare delivery system
ndash Develop and validate simulation based technology as a competency assessment evaluation tool for healthcare professionals
ndash Contribute to the education and mentorship of future generations of healthcare system educators and education researchers interested in creating or evaluating simulation based teaching methodologies
Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo
12000 square feet 16 training rooms 23 simulators many part task trainers
Physical Plant
Demographics of Participantsbull Medicine
ndash Medical Students (MS 2-4)ndash Residents
bull Anesthesiology bull Emergency Medicinebull ENTbull Internal Medicinebull OBGYN (course work in development)bull Pediatricsbull Surgery
ndash Fellowsbull Critical Carebull Pediatric Intensivists
ndash Faculty Members and Community Physicians
bull Anesthesiologybull Critical Care Medicinebull Emergency Medicine
bull Nursingndash Undergraduate Nursing Studentsndash Practicing Nurses
bull Med Surgbull ICUbull OR
ndash Nurse Anesthetistsndash Student Nurse Anesthetists
Pharmacy Students
Paramedics EMTs Respiratory Therapists Other Simulation Centers
Educators Many Others
bull11000 simulation encounters last year
bull3000 unique individuals
Who Does WISER Support
bull 75 Learning Systems (Courses)bull 55 Course Directorsbull 228 Facilitatorsbull University of Pittsburghbull UPMC
The Job of Healthcare EducatorsPsychomotor Skills
Communications Skills
Professionalism Skills
Decision MakingBase Knowledge
Teamwork Skills
Whatrsquos the Goal
Expert Curriculum
Which Tool
The Tool Box
PowerPoint
Case Study
Syllabus
On Line Learning
Chalk Board
Textbooks
Lectures
Simulation
EXPERT CurriculumSimulation
Why Simulation Pyramid of Learning
and Retention
TESTING TEACHING
Why Simulation
Psychomotor SkillsDecision Making
Skills and Decisions
Individuals Teams
Why Now
bull Residents Get to Sleepbull Residents Get to Go Homebull Residents have to have Mints on the
Pillowsbull Etc etc etc 20 hours per week x 50 weeks X 5 Years = 5000 less hours of training
Why Not Simulation
bull Not Very Easybull Not Very Efficientbull Must Plan Aheadbull Difficult to Developbull Status Quo is Easier
What does WISER do
bull Lower the Barriers for Successfulndash Creationndash Implementationndash Sustainment
Teaching Tools
Outcomes amp Impact
SIMS
Research
Simulation Based EducationSystems
Feedback
Internet-based Trainee
Performance Feedback
(including videos)
Curriculum
Assessment Tools
What do you think of first
Expert Curriculum
Basic Components of Successful Simulation Program
WISER the EnablerSubject Matter
Experts
StudentsInstructors
WISER
Goal Successful Programs
Domain 1
Domain 2
Domain 3
Domain 4
Simulation Help
(The tool Box)
SuccessfulProgram 1
SuccessfulProgram 2
SuccessfulProgram 3
SuccessfulProgram 4
Support
Rules
Evaluation
Evaluation bull Individual Trainee Evaluation
ndash Per episode performancendash Per class performance (group
of episodes)
Evaluationbull Group Performance
ndash Validate Scenariosndash Validate Curriculum Deployment
Evaluationbull Individual Instructor
Evaluationndash Feedback from Traineendash Performance by Trainees
ndash By Scenariondash By Class
Evaluationbull Group Instructor Evaluation
ndash Assess Curriculum Deployment
ndash Reliability of Scenariosndash Interrater Reliability
Data Examplesbull Evaluations
bull Pre Course
Data Examplesbull Evaluations
bull Post Course
Data Examplesbull Evaluations
bull Feedback on Instructors
Select WISER Programs
Difficult Airway Management
bull Anesthesiologybull Emergency Physicians
Central Venous Cannulation Training
Substantial reduction of Related Infections
Procedural Sedation for Pediatric Emergencies
bull Required Coursebull Pre-Course Contentbull Pre-Testbull Multiple Scenarios
Health System Integration Crisis Team Training
Position Task Completion
0
25
50
75
100
1 2 3
Session
Com
plet
ion
Perc
enta
ge
AirwayAirway AssistantChest compressionsFloor RNICU RN (Cart)Procedure MDRecorder ICURNTeam Leader
Improvement is rapid and measurable
Chart1 Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
01111111111
04497354497
02632275132
03814814815
02166666667
02462962963
00888888889
01944444444
0837037037
07925925926
07657407407
07518518519
07592592593
06222222222
04388888889
06388888889
09333333333
0962962963
08412698413
08074074074
08685185185
08444444444
07777777778
08055555556
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers 000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 3 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 4 3 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 2 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 2 Grand Total 8 11 13 15 13 60 August Session 1 4 2 Session 2 5 5 Session 3 1 5 5 September Session 1 1 3 Session 2 4 1 Session 3 3 3 5 October Session 1 3 1 Session 2 4 3 Session 3 2 4 2 November Session 1 5 4 Session 2 2 5 Session 3 4 5 2 December Session 1 4 1 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3
Page 5
Simulation Definition
bull simmiddotumiddotlamiddottion
1 Imitation or enactment as of something anticipated or in testing
2 The act or process of pretending feigning 3 An assumption or imitation of a particular appearance or form
counterfeit sham 4 Psychiatry a conscious attempt to feign some mental or
physical disorder to escape punishment or to gain a desired objective
5 The representation of the behavior or characteristics of one system through the use of another system esp a computer program designed for the purpose
Overview of WISER
UPMC
WISER Missionndash Create a safer environment for patients by using simulation and other state of
the art educational technology in the training and assessment of the healthcare system professionals
ndash Serve as a laboratory to research the use of simulation and other advanced instructional technology in healthcare education and to publish the results
ndash Create simulation based education programs for primary education in various domains of the healthcare delivery system
ndash Develop and validate simulation based technology as a competency assessment evaluation tool for healthcare professionals
ndash Contribute to the education and mentorship of future generations of healthcare system educators and education researchers interested in creating or evaluating simulation based teaching methodologies
Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo
12000 square feet 16 training rooms 23 simulators many part task trainers
Physical Plant
Demographics of Participantsbull Medicine
ndash Medical Students (MS 2-4)ndash Residents
bull Anesthesiology bull Emergency Medicinebull ENTbull Internal Medicinebull OBGYN (course work in development)bull Pediatricsbull Surgery
ndash Fellowsbull Critical Carebull Pediatric Intensivists
ndash Faculty Members and Community Physicians
bull Anesthesiologybull Critical Care Medicinebull Emergency Medicine
bull Nursingndash Undergraduate Nursing Studentsndash Practicing Nurses
bull Med Surgbull ICUbull OR
ndash Nurse Anesthetistsndash Student Nurse Anesthetists
Pharmacy Students
Paramedics EMTs Respiratory Therapists Other Simulation Centers
Educators Many Others
bull11000 simulation encounters last year
bull3000 unique individuals
Who Does WISER Support
bull 75 Learning Systems (Courses)bull 55 Course Directorsbull 228 Facilitatorsbull University of Pittsburghbull UPMC
The Job of Healthcare EducatorsPsychomotor Skills
Communications Skills
Professionalism Skills
Decision MakingBase Knowledge
Teamwork Skills
Whatrsquos the Goal
Expert Curriculum
Which Tool
The Tool Box
PowerPoint
Case Study
Syllabus
On Line Learning
Chalk Board
Textbooks
Lectures
Simulation
EXPERT CurriculumSimulation
Why Simulation Pyramid of Learning
and Retention
TESTING TEACHING
Why Simulation
Psychomotor SkillsDecision Making
Skills and Decisions
Individuals Teams
Why Now
bull Residents Get to Sleepbull Residents Get to Go Homebull Residents have to have Mints on the
Pillowsbull Etc etc etc 20 hours per week x 50 weeks X 5 Years = 5000 less hours of training
Why Not Simulation
bull Not Very Easybull Not Very Efficientbull Must Plan Aheadbull Difficult to Developbull Status Quo is Easier
What does WISER do
bull Lower the Barriers for Successfulndash Creationndash Implementationndash Sustainment
Teaching Tools
Outcomes amp Impact
SIMS
Research
Simulation Based EducationSystems
Feedback
Internet-based Trainee
Performance Feedback
(including videos)
Curriculum
Assessment Tools
What do you think of first
Expert Curriculum
Basic Components of Successful Simulation Program
WISER the EnablerSubject Matter
Experts
StudentsInstructors
WISER
Goal Successful Programs
Domain 1
Domain 2
Domain 3
Domain 4
Simulation Help
(The tool Box)
SuccessfulProgram 1
SuccessfulProgram 2
SuccessfulProgram 3
SuccessfulProgram 4
Support
Rules
Evaluation
Evaluation bull Individual Trainee Evaluation
ndash Per episode performancendash Per class performance (group
of episodes)
Evaluationbull Group Performance
ndash Validate Scenariosndash Validate Curriculum Deployment
Evaluationbull Individual Instructor
Evaluationndash Feedback from Traineendash Performance by Trainees
ndash By Scenariondash By Class
Evaluationbull Group Instructor Evaluation
ndash Assess Curriculum Deployment
ndash Reliability of Scenariosndash Interrater Reliability
Data Examplesbull Evaluations
bull Pre Course
Data Examplesbull Evaluations
bull Post Course
Data Examplesbull Evaluations
bull Feedback on Instructors
Select WISER Programs
Difficult Airway Management
bull Anesthesiologybull Emergency Physicians
Central Venous Cannulation Training
Substantial reduction of Related Infections
Procedural Sedation for Pediatric Emergencies
bull Required Coursebull Pre-Course Contentbull Pre-Testbull Multiple Scenarios
Health System Integration Crisis Team Training
Position Task Completion
0
25
50
75
100
1 2 3
Session
Com
plet
ion
Perc
enta
ge
AirwayAirway AssistantChest compressionsFloor RNICU RN (Cart)Procedure MDRecorder ICURNTeam Leader
Improvement is rapid and measurable
Chart1 Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
01111111111
04497354497
02632275132
03814814815
02166666667
02462962963
00888888889
01944444444
0837037037
07925925926
07657407407
07518518519
07592592593
06222222222
04388888889
06388888889
09333333333
0962962963
08412698413
08074074074
08685185185
08444444444
07777777778
08055555556
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers 000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 3 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 4 3 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 2 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 2 Grand Total 8 11 13 15 13 60 August Session 1 4 2 Session 2 5 5 Session 3 1 5 5 September Session 1 1 3 Session 2 4 1 Session 3 3 3 5 October Session 1 3 1 Session 2 4 3 Session 3 2 4 2 November Session 1 5 4 Session 2 2 5 Session 3 4 5 2 December Session 1 4 1 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3
Page 6
Overview of WISER
UPMC
WISER Missionndash Create a safer environment for patients by using simulation and other state of
the art educational technology in the training and assessment of the healthcare system professionals
ndash Serve as a laboratory to research the use of simulation and other advanced instructional technology in healthcare education and to publish the results
ndash Create simulation based education programs for primary education in various domains of the healthcare delivery system
ndash Develop and validate simulation based technology as a competency assessment evaluation tool for healthcare professionals
ndash Contribute to the education and mentorship of future generations of healthcare system educators and education researchers interested in creating or evaluating simulation based teaching methodologies
Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo
12000 square feet 16 training rooms 23 simulators many part task trainers
Physical Plant
Demographics of Participantsbull Medicine
ndash Medical Students (MS 2-4)ndash Residents
bull Anesthesiology bull Emergency Medicinebull ENTbull Internal Medicinebull OBGYN (course work in development)bull Pediatricsbull Surgery
ndash Fellowsbull Critical Carebull Pediatric Intensivists
ndash Faculty Members and Community Physicians
bull Anesthesiologybull Critical Care Medicinebull Emergency Medicine
bull Nursingndash Undergraduate Nursing Studentsndash Practicing Nurses
bull Med Surgbull ICUbull OR
ndash Nurse Anesthetistsndash Student Nurse Anesthetists
Pharmacy Students
Paramedics EMTs Respiratory Therapists Other Simulation Centers
Educators Many Others
bull11000 simulation encounters last year
bull3000 unique individuals
Who Does WISER Support
bull 75 Learning Systems (Courses)bull 55 Course Directorsbull 228 Facilitatorsbull University of Pittsburghbull UPMC
The Job of Healthcare EducatorsPsychomotor Skills
Communications Skills
Professionalism Skills
Decision MakingBase Knowledge
Teamwork Skills
Whatrsquos the Goal
Expert Curriculum
Which Tool
The Tool Box
PowerPoint
Case Study
Syllabus
On Line Learning
Chalk Board
Textbooks
Lectures
Simulation
EXPERT CurriculumSimulation
Why Simulation Pyramid of Learning
and Retention
TESTING TEACHING
Why Simulation
Psychomotor SkillsDecision Making
Skills and Decisions
Individuals Teams
Why Now
bull Residents Get to Sleepbull Residents Get to Go Homebull Residents have to have Mints on the
Pillowsbull Etc etc etc 20 hours per week x 50 weeks X 5 Years = 5000 less hours of training
Why Not Simulation
bull Not Very Easybull Not Very Efficientbull Must Plan Aheadbull Difficult to Developbull Status Quo is Easier
What does WISER do
bull Lower the Barriers for Successfulndash Creationndash Implementationndash Sustainment
Teaching Tools
Outcomes amp Impact
SIMS
Research
Simulation Based EducationSystems
Feedback
Internet-based Trainee
Performance Feedback
(including videos)
Curriculum
Assessment Tools
What do you think of first
Expert Curriculum
Basic Components of Successful Simulation Program
WISER the EnablerSubject Matter
Experts
StudentsInstructors
WISER
Goal Successful Programs
Domain 1
Domain 2
Domain 3
Domain 4
Simulation Help
(The tool Box)
SuccessfulProgram 1
SuccessfulProgram 2
SuccessfulProgram 3
SuccessfulProgram 4
Support
Rules
Evaluation
Evaluation bull Individual Trainee Evaluation
ndash Per episode performancendash Per class performance (group
of episodes)
Evaluationbull Group Performance
ndash Validate Scenariosndash Validate Curriculum Deployment
Evaluationbull Individual Instructor
Evaluationndash Feedback from Traineendash Performance by Trainees
ndash By Scenariondash By Class
Evaluationbull Group Instructor Evaluation
ndash Assess Curriculum Deployment
ndash Reliability of Scenariosndash Interrater Reliability
Data Examplesbull Evaluations
bull Pre Course
Data Examplesbull Evaluations
bull Post Course
Data Examplesbull Evaluations
bull Feedback on Instructors
Select WISER Programs
Difficult Airway Management
bull Anesthesiologybull Emergency Physicians
Central Venous Cannulation Training
Substantial reduction of Related Infections
Procedural Sedation for Pediatric Emergencies
bull Required Coursebull Pre-Course Contentbull Pre-Testbull Multiple Scenarios
Health System Integration Crisis Team Training
Position Task Completion
0
25
50
75
100
1 2 3
Session
Com
plet
ion
Perc
enta
ge
AirwayAirway AssistantChest compressionsFloor RNICU RN (Cart)Procedure MDRecorder ICURNTeam Leader
Improvement is rapid and measurable
Chart1 Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
01111111111
04497354497
02632275132
03814814815
02166666667
02462962963
00888888889
01944444444
0837037037
07925925926
07657407407
07518518519
07592592593
06222222222
04388888889
06388888889
09333333333
0962962963
08412698413
08074074074
08685185185
08444444444
07777777778
08055555556
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers 000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 3 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 4 3 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 2 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 2 Grand Total 8 11 13 15 13 60 August Session 1 4 2 Session 2 5 5 Session 3 1 5 5 September Session 1 1 3 Session 2 4 1 Session 3 3 3 5 October Session 1 3 1 Session 2 4 3 Session 3 2 4 2 November Session 1 5 4 Session 2 2 5 Session 3 4 5 2 December Session 1 4 1 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3
Page 7
WISER Missionndash Create a safer environment for patients by using simulation and other state of
the art educational technology in the training and assessment of the healthcare system professionals
ndash Serve as a laboratory to research the use of simulation and other advanced instructional technology in healthcare education and to publish the results
ndash Create simulation based education programs for primary education in various domains of the healthcare delivery system
ndash Develop and validate simulation based technology as a competency assessment evaluation tool for healthcare professionals
ndash Contribute to the education and mentorship of future generations of healthcare system educators and education researchers interested in creating or evaluating simulation based teaching methodologies
Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo
12000 square feet 16 training rooms 23 simulators many part task trainers
Physical Plant
Demographics of Participantsbull Medicine
ndash Medical Students (MS 2-4)ndash Residents
bull Anesthesiology bull Emergency Medicinebull ENTbull Internal Medicinebull OBGYN (course work in development)bull Pediatricsbull Surgery
ndash Fellowsbull Critical Carebull Pediatric Intensivists
ndash Faculty Members and Community Physicians
bull Anesthesiologybull Critical Care Medicinebull Emergency Medicine
bull Nursingndash Undergraduate Nursing Studentsndash Practicing Nurses
bull Med Surgbull ICUbull OR
ndash Nurse Anesthetistsndash Student Nurse Anesthetists
Pharmacy Students
Paramedics EMTs Respiratory Therapists Other Simulation Centers
Educators Many Others
bull11000 simulation encounters last year
bull3000 unique individuals
Who Does WISER Support
bull 75 Learning Systems (Courses)bull 55 Course Directorsbull 228 Facilitatorsbull University of Pittsburghbull UPMC
The Job of Healthcare EducatorsPsychomotor Skills
Communications Skills
Professionalism Skills
Decision MakingBase Knowledge
Teamwork Skills
Whatrsquos the Goal
Expert Curriculum
Which Tool
The Tool Box
PowerPoint
Case Study
Syllabus
On Line Learning
Chalk Board
Textbooks
Lectures
Simulation
EXPERT CurriculumSimulation
Why Simulation Pyramid of Learning
and Retention
TESTING TEACHING
Why Simulation
Psychomotor SkillsDecision Making
Skills and Decisions
Individuals Teams
Why Now
bull Residents Get to Sleepbull Residents Get to Go Homebull Residents have to have Mints on the
Pillowsbull Etc etc etc 20 hours per week x 50 weeks X 5 Years = 5000 less hours of training
Why Not Simulation
bull Not Very Easybull Not Very Efficientbull Must Plan Aheadbull Difficult to Developbull Status Quo is Easier
What does WISER do
bull Lower the Barriers for Successfulndash Creationndash Implementationndash Sustainment
Teaching Tools
Outcomes amp Impact
SIMS
Research
Simulation Based EducationSystems
Feedback
Internet-based Trainee
Performance Feedback
(including videos)
Curriculum
Assessment Tools
What do you think of first
Expert Curriculum
Basic Components of Successful Simulation Program
WISER the EnablerSubject Matter
Experts
StudentsInstructors
WISER
Goal Successful Programs
Domain 1
Domain 2
Domain 3
Domain 4
Simulation Help
(The tool Box)
SuccessfulProgram 1
SuccessfulProgram 2
SuccessfulProgram 3
SuccessfulProgram 4
Support
Rules
Evaluation
Evaluation bull Individual Trainee Evaluation
ndash Per episode performancendash Per class performance (group
of episodes)
Evaluationbull Group Performance
ndash Validate Scenariosndash Validate Curriculum Deployment
Evaluationbull Individual Instructor
Evaluationndash Feedback from Traineendash Performance by Trainees
ndash By Scenariondash By Class
Evaluationbull Group Instructor Evaluation
ndash Assess Curriculum Deployment
ndash Reliability of Scenariosndash Interrater Reliability
Data Examplesbull Evaluations
bull Pre Course
Data Examplesbull Evaluations
bull Post Course
Data Examplesbull Evaluations
bull Feedback on Instructors
Select WISER Programs
Difficult Airway Management
bull Anesthesiologybull Emergency Physicians
Central Venous Cannulation Training
Substantial reduction of Related Infections
Procedural Sedation for Pediatric Emergencies
bull Required Coursebull Pre-Course Contentbull Pre-Testbull Multiple Scenarios
Health System Integration Crisis Team Training
Position Task Completion
0
25
50
75
100
1 2 3
Session
Com
plet
ion
Perc
enta
ge
AirwayAirway AssistantChest compressionsFloor RNICU RN (Cart)Procedure MDRecorder ICURNTeam Leader
Improvement is rapid and measurable
Chart1 Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
01111111111
04497354497
02632275132
03814814815
02166666667
02462962963
00888888889
01944444444
0837037037
07925925926
07657407407
07518518519
07592592593
06222222222
04388888889
06388888889
09333333333
0962962963
08412698413
08074074074
08685185185
08444444444
07777777778
08055555556
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers 000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 3 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 4 3 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 2 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 2 Grand Total 8 11 13 15 13 60 August Session 1 4 2 Session 2 5 5 Session 3 1 5 5 September Session 1 1 3 Session 2 4 1 Session 3 3 3 5 October Session 1 3 1 Session 2 4 3 Session 3 2 4 2 November Session 1 5 4 Session 2 2 5 Session 3 4 5 2 December Session 1 4 1 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3
Page 8
Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo
12000 square feet 16 training rooms 23 simulators many part task trainers
Physical Plant
Demographics of Participantsbull Medicine
ndash Medical Students (MS 2-4)ndash Residents
bull Anesthesiology bull Emergency Medicinebull ENTbull Internal Medicinebull OBGYN (course work in development)bull Pediatricsbull Surgery
ndash Fellowsbull Critical Carebull Pediatric Intensivists
ndash Faculty Members and Community Physicians
bull Anesthesiologybull Critical Care Medicinebull Emergency Medicine
bull Nursingndash Undergraduate Nursing Studentsndash Practicing Nurses
bull Med Surgbull ICUbull OR
ndash Nurse Anesthetistsndash Student Nurse Anesthetists
Pharmacy Students
Paramedics EMTs Respiratory Therapists Other Simulation Centers
Educators Many Others
bull11000 simulation encounters last year
bull3000 unique individuals
Who Does WISER Support
bull 75 Learning Systems (Courses)bull 55 Course Directorsbull 228 Facilitatorsbull University of Pittsburghbull UPMC
The Job of Healthcare EducatorsPsychomotor Skills
Communications Skills
Professionalism Skills
Decision MakingBase Knowledge
Teamwork Skills
Whatrsquos the Goal
Expert Curriculum
Which Tool
The Tool Box
PowerPoint
Case Study
Syllabus
On Line Learning
Chalk Board
Textbooks
Lectures
Simulation
EXPERT CurriculumSimulation
Why Simulation Pyramid of Learning
and Retention
TESTING TEACHING
Why Simulation
Psychomotor SkillsDecision Making
Skills and Decisions
Individuals Teams
Why Now
bull Residents Get to Sleepbull Residents Get to Go Homebull Residents have to have Mints on the
Pillowsbull Etc etc etc 20 hours per week x 50 weeks X 5 Years = 5000 less hours of training
Why Not Simulation
bull Not Very Easybull Not Very Efficientbull Must Plan Aheadbull Difficult to Developbull Status Quo is Easier
What does WISER do
bull Lower the Barriers for Successfulndash Creationndash Implementationndash Sustainment
Teaching Tools
Outcomes amp Impact
SIMS
Research
Simulation Based EducationSystems
Feedback
Internet-based Trainee
Performance Feedback
(including videos)
Curriculum
Assessment Tools
What do you think of first
Expert Curriculum
Basic Components of Successful Simulation Program
WISER the EnablerSubject Matter
Experts
StudentsInstructors
WISER
Goal Successful Programs
Domain 1
Domain 2
Domain 3
Domain 4
Simulation Help
(The tool Box)
SuccessfulProgram 1
SuccessfulProgram 2
SuccessfulProgram 3
SuccessfulProgram 4
Support
Rules
Evaluation
Evaluation bull Individual Trainee Evaluation
ndash Per episode performancendash Per class performance (group
of episodes)
Evaluationbull Group Performance
ndash Validate Scenariosndash Validate Curriculum Deployment
Evaluationbull Individual Instructor
Evaluationndash Feedback from Traineendash Performance by Trainees
ndash By Scenariondash By Class
Evaluationbull Group Instructor Evaluation
ndash Assess Curriculum Deployment
ndash Reliability of Scenariosndash Interrater Reliability
Data Examplesbull Evaluations
bull Pre Course
Data Examplesbull Evaluations
bull Post Course
Data Examplesbull Evaluations
bull Feedback on Instructors
Select WISER Programs
Difficult Airway Management
bull Anesthesiologybull Emergency Physicians
Central Venous Cannulation Training
Substantial reduction of Related Infections
Procedural Sedation for Pediatric Emergencies
bull Required Coursebull Pre-Course Contentbull Pre-Testbull Multiple Scenarios
Health System Integration Crisis Team Training
Position Task Completion
0
25
50
75
100
1 2 3
Session
Com
plet
ion
Perc
enta
ge
AirwayAirway AssistantChest compressionsFloor RNICU RN (Cart)Procedure MDRecorder ICURNTeam Leader
Improvement is rapid and measurable
Chart1 Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
01111111111
04497354497
02632275132
03814814815
02166666667
02462962963
00888888889
01944444444
0837037037
07925925926
07657407407
07518518519
07592592593
06222222222
04388888889
06388888889
09333333333
0962962963
08412698413
08074074074
08685185185
08444444444
07777777778
08055555556
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers 000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 3 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 4 3 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 2 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 2 Grand Total 8 11 13 15 13 60 August Session 1 4 2 Session 2 5 5 Session 3 1 5 5 September Session 1 1 3 Session 2 4 1 Session 3 3 3 5 October Session 1 3 1 Session 2 4 3 Session 3 2 4 2 November Session 1 5 4 Session 2 2 5 Session 3 4 5 2 December Session 1 4 1 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3
Page 9
12000 square feet 16 training rooms 23 simulators many part task trainers
Physical Plant
Demographics of Participantsbull Medicine
ndash Medical Students (MS 2-4)ndash Residents
bull Anesthesiology bull Emergency Medicinebull ENTbull Internal Medicinebull OBGYN (course work in development)bull Pediatricsbull Surgery
ndash Fellowsbull Critical Carebull Pediatric Intensivists
ndash Faculty Members and Community Physicians
bull Anesthesiologybull Critical Care Medicinebull Emergency Medicine
bull Nursingndash Undergraduate Nursing Studentsndash Practicing Nurses
bull Med Surgbull ICUbull OR
ndash Nurse Anesthetistsndash Student Nurse Anesthetists
Pharmacy Students
Paramedics EMTs Respiratory Therapists Other Simulation Centers
Educators Many Others
bull11000 simulation encounters last year
bull3000 unique individuals
Who Does WISER Support
bull 75 Learning Systems (Courses)bull 55 Course Directorsbull 228 Facilitatorsbull University of Pittsburghbull UPMC
The Job of Healthcare EducatorsPsychomotor Skills
Communications Skills
Professionalism Skills
Decision MakingBase Knowledge
Teamwork Skills
Whatrsquos the Goal
Expert Curriculum
Which Tool
The Tool Box
PowerPoint
Case Study
Syllabus
On Line Learning
Chalk Board
Textbooks
Lectures
Simulation
EXPERT CurriculumSimulation
Why Simulation Pyramid of Learning
and Retention
TESTING TEACHING
Why Simulation
Psychomotor SkillsDecision Making
Skills and Decisions
Individuals Teams
Why Now
bull Residents Get to Sleepbull Residents Get to Go Homebull Residents have to have Mints on the
Pillowsbull Etc etc etc 20 hours per week x 50 weeks X 5 Years = 5000 less hours of training
Why Not Simulation
bull Not Very Easybull Not Very Efficientbull Must Plan Aheadbull Difficult to Developbull Status Quo is Easier
What does WISER do
bull Lower the Barriers for Successfulndash Creationndash Implementationndash Sustainment
Teaching Tools
Outcomes amp Impact
SIMS
Research
Simulation Based EducationSystems
Feedback
Internet-based Trainee
Performance Feedback
(including videos)
Curriculum
Assessment Tools
What do you think of first
Expert Curriculum
Basic Components of Successful Simulation Program
WISER the EnablerSubject Matter
Experts
StudentsInstructors
WISER
Goal Successful Programs
Domain 1
Domain 2
Domain 3
Domain 4
Simulation Help
(The tool Box)
SuccessfulProgram 1
SuccessfulProgram 2
SuccessfulProgram 3
SuccessfulProgram 4
Support
Rules
Evaluation
Evaluation bull Individual Trainee Evaluation
ndash Per episode performancendash Per class performance (group
of episodes)
Evaluationbull Group Performance
ndash Validate Scenariosndash Validate Curriculum Deployment
Evaluationbull Individual Instructor
Evaluationndash Feedback from Traineendash Performance by Trainees
ndash By Scenariondash By Class
Evaluationbull Group Instructor Evaluation
ndash Assess Curriculum Deployment
ndash Reliability of Scenariosndash Interrater Reliability
Data Examplesbull Evaluations
bull Pre Course
Data Examplesbull Evaluations
bull Post Course
Data Examplesbull Evaluations
bull Feedback on Instructors
Select WISER Programs
Difficult Airway Management
bull Anesthesiologybull Emergency Physicians
Central Venous Cannulation Training
Substantial reduction of Related Infections
Procedural Sedation for Pediatric Emergencies
bull Required Coursebull Pre-Course Contentbull Pre-Testbull Multiple Scenarios
Health System Integration Crisis Team Training
Position Task Completion
0
25
50
75
100
1 2 3
Session
Com
plet
ion
Perc
enta
ge
AirwayAirway AssistantChest compressionsFloor RNICU RN (Cart)Procedure MDRecorder ICURNTeam Leader
Improvement is rapid and measurable
Chart1 Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
01111111111
04497354497
02632275132
03814814815
02166666667
02462962963
00888888889
01944444444
0837037037
07925925926
07657407407
07518518519
07592592593
06222222222
04388888889
06388888889
09333333333
0962962963
08412698413
08074074074
08685185185
08444444444
07777777778
08055555556
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers 000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 3 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 4 3 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 2 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 2 Grand Total 8 11 13 15 13 60 August Session 1 4 2 Session 2 5 5 Session 3 1 5 5 September Session 1 1 3 Session 2 4 1 Session 3 3 3 5 October Session 1 3 1 Session 2 4 3 Session 3 2 4 2 November Session 1 5 4 Session 2 2 5 Session 3 4 5 2 December Session 1 4 1 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3
Page 10
Demographics of Participantsbull Medicine
ndash Medical Students (MS 2-4)ndash Residents
bull Anesthesiology bull Emergency Medicinebull ENTbull Internal Medicinebull OBGYN (course work in development)bull Pediatricsbull Surgery
ndash Fellowsbull Critical Carebull Pediatric Intensivists
ndash Faculty Members and Community Physicians
bull Anesthesiologybull Critical Care Medicinebull Emergency Medicine
bull Nursingndash Undergraduate Nursing Studentsndash Practicing Nurses
bull Med Surgbull ICUbull OR
ndash Nurse Anesthetistsndash Student Nurse Anesthetists
Pharmacy Students
Paramedics EMTs Respiratory Therapists Other Simulation Centers
Educators Many Others
bull11000 simulation encounters last year
bull3000 unique individuals
Who Does WISER Support
bull 75 Learning Systems (Courses)bull 55 Course Directorsbull 228 Facilitatorsbull University of Pittsburghbull UPMC
The Job of Healthcare EducatorsPsychomotor Skills
Communications Skills
Professionalism Skills
Decision MakingBase Knowledge
Teamwork Skills
Whatrsquos the Goal
Expert Curriculum
Which Tool
The Tool Box
PowerPoint
Case Study
Syllabus
On Line Learning
Chalk Board
Textbooks
Lectures
Simulation
EXPERT CurriculumSimulation
Why Simulation Pyramid of Learning
and Retention
TESTING TEACHING
Why Simulation
Psychomotor SkillsDecision Making
Skills and Decisions
Individuals Teams
Why Now
bull Residents Get to Sleepbull Residents Get to Go Homebull Residents have to have Mints on the
Pillowsbull Etc etc etc 20 hours per week x 50 weeks X 5 Years = 5000 less hours of training
Why Not Simulation
bull Not Very Easybull Not Very Efficientbull Must Plan Aheadbull Difficult to Developbull Status Quo is Easier
What does WISER do
bull Lower the Barriers for Successfulndash Creationndash Implementationndash Sustainment
Teaching Tools
Outcomes amp Impact
SIMS
Research
Simulation Based EducationSystems
Feedback
Internet-based Trainee
Performance Feedback
(including videos)
Curriculum
Assessment Tools
What do you think of first
Expert Curriculum
Basic Components of Successful Simulation Program
WISER the EnablerSubject Matter
Experts
StudentsInstructors
WISER
Goal Successful Programs
Domain 1
Domain 2
Domain 3
Domain 4
Simulation Help
(The tool Box)
SuccessfulProgram 1
SuccessfulProgram 2
SuccessfulProgram 3
SuccessfulProgram 4
Support
Rules
Evaluation
Evaluation bull Individual Trainee Evaluation
ndash Per episode performancendash Per class performance (group
of episodes)
Evaluationbull Group Performance
ndash Validate Scenariosndash Validate Curriculum Deployment
Evaluationbull Individual Instructor
Evaluationndash Feedback from Traineendash Performance by Trainees
ndash By Scenariondash By Class
Evaluationbull Group Instructor Evaluation
ndash Assess Curriculum Deployment
ndash Reliability of Scenariosndash Interrater Reliability
Data Examplesbull Evaluations
bull Pre Course
Data Examplesbull Evaluations
bull Post Course
Data Examplesbull Evaluations
bull Feedback on Instructors
Select WISER Programs
Difficult Airway Management
bull Anesthesiologybull Emergency Physicians
Central Venous Cannulation Training
Substantial reduction of Related Infections
Procedural Sedation for Pediatric Emergencies
bull Required Coursebull Pre-Course Contentbull Pre-Testbull Multiple Scenarios
Health System Integration Crisis Team Training
Position Task Completion
0
25
50
75
100
1 2 3
Session
Com
plet
ion
Perc
enta
ge
AirwayAirway AssistantChest compressionsFloor RNICU RN (Cart)Procedure MDRecorder ICURNTeam Leader
Improvement is rapid and measurable
Chart1 Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
01111111111
04497354497
02632275132
03814814815
02166666667
02462962963
00888888889
01944444444
0837037037
07925925926
07657407407
07518518519
07592592593
06222222222
04388888889
06388888889
09333333333
0962962963
08412698413
08074074074
08685185185
08444444444
07777777778
08055555556
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers 000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 3 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 4 3 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 2 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 2 Grand Total 8 11 13 15 13 60 August Session 1 4 2 Session 2 5 5 Session 3 1 5 5 September Session 1 1 3 Session 2 4 1 Session 3 3 3 5 October Session 1 3 1 Session 2 4 3 Session 3 2 4 2 November Session 1 5 4 Session 2 2 5 Session 3 4 5 2 December Session 1 4 1 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3
Page 11
Who Does WISER Support
bull 75 Learning Systems (Courses)bull 55 Course Directorsbull 228 Facilitatorsbull University of Pittsburghbull UPMC
The Job of Healthcare EducatorsPsychomotor Skills
Communications Skills
Professionalism Skills
Decision MakingBase Knowledge
Teamwork Skills
Whatrsquos the Goal
Expert Curriculum
Which Tool
The Tool Box
PowerPoint
Case Study
Syllabus
On Line Learning
Chalk Board
Textbooks
Lectures
Simulation
EXPERT CurriculumSimulation
Why Simulation Pyramid of Learning
and Retention
TESTING TEACHING
Why Simulation
Psychomotor SkillsDecision Making
Skills and Decisions
Individuals Teams
Why Now
bull Residents Get to Sleepbull Residents Get to Go Homebull Residents have to have Mints on the
Pillowsbull Etc etc etc 20 hours per week x 50 weeks X 5 Years = 5000 less hours of training
Why Not Simulation
bull Not Very Easybull Not Very Efficientbull Must Plan Aheadbull Difficult to Developbull Status Quo is Easier
What does WISER do
bull Lower the Barriers for Successfulndash Creationndash Implementationndash Sustainment
Teaching Tools
Outcomes amp Impact
SIMS
Research
Simulation Based EducationSystems
Feedback
Internet-based Trainee
Performance Feedback
(including videos)
Curriculum
Assessment Tools
What do you think of first
Expert Curriculum
Basic Components of Successful Simulation Program
WISER the EnablerSubject Matter
Experts
StudentsInstructors
WISER
Goal Successful Programs
Domain 1
Domain 2
Domain 3
Domain 4
Simulation Help
(The tool Box)
SuccessfulProgram 1
SuccessfulProgram 2
SuccessfulProgram 3
SuccessfulProgram 4
Support
Rules
Evaluation
Evaluation bull Individual Trainee Evaluation
ndash Per episode performancendash Per class performance (group
of episodes)
Evaluationbull Group Performance
ndash Validate Scenariosndash Validate Curriculum Deployment
Evaluationbull Individual Instructor
Evaluationndash Feedback from Traineendash Performance by Trainees
ndash By Scenariondash By Class
Evaluationbull Group Instructor Evaluation
ndash Assess Curriculum Deployment
ndash Reliability of Scenariosndash Interrater Reliability
Data Examplesbull Evaluations
bull Pre Course
Data Examplesbull Evaluations
bull Post Course
Data Examplesbull Evaluations
bull Feedback on Instructors
Select WISER Programs
Difficult Airway Management
bull Anesthesiologybull Emergency Physicians
Central Venous Cannulation Training
Substantial reduction of Related Infections
Procedural Sedation for Pediatric Emergencies
bull Required Coursebull Pre-Course Contentbull Pre-Testbull Multiple Scenarios
Health System Integration Crisis Team Training
Position Task Completion
0
25
50
75
100
1 2 3
Session
Com
plet
ion
Perc
enta
ge
AirwayAirway AssistantChest compressionsFloor RNICU RN (Cart)Procedure MDRecorder ICURNTeam Leader
Improvement is rapid and measurable
Chart1 Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
01111111111
04497354497
02632275132
03814814815
02166666667
02462962963
00888888889
01944444444
0837037037
07925925926
07657407407
07518518519
07592592593
06222222222
04388888889
06388888889
09333333333
0962962963
08412698413
08074074074
08685185185
08444444444
07777777778
08055555556
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers 000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 3 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 4 3 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 2 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 2 Grand Total 8 11 13 15 13 60 August Session 1 4 2 Session 2 5 5 Session 3 1 5 5 September Session 1 1 3 Session 2 4 1 Session 3 3 3 5 October Session 1 3 1 Session 2 4 3 Session 3 2 4 2 November Session 1 5 4 Session 2 2 5 Session 3 4 5 2 December Session 1 4 1 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3
Page 12
The Job of Healthcare EducatorsPsychomotor Skills
Communications Skills
Professionalism Skills
Decision MakingBase Knowledge
Teamwork Skills
Whatrsquos the Goal
Expert Curriculum
Which Tool
The Tool Box
PowerPoint
Case Study
Syllabus
On Line Learning
Chalk Board
Textbooks
Lectures
Simulation
EXPERT CurriculumSimulation
Why Simulation Pyramid of Learning
and Retention
TESTING TEACHING
Why Simulation
Psychomotor SkillsDecision Making
Skills and Decisions
Individuals Teams
Why Now
bull Residents Get to Sleepbull Residents Get to Go Homebull Residents have to have Mints on the
Pillowsbull Etc etc etc 20 hours per week x 50 weeks X 5 Years = 5000 less hours of training
Why Not Simulation
bull Not Very Easybull Not Very Efficientbull Must Plan Aheadbull Difficult to Developbull Status Quo is Easier
What does WISER do
bull Lower the Barriers for Successfulndash Creationndash Implementationndash Sustainment
Teaching Tools
Outcomes amp Impact
SIMS
Research
Simulation Based EducationSystems
Feedback
Internet-based Trainee
Performance Feedback
(including videos)
Curriculum
Assessment Tools
What do you think of first
Expert Curriculum
Basic Components of Successful Simulation Program
WISER the EnablerSubject Matter
Experts
StudentsInstructors
WISER
Goal Successful Programs
Domain 1
Domain 2
Domain 3
Domain 4
Simulation Help
(The tool Box)
SuccessfulProgram 1
SuccessfulProgram 2
SuccessfulProgram 3
SuccessfulProgram 4
Support
Rules
Evaluation
Evaluation bull Individual Trainee Evaluation
ndash Per episode performancendash Per class performance (group
of episodes)
Evaluationbull Group Performance
ndash Validate Scenariosndash Validate Curriculum Deployment
Evaluationbull Individual Instructor
Evaluationndash Feedback from Traineendash Performance by Trainees
ndash By Scenariondash By Class
Evaluationbull Group Instructor Evaluation
ndash Assess Curriculum Deployment
ndash Reliability of Scenariosndash Interrater Reliability
Data Examplesbull Evaluations
bull Pre Course
Data Examplesbull Evaluations
bull Post Course
Data Examplesbull Evaluations
bull Feedback on Instructors
Select WISER Programs
Difficult Airway Management
bull Anesthesiologybull Emergency Physicians
Central Venous Cannulation Training
Substantial reduction of Related Infections
Procedural Sedation for Pediatric Emergencies
bull Required Coursebull Pre-Course Contentbull Pre-Testbull Multiple Scenarios
Health System Integration Crisis Team Training
Position Task Completion
0
25
50
75
100
1 2 3
Session
Com
plet
ion
Perc
enta
ge
AirwayAirway AssistantChest compressionsFloor RNICU RN (Cart)Procedure MDRecorder ICURNTeam Leader
Improvement is rapid and measurable
Chart1 Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
01111111111
04497354497
02632275132
03814814815
02166666667
02462962963
00888888889
01944444444
0837037037
07925925926
07657407407
07518518519
07592592593
06222222222
04388888889
06388888889
09333333333
0962962963
08412698413
08074074074
08685185185
08444444444
07777777778
08055555556
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers 000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 3 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 4 3 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 2 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 2 Grand Total 8 11 13 15 13 60 August Session 1 4 2 Session 2 5 5 Session 3 1 5 5 September Session 1 1 3 Session 2 4 1 Session 3 3 3 5 October Session 1 3 1 Session 2 4 3 Session 3 2 4 2 November Session 1 5 4 Session 2 2 5 Session 3 4 5 2 December Session 1 4 1 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3
Page 13
Whatrsquos the Goal
Expert Curriculum
Which Tool
The Tool Box
PowerPoint
Case Study
Syllabus
On Line Learning
Chalk Board
Textbooks
Lectures
Simulation
EXPERT CurriculumSimulation
Why Simulation Pyramid of Learning
and Retention
TESTING TEACHING
Why Simulation
Psychomotor SkillsDecision Making
Skills and Decisions
Individuals Teams
Why Now
bull Residents Get to Sleepbull Residents Get to Go Homebull Residents have to have Mints on the
Pillowsbull Etc etc etc 20 hours per week x 50 weeks X 5 Years = 5000 less hours of training
Why Not Simulation
bull Not Very Easybull Not Very Efficientbull Must Plan Aheadbull Difficult to Developbull Status Quo is Easier
What does WISER do
bull Lower the Barriers for Successfulndash Creationndash Implementationndash Sustainment
Teaching Tools
Outcomes amp Impact
SIMS
Research
Simulation Based EducationSystems
Feedback
Internet-based Trainee
Performance Feedback
(including videos)
Curriculum
Assessment Tools
What do you think of first
Expert Curriculum
Basic Components of Successful Simulation Program
WISER the EnablerSubject Matter
Experts
StudentsInstructors
WISER
Goal Successful Programs
Domain 1
Domain 2
Domain 3
Domain 4
Simulation Help
(The tool Box)
SuccessfulProgram 1
SuccessfulProgram 2
SuccessfulProgram 3
SuccessfulProgram 4
Support
Rules
Evaluation
Evaluation bull Individual Trainee Evaluation
ndash Per episode performancendash Per class performance (group
of episodes)
Evaluationbull Group Performance
ndash Validate Scenariosndash Validate Curriculum Deployment
Evaluationbull Individual Instructor
Evaluationndash Feedback from Traineendash Performance by Trainees
ndash By Scenariondash By Class
Evaluationbull Group Instructor Evaluation
ndash Assess Curriculum Deployment
ndash Reliability of Scenariosndash Interrater Reliability
Data Examplesbull Evaluations
bull Pre Course
Data Examplesbull Evaluations
bull Post Course
Data Examplesbull Evaluations
bull Feedback on Instructors
Select WISER Programs
Difficult Airway Management
bull Anesthesiologybull Emergency Physicians
Central Venous Cannulation Training
Substantial reduction of Related Infections
Procedural Sedation for Pediatric Emergencies
bull Required Coursebull Pre-Course Contentbull Pre-Testbull Multiple Scenarios
Health System Integration Crisis Team Training
Position Task Completion
0
25
50
75
100
1 2 3
Session
Com
plet
ion
Perc
enta
ge
AirwayAirway AssistantChest compressionsFloor RNICU RN (Cart)Procedure MDRecorder ICURNTeam Leader
Improvement is rapid and measurable
Chart1 Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
01111111111
04497354497
02632275132
03814814815
02166666667
02462962963
00888888889
01944444444
0837037037
07925925926
07657407407
07518518519
07592592593
06222222222
04388888889
06388888889
09333333333
0962962963
08412698413
08074074074
08685185185
08444444444
07777777778
08055555556
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers 000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 3 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 4 3 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 2 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 2 Grand Total 8 11 13 15 13 60 August Session 1 4 2 Session 2 5 5 Session 3 1 5 5 September Session 1 1 3 Session 2 4 1 Session 3 3 3 5 October Session 1 3 1 Session 2 4 3 Session 3 2 4 2 November Session 1 5 4 Session 2 2 5 Session 3 4 5 2 December Session 1 4 1 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3
Page 14
Which Tool
The Tool Box
PowerPoint
Case Study
Syllabus
On Line Learning
Chalk Board
Textbooks
Lectures
Simulation
EXPERT CurriculumSimulation
Why Simulation Pyramid of Learning
and Retention
TESTING TEACHING
Why Simulation
Psychomotor SkillsDecision Making
Skills and Decisions
Individuals Teams
Why Now
bull Residents Get to Sleepbull Residents Get to Go Homebull Residents have to have Mints on the
Pillowsbull Etc etc etc 20 hours per week x 50 weeks X 5 Years = 5000 less hours of training
Why Not Simulation
bull Not Very Easybull Not Very Efficientbull Must Plan Aheadbull Difficult to Developbull Status Quo is Easier
What does WISER do
bull Lower the Barriers for Successfulndash Creationndash Implementationndash Sustainment
Teaching Tools
Outcomes amp Impact
SIMS
Research
Simulation Based EducationSystems
Feedback
Internet-based Trainee
Performance Feedback
(including videos)
Curriculum
Assessment Tools
What do you think of first
Expert Curriculum
Basic Components of Successful Simulation Program
WISER the EnablerSubject Matter
Experts
StudentsInstructors
WISER
Goal Successful Programs
Domain 1
Domain 2
Domain 3
Domain 4
Simulation Help
(The tool Box)
SuccessfulProgram 1
SuccessfulProgram 2
SuccessfulProgram 3
SuccessfulProgram 4
Support
Rules
Evaluation
Evaluation bull Individual Trainee Evaluation
ndash Per episode performancendash Per class performance (group
of episodes)
Evaluationbull Group Performance
ndash Validate Scenariosndash Validate Curriculum Deployment
Evaluationbull Individual Instructor
Evaluationndash Feedback from Traineendash Performance by Trainees
ndash By Scenariondash By Class
Evaluationbull Group Instructor Evaluation
ndash Assess Curriculum Deployment
ndash Reliability of Scenariosndash Interrater Reliability
Data Examplesbull Evaluations
bull Pre Course
Data Examplesbull Evaluations
bull Post Course
Data Examplesbull Evaluations
bull Feedback on Instructors
Select WISER Programs
Difficult Airway Management
bull Anesthesiologybull Emergency Physicians
Central Venous Cannulation Training
Substantial reduction of Related Infections
Procedural Sedation for Pediatric Emergencies
bull Required Coursebull Pre-Course Contentbull Pre-Testbull Multiple Scenarios
Health System Integration Crisis Team Training
Position Task Completion
0
25
50
75
100
1 2 3
Session
Com
plet
ion
Perc
enta
ge
AirwayAirway AssistantChest compressionsFloor RNICU RN (Cart)Procedure MDRecorder ICURNTeam Leader
Improvement is rapid and measurable
Chart1 Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
01111111111
04497354497
02632275132
03814814815
02166666667
02462962963
00888888889
01944444444
0837037037
07925925926
07657407407
07518518519
07592592593
06222222222
04388888889
06388888889
09333333333
0962962963
08412698413
08074074074
08685185185
08444444444
07777777778
08055555556
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers 000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 3 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 4 3 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 2 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 2 Grand Total 8 11 13 15 13 60 August Session 1 4 2 Session 2 5 5 Session 3 1 5 5 September Session 1 1 3 Session 2 4 1 Session 3 3 3 5 October Session 1 3 1 Session 2 4 3 Session 3 2 4 2 November Session 1 5 4 Session 2 2 5 Session 3 4 5 2 December Session 1 4 1 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3
Page 15
The Tool Box
PowerPoint
Case Study
Syllabus
On Line Learning
Chalk Board
Textbooks
Lectures
Simulation
EXPERT CurriculumSimulation
Why Simulation Pyramid of Learning
and Retention
TESTING TEACHING
Why Simulation
Psychomotor SkillsDecision Making
Skills and Decisions
Individuals Teams
Why Now
bull Residents Get to Sleepbull Residents Get to Go Homebull Residents have to have Mints on the
Pillowsbull Etc etc etc 20 hours per week x 50 weeks X 5 Years = 5000 less hours of training
Why Not Simulation
bull Not Very Easybull Not Very Efficientbull Must Plan Aheadbull Difficult to Developbull Status Quo is Easier
What does WISER do
bull Lower the Barriers for Successfulndash Creationndash Implementationndash Sustainment
Teaching Tools
Outcomes amp Impact
SIMS
Research
Simulation Based EducationSystems
Feedback
Internet-based Trainee
Performance Feedback
(including videos)
Curriculum
Assessment Tools
What do you think of first
Expert Curriculum
Basic Components of Successful Simulation Program
WISER the EnablerSubject Matter
Experts
StudentsInstructors
WISER
Goal Successful Programs
Domain 1
Domain 2
Domain 3
Domain 4
Simulation Help
(The tool Box)
SuccessfulProgram 1
SuccessfulProgram 2
SuccessfulProgram 3
SuccessfulProgram 4
Support
Rules
Evaluation
Evaluation bull Individual Trainee Evaluation
ndash Per episode performancendash Per class performance (group
of episodes)
Evaluationbull Group Performance
ndash Validate Scenariosndash Validate Curriculum Deployment
Evaluationbull Individual Instructor
Evaluationndash Feedback from Traineendash Performance by Trainees
ndash By Scenariondash By Class
Evaluationbull Group Instructor Evaluation
ndash Assess Curriculum Deployment
ndash Reliability of Scenariosndash Interrater Reliability
Data Examplesbull Evaluations
bull Pre Course
Data Examplesbull Evaluations
bull Post Course
Data Examplesbull Evaluations
bull Feedback on Instructors
Select WISER Programs
Difficult Airway Management
bull Anesthesiologybull Emergency Physicians
Central Venous Cannulation Training
Substantial reduction of Related Infections
Procedural Sedation for Pediatric Emergencies
bull Required Coursebull Pre-Course Contentbull Pre-Testbull Multiple Scenarios
Health System Integration Crisis Team Training
Position Task Completion
0
25
50
75
100
1 2 3
Session
Com
plet
ion
Perc
enta
ge
AirwayAirway AssistantChest compressionsFloor RNICU RN (Cart)Procedure MDRecorder ICURNTeam Leader
Improvement is rapid and measurable
Chart1 Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
01111111111
04497354497
02632275132
03814814815
02166666667
02462962963
00888888889
01944444444
0837037037
07925925926
07657407407
07518518519
07592592593
06222222222
04388888889
06388888889
09333333333
0962962963
08412698413
08074074074
08685185185
08444444444
07777777778
08055555556
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers 000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 3 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 4 3 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 2 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 2 Grand Total 8 11 13 15 13 60 August Session 1 4 2 Session 2 5 5 Session 3 1 5 5 September Session 1 1 3 Session 2 4 1 Session 3 3 3 5 October Session 1 3 1 Session 2 4 3 Session 3 2 4 2 November Session 1 5 4 Session 2 2 5 Session 3 4 5 2 December Session 1 4 1 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3
Page 16
Why Simulation Pyramid of Learning
and Retention
TESTING TEACHING
Why Simulation
Psychomotor SkillsDecision Making
Skills and Decisions
Individuals Teams
Why Now
bull Residents Get to Sleepbull Residents Get to Go Homebull Residents have to have Mints on the
Pillowsbull Etc etc etc 20 hours per week x 50 weeks X 5 Years = 5000 less hours of training
Why Not Simulation
bull Not Very Easybull Not Very Efficientbull Must Plan Aheadbull Difficult to Developbull Status Quo is Easier
What does WISER do
bull Lower the Barriers for Successfulndash Creationndash Implementationndash Sustainment
Teaching Tools
Outcomes amp Impact
SIMS
Research
Simulation Based EducationSystems
Feedback
Internet-based Trainee
Performance Feedback
(including videos)
Curriculum
Assessment Tools
What do you think of first
Expert Curriculum
Basic Components of Successful Simulation Program
WISER the EnablerSubject Matter
Experts
StudentsInstructors
WISER
Goal Successful Programs
Domain 1
Domain 2
Domain 3
Domain 4
Simulation Help
(The tool Box)
SuccessfulProgram 1
SuccessfulProgram 2
SuccessfulProgram 3
SuccessfulProgram 4
Support
Rules
Evaluation
Evaluation bull Individual Trainee Evaluation
ndash Per episode performancendash Per class performance (group
of episodes)
Evaluationbull Group Performance
ndash Validate Scenariosndash Validate Curriculum Deployment
Evaluationbull Individual Instructor
Evaluationndash Feedback from Traineendash Performance by Trainees
ndash By Scenariondash By Class
Evaluationbull Group Instructor Evaluation
ndash Assess Curriculum Deployment
ndash Reliability of Scenariosndash Interrater Reliability
Data Examplesbull Evaluations
bull Pre Course
Data Examplesbull Evaluations
bull Post Course
Data Examplesbull Evaluations
bull Feedback on Instructors
Select WISER Programs
Difficult Airway Management
bull Anesthesiologybull Emergency Physicians
Central Venous Cannulation Training
Substantial reduction of Related Infections
Procedural Sedation for Pediatric Emergencies
bull Required Coursebull Pre-Course Contentbull Pre-Testbull Multiple Scenarios
Health System Integration Crisis Team Training
Position Task Completion
0
25
50
75
100
1 2 3
Session
Com
plet
ion
Perc
enta
ge
AirwayAirway AssistantChest compressionsFloor RNICU RN (Cart)Procedure MDRecorder ICURNTeam Leader
Improvement is rapid and measurable
Chart1 Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
01111111111
04497354497
02632275132
03814814815
02166666667
02462962963
00888888889
01944444444
0837037037
07925925926
07657407407
07518518519
07592592593
06222222222
04388888889
06388888889
09333333333
0962962963
08412698413
08074074074
08685185185
08444444444
07777777778
08055555556
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers 000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 3 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 4 3 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 2 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 2 Grand Total 8 11 13 15 13 60 August Session 1 4 2 Session 2 5 5 Session 3 1 5 5 September Session 1 1 3 Session 2 4 1 Session 3 3 3 5 October Session 1 3 1 Session 2 4 3 Session 3 2 4 2 November Session 1 5 4 Session 2 2 5 Session 3 4 5 2 December Session 1 4 1 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3
Page 17
TESTING TEACHING
Why Simulation
Psychomotor SkillsDecision Making
Skills and Decisions
Individuals Teams
Why Now
bull Residents Get to Sleepbull Residents Get to Go Homebull Residents have to have Mints on the
Pillowsbull Etc etc etc 20 hours per week x 50 weeks X 5 Years = 5000 less hours of training
Why Not Simulation
bull Not Very Easybull Not Very Efficientbull Must Plan Aheadbull Difficult to Developbull Status Quo is Easier
What does WISER do
bull Lower the Barriers for Successfulndash Creationndash Implementationndash Sustainment
Teaching Tools
Outcomes amp Impact
SIMS
Research
Simulation Based EducationSystems
Feedback
Internet-based Trainee
Performance Feedback
(including videos)
Curriculum
Assessment Tools
What do you think of first
Expert Curriculum
Basic Components of Successful Simulation Program
WISER the EnablerSubject Matter
Experts
StudentsInstructors
WISER
Goal Successful Programs
Domain 1
Domain 2
Domain 3
Domain 4
Simulation Help
(The tool Box)
SuccessfulProgram 1
SuccessfulProgram 2
SuccessfulProgram 3
SuccessfulProgram 4
Support
Rules
Evaluation
Evaluation bull Individual Trainee Evaluation
ndash Per episode performancendash Per class performance (group
of episodes)
Evaluationbull Group Performance
ndash Validate Scenariosndash Validate Curriculum Deployment
Evaluationbull Individual Instructor
Evaluationndash Feedback from Traineendash Performance by Trainees
ndash By Scenariondash By Class
Evaluationbull Group Instructor Evaluation
ndash Assess Curriculum Deployment
ndash Reliability of Scenariosndash Interrater Reliability
Data Examplesbull Evaluations
bull Pre Course
Data Examplesbull Evaluations
bull Post Course
Data Examplesbull Evaluations
bull Feedback on Instructors
Select WISER Programs
Difficult Airway Management
bull Anesthesiologybull Emergency Physicians
Central Venous Cannulation Training
Substantial reduction of Related Infections
Procedural Sedation for Pediatric Emergencies
bull Required Coursebull Pre-Course Contentbull Pre-Testbull Multiple Scenarios
Health System Integration Crisis Team Training
Position Task Completion
0
25
50
75
100
1 2 3
Session
Com
plet
ion
Perc
enta
ge
AirwayAirway AssistantChest compressionsFloor RNICU RN (Cart)Procedure MDRecorder ICURNTeam Leader
Improvement is rapid and measurable
Chart1 Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
01111111111
04497354497
02632275132
03814814815
02166666667
02462962963
00888888889
01944444444
0837037037
07925925926
07657407407
07518518519
07592592593
06222222222
04388888889
06388888889
09333333333
0962962963
08412698413
08074074074
08685185185
08444444444
07777777778
08055555556
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers 000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 3 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 4 3 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 2 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 2 Grand Total 8 11 13 15 13 60 August Session 1 4 2 Session 2 5 5 Session 3 1 5 5 September Session 1 1 3 Session 2 4 1 Session 3 3 3 5 October Session 1 3 1 Session 2 4 3 Session 3 2 4 2 November Session 1 5 4 Session 2 2 5 Session 3 4 5 2 December Session 1 4 1 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3
Page 18
Why Now
bull Residents Get to Sleepbull Residents Get to Go Homebull Residents have to have Mints on the
Pillowsbull Etc etc etc 20 hours per week x 50 weeks X 5 Years = 5000 less hours of training
Why Not Simulation
bull Not Very Easybull Not Very Efficientbull Must Plan Aheadbull Difficult to Developbull Status Quo is Easier
What does WISER do
bull Lower the Barriers for Successfulndash Creationndash Implementationndash Sustainment
Teaching Tools
Outcomes amp Impact
SIMS
Research
Simulation Based EducationSystems
Feedback
Internet-based Trainee
Performance Feedback
(including videos)
Curriculum
Assessment Tools
What do you think of first
Expert Curriculum
Basic Components of Successful Simulation Program
WISER the EnablerSubject Matter
Experts
StudentsInstructors
WISER
Goal Successful Programs
Domain 1
Domain 2
Domain 3
Domain 4
Simulation Help
(The tool Box)
SuccessfulProgram 1
SuccessfulProgram 2
SuccessfulProgram 3
SuccessfulProgram 4
Support
Rules
Evaluation
Evaluation bull Individual Trainee Evaluation
ndash Per episode performancendash Per class performance (group
of episodes)
Evaluationbull Group Performance
ndash Validate Scenariosndash Validate Curriculum Deployment
Evaluationbull Individual Instructor
Evaluationndash Feedback from Traineendash Performance by Trainees
ndash By Scenariondash By Class
Evaluationbull Group Instructor Evaluation
ndash Assess Curriculum Deployment
ndash Reliability of Scenariosndash Interrater Reliability
Data Examplesbull Evaluations
bull Pre Course
Data Examplesbull Evaluations
bull Post Course
Data Examplesbull Evaluations
bull Feedback on Instructors
Select WISER Programs
Difficult Airway Management
bull Anesthesiologybull Emergency Physicians
Central Venous Cannulation Training
Substantial reduction of Related Infections
Procedural Sedation for Pediatric Emergencies
bull Required Coursebull Pre-Course Contentbull Pre-Testbull Multiple Scenarios
Health System Integration Crisis Team Training
Position Task Completion
0
25
50
75
100
1 2 3
Session
Com
plet
ion
Perc
enta
ge
AirwayAirway AssistantChest compressionsFloor RNICU RN (Cart)Procedure MDRecorder ICURNTeam Leader
Improvement is rapid and measurable
Chart1 Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
01111111111
04497354497
02632275132
03814814815
02166666667
02462962963
00888888889
01944444444
0837037037
07925925926
07657407407
07518518519
07592592593
06222222222
04388888889
06388888889
09333333333
0962962963
08412698413
08074074074
08685185185
08444444444
07777777778
08055555556
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers 000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 3 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 4 3 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 2 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 2 Grand Total 8 11 13 15 13 60 August Session 1 4 2 Session 2 5 5 Session 3 1 5 5 September Session 1 1 3 Session 2 4 1 Session 3 3 3 5 October Session 1 3 1 Session 2 4 3 Session 3 2 4 2 November Session 1 5 4 Session 2 2 5 Session 3 4 5 2 December Session 1 4 1 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3
Page 19
Why Not Simulation
bull Not Very Easybull Not Very Efficientbull Must Plan Aheadbull Difficult to Developbull Status Quo is Easier
What does WISER do
bull Lower the Barriers for Successfulndash Creationndash Implementationndash Sustainment
Teaching Tools
Outcomes amp Impact
SIMS
Research
Simulation Based EducationSystems
Feedback
Internet-based Trainee
Performance Feedback
(including videos)
Curriculum
Assessment Tools
What do you think of first
Expert Curriculum
Basic Components of Successful Simulation Program
WISER the EnablerSubject Matter
Experts
StudentsInstructors
WISER
Goal Successful Programs
Domain 1
Domain 2
Domain 3
Domain 4
Simulation Help
(The tool Box)
SuccessfulProgram 1
SuccessfulProgram 2
SuccessfulProgram 3
SuccessfulProgram 4
Support
Rules
Evaluation
Evaluation bull Individual Trainee Evaluation
ndash Per episode performancendash Per class performance (group
of episodes)
Evaluationbull Group Performance
ndash Validate Scenariosndash Validate Curriculum Deployment
Evaluationbull Individual Instructor
Evaluationndash Feedback from Traineendash Performance by Trainees
ndash By Scenariondash By Class
Evaluationbull Group Instructor Evaluation
ndash Assess Curriculum Deployment
ndash Reliability of Scenariosndash Interrater Reliability
Data Examplesbull Evaluations
bull Pre Course
Data Examplesbull Evaluations
bull Post Course
Data Examplesbull Evaluations
bull Feedback on Instructors
Select WISER Programs
Difficult Airway Management
bull Anesthesiologybull Emergency Physicians
Central Venous Cannulation Training
Substantial reduction of Related Infections
Procedural Sedation for Pediatric Emergencies
bull Required Coursebull Pre-Course Contentbull Pre-Testbull Multiple Scenarios
Health System Integration Crisis Team Training
Position Task Completion
0
25
50
75
100
1 2 3
Session
Com
plet
ion
Perc
enta
ge
AirwayAirway AssistantChest compressionsFloor RNICU RN (Cart)Procedure MDRecorder ICURNTeam Leader
Improvement is rapid and measurable
Chart1 Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
01111111111
04497354497
02632275132
03814814815
02166666667
02462962963
00888888889
01944444444
0837037037
07925925926
07657407407
07518518519
07592592593
06222222222
04388888889
06388888889
09333333333
0962962963
08412698413
08074074074
08685185185
08444444444
07777777778
08055555556
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers 000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 3 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 4 3 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 2 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 2 Grand Total 8 11 13 15 13 60 August Session 1 4 2 Session 2 5 5 Session 3 1 5 5 September Session 1 1 3 Session 2 4 1 Session 3 3 3 5 October Session 1 3 1 Session 2 4 3 Session 3 2 4 2 November Session 1 5 4 Session 2 2 5 Session 3 4 5 2 December Session 1 4 1 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3
Page 20
What does WISER do
bull Lower the Barriers for Successfulndash Creationndash Implementationndash Sustainment
Teaching Tools
Outcomes amp Impact
SIMS
Research
Simulation Based EducationSystems
Feedback
Internet-based Trainee
Performance Feedback
(including videos)
Curriculum
Assessment Tools
What do you think of first
Expert Curriculum
Basic Components of Successful Simulation Program
WISER the EnablerSubject Matter
Experts
StudentsInstructors
WISER
Goal Successful Programs
Domain 1
Domain 2
Domain 3
Domain 4
Simulation Help
(The tool Box)
SuccessfulProgram 1
SuccessfulProgram 2
SuccessfulProgram 3
SuccessfulProgram 4
Support
Rules
Evaluation
Evaluation bull Individual Trainee Evaluation
ndash Per episode performancendash Per class performance (group
of episodes)
Evaluationbull Group Performance
ndash Validate Scenariosndash Validate Curriculum Deployment
Evaluationbull Individual Instructor
Evaluationndash Feedback from Traineendash Performance by Trainees
ndash By Scenariondash By Class
Evaluationbull Group Instructor Evaluation
ndash Assess Curriculum Deployment
ndash Reliability of Scenariosndash Interrater Reliability
Data Examplesbull Evaluations
bull Pre Course
Data Examplesbull Evaluations
bull Post Course
Data Examplesbull Evaluations
bull Feedback on Instructors
Select WISER Programs
Difficult Airway Management
bull Anesthesiologybull Emergency Physicians
Central Venous Cannulation Training
Substantial reduction of Related Infections
Procedural Sedation for Pediatric Emergencies
bull Required Coursebull Pre-Course Contentbull Pre-Testbull Multiple Scenarios
Health System Integration Crisis Team Training
Position Task Completion
0
25
50
75
100
1 2 3
Session
Com
plet
ion
Perc
enta
ge
AirwayAirway AssistantChest compressionsFloor RNICU RN (Cart)Procedure MDRecorder ICURNTeam Leader
Improvement is rapid and measurable
Chart1 Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
01111111111
04497354497
02632275132
03814814815
02166666667
02462962963
00888888889
01944444444
0837037037
07925925926
07657407407
07518518519
07592592593
06222222222
04388888889
06388888889
09333333333
0962962963
08412698413
08074074074
08685185185
08444444444
07777777778
08055555556
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers 000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 3 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 4 3 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 2 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 2 Grand Total 8 11 13 15 13 60 August Session 1 4 2 Session 2 5 5 Session 3 1 5 5 September Session 1 1 3 Session 2 4 1 Session 3 3 3 5 October Session 1 3 1 Session 2 4 3 Session 3 2 4 2 November Session 1 5 4 Session 2 2 5 Session 3 4 5 2 December Session 1 4 1 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3
Page 21
Teaching Tools
Outcomes amp Impact
SIMS
Research
Simulation Based EducationSystems
Feedback
Internet-based Trainee
Performance Feedback
(including videos)
Curriculum
Assessment Tools
What do you think of first
Expert Curriculum
Basic Components of Successful Simulation Program
WISER the EnablerSubject Matter
Experts
StudentsInstructors
WISER
Goal Successful Programs
Domain 1
Domain 2
Domain 3
Domain 4
Simulation Help
(The tool Box)
SuccessfulProgram 1
SuccessfulProgram 2
SuccessfulProgram 3
SuccessfulProgram 4
Support
Rules
Evaluation
Evaluation bull Individual Trainee Evaluation
ndash Per episode performancendash Per class performance (group
of episodes)
Evaluationbull Group Performance
ndash Validate Scenariosndash Validate Curriculum Deployment
Evaluationbull Individual Instructor
Evaluationndash Feedback from Traineendash Performance by Trainees
ndash By Scenariondash By Class
Evaluationbull Group Instructor Evaluation
ndash Assess Curriculum Deployment
ndash Reliability of Scenariosndash Interrater Reliability
Data Examplesbull Evaluations
bull Pre Course
Data Examplesbull Evaluations
bull Post Course
Data Examplesbull Evaluations
bull Feedback on Instructors
Select WISER Programs
Difficult Airway Management
bull Anesthesiologybull Emergency Physicians
Central Venous Cannulation Training
Substantial reduction of Related Infections
Procedural Sedation for Pediatric Emergencies
bull Required Coursebull Pre-Course Contentbull Pre-Testbull Multiple Scenarios
Health System Integration Crisis Team Training
Position Task Completion
0
25
50
75
100
1 2 3
Session
Com
plet
ion
Perc
enta
ge
AirwayAirway AssistantChest compressionsFloor RNICU RN (Cart)Procedure MDRecorder ICURNTeam Leader
Improvement is rapid and measurable
Chart1 Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
01111111111
04497354497
02632275132
03814814815
02166666667
02462962963
00888888889
01944444444
0837037037
07925925926
07657407407
07518518519
07592592593
06222222222
04388888889
06388888889
09333333333
0962962963
08412698413
08074074074
08685185185
08444444444
07777777778
08055555556
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers 000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 3 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 4 3 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 2 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 2 Grand Total 8 11 13 15 13 60 August Session 1 4 2 Session 2 5 5 Session 3 1 5 5 September Session 1 1 3 Session 2 4 1 Session 3 3 3 5 October Session 1 3 1 Session 2 4 3 Session 3 2 4 2 November Session 1 5 4 Session 2 2 5 Session 3 4 5 2 December Session 1 4 1 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3
Page 22
What do you think of first
Expert Curriculum
Basic Components of Successful Simulation Program
WISER the EnablerSubject Matter
Experts
StudentsInstructors
WISER
Goal Successful Programs
Domain 1
Domain 2
Domain 3
Domain 4
Simulation Help
(The tool Box)
SuccessfulProgram 1
SuccessfulProgram 2
SuccessfulProgram 3
SuccessfulProgram 4
Support
Rules
Evaluation
Evaluation bull Individual Trainee Evaluation
ndash Per episode performancendash Per class performance (group
of episodes)
Evaluationbull Group Performance
ndash Validate Scenariosndash Validate Curriculum Deployment
Evaluationbull Individual Instructor
Evaluationndash Feedback from Traineendash Performance by Trainees
ndash By Scenariondash By Class
Evaluationbull Group Instructor Evaluation
ndash Assess Curriculum Deployment
ndash Reliability of Scenariosndash Interrater Reliability
Data Examplesbull Evaluations
bull Pre Course
Data Examplesbull Evaluations
bull Post Course
Data Examplesbull Evaluations
bull Feedback on Instructors
Select WISER Programs
Difficult Airway Management
bull Anesthesiologybull Emergency Physicians
Central Venous Cannulation Training
Substantial reduction of Related Infections
Procedural Sedation for Pediatric Emergencies
bull Required Coursebull Pre-Course Contentbull Pre-Testbull Multiple Scenarios
Health System Integration Crisis Team Training
Position Task Completion
0
25
50
75
100
1 2 3
Session
Com
plet
ion
Perc
enta
ge
AirwayAirway AssistantChest compressionsFloor RNICU RN (Cart)Procedure MDRecorder ICURNTeam Leader
Improvement is rapid and measurable
Chart1 Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
01111111111
04497354497
02632275132
03814814815
02166666667
02462962963
00888888889
01944444444
0837037037
07925925926
07657407407
07518518519
07592592593
06222222222
04388888889
06388888889
09333333333
0962962963
08412698413
08074074074
08685185185
08444444444
07777777778
08055555556
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers 000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 3 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 4 3 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 2 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 2 Grand Total 8 11 13 15 13 60 August Session 1 4 2 Session 2 5 5 Session 3 1 5 5 September Session 1 1 3 Session 2 4 1 Session 3 3 3 5 October Session 1 3 1 Session 2 4 3 Session 3 2 4 2 November Session 1 5 4 Session 2 2 5 Session 3 4 5 2 December Session 1 4 1 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3
Page 23
Basic Components of Successful Simulation Program
WISER the EnablerSubject Matter
Experts
StudentsInstructors
WISER
Goal Successful Programs
Domain 1
Domain 2
Domain 3
Domain 4
Simulation Help
(The tool Box)
SuccessfulProgram 1
SuccessfulProgram 2
SuccessfulProgram 3
SuccessfulProgram 4
Support
Rules
Evaluation
Evaluation bull Individual Trainee Evaluation
ndash Per episode performancendash Per class performance (group
of episodes)
Evaluationbull Group Performance
ndash Validate Scenariosndash Validate Curriculum Deployment
Evaluationbull Individual Instructor
Evaluationndash Feedback from Traineendash Performance by Trainees
ndash By Scenariondash By Class
Evaluationbull Group Instructor Evaluation
ndash Assess Curriculum Deployment
ndash Reliability of Scenariosndash Interrater Reliability
Data Examplesbull Evaluations
bull Pre Course
Data Examplesbull Evaluations
bull Post Course
Data Examplesbull Evaluations
bull Feedback on Instructors
Select WISER Programs
Difficult Airway Management
bull Anesthesiologybull Emergency Physicians
Central Venous Cannulation Training
Substantial reduction of Related Infections
Procedural Sedation for Pediatric Emergencies
bull Required Coursebull Pre-Course Contentbull Pre-Testbull Multiple Scenarios
Health System Integration Crisis Team Training
Position Task Completion
0
25
50
75
100
1 2 3
Session
Com
plet
ion
Perc
enta
ge
AirwayAirway AssistantChest compressionsFloor RNICU RN (Cart)Procedure MDRecorder ICURNTeam Leader
Improvement is rapid and measurable
Chart1 Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
01111111111
04497354497
02632275132
03814814815
02166666667
02462962963
00888888889
01944444444
0837037037
07925925926
07657407407
07518518519
07592592593
06222222222
04388888889
06388888889
09333333333
0962962963
08412698413
08074074074
08685185185
08444444444
07777777778
08055555556
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers 000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 3 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 4 3 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 2 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 2 Grand Total 8 11 13 15 13 60 August Session 1 4 2 Session 2 5 5 Session 3 1 5 5 September Session 1 1 3 Session 2 4 1 Session 3 3 3 5 October Session 1 3 1 Session 2 4 3 Session 3 2 4 2 November Session 1 5 4 Session 2 2 5 Session 3 4 5 2 December Session 1 4 1 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3
Page 24
WISER the EnablerSubject Matter
Experts
StudentsInstructors
WISER
Goal Successful Programs
Domain 1
Domain 2
Domain 3
Domain 4
Simulation Help
(The tool Box)
SuccessfulProgram 1
SuccessfulProgram 2
SuccessfulProgram 3
SuccessfulProgram 4
Support
Rules
Evaluation
Evaluation bull Individual Trainee Evaluation
ndash Per episode performancendash Per class performance (group
of episodes)
Evaluationbull Group Performance
ndash Validate Scenariosndash Validate Curriculum Deployment
Evaluationbull Individual Instructor
Evaluationndash Feedback from Traineendash Performance by Trainees
ndash By Scenariondash By Class
Evaluationbull Group Instructor Evaluation
ndash Assess Curriculum Deployment
ndash Reliability of Scenariosndash Interrater Reliability
Data Examplesbull Evaluations
bull Pre Course
Data Examplesbull Evaluations
bull Post Course
Data Examplesbull Evaluations
bull Feedback on Instructors
Select WISER Programs
Difficult Airway Management
bull Anesthesiologybull Emergency Physicians
Central Venous Cannulation Training
Substantial reduction of Related Infections
Procedural Sedation for Pediatric Emergencies
bull Required Coursebull Pre-Course Contentbull Pre-Testbull Multiple Scenarios
Health System Integration Crisis Team Training
Position Task Completion
0
25
50
75
100
1 2 3
Session
Com
plet
ion
Perc
enta
ge
AirwayAirway AssistantChest compressionsFloor RNICU RN (Cart)Procedure MDRecorder ICURNTeam Leader
Improvement is rapid and measurable
Chart1 Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
01111111111
04497354497
02632275132
03814814815
02166666667
02462962963
00888888889
01944444444
0837037037
07925925926
07657407407
07518518519
07592592593
06222222222
04388888889
06388888889
09333333333
0962962963
08412698413
08074074074
08685185185
08444444444
07777777778
08055555556
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers 000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 3 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 4 3 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 2 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 2 Grand Total 8 11 13 15 13 60 August Session 1 4 2 Session 2 5 5 Session 3 1 5 5 September Session 1 1 3 Session 2 4 1 Session 3 3 3 5 October Session 1 3 1 Session 2 4 3 Session 3 2 4 2 November Session 1 5 4 Session 2 2 5 Session 3 4 5 2 December Session 1 4 1 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3
Page 25
Goal Successful Programs
Domain 1
Domain 2
Domain 3
Domain 4
Simulation Help
(The tool Box)
SuccessfulProgram 1
SuccessfulProgram 2
SuccessfulProgram 3
SuccessfulProgram 4
Support
Rules
Evaluation
Evaluation bull Individual Trainee Evaluation
ndash Per episode performancendash Per class performance (group
of episodes)
Evaluationbull Group Performance
ndash Validate Scenariosndash Validate Curriculum Deployment
Evaluationbull Individual Instructor
Evaluationndash Feedback from Traineendash Performance by Trainees
ndash By Scenariondash By Class
Evaluationbull Group Instructor Evaluation
ndash Assess Curriculum Deployment
ndash Reliability of Scenariosndash Interrater Reliability
Data Examplesbull Evaluations
bull Pre Course
Data Examplesbull Evaluations
bull Post Course
Data Examplesbull Evaluations
bull Feedback on Instructors
Select WISER Programs
Difficult Airway Management
bull Anesthesiologybull Emergency Physicians
Central Venous Cannulation Training
Substantial reduction of Related Infections
Procedural Sedation for Pediatric Emergencies
bull Required Coursebull Pre-Course Contentbull Pre-Testbull Multiple Scenarios
Health System Integration Crisis Team Training
Position Task Completion
0
25
50
75
100
1 2 3
Session
Com
plet
ion
Perc
enta
ge
AirwayAirway AssistantChest compressionsFloor RNICU RN (Cart)Procedure MDRecorder ICURNTeam Leader
Improvement is rapid and measurable
Chart1 Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
01111111111
04497354497
02632275132
03814814815
02166666667
02462962963
00888888889
01944444444
0837037037
07925925926
07657407407
07518518519
07592592593
06222222222
04388888889
06388888889
09333333333
0962962963
08412698413
08074074074
08685185185
08444444444
07777777778
08055555556
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers 000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 3 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 4 3 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 2 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 2 Grand Total 8 11 13 15 13 60 August Session 1 4 2 Session 2 5 5 Session 3 1 5 5 September Session 1 1 3 Session 2 4 1 Session 3 3 3 5 October Session 1 3 1 Session 2 4 3 Session 3 2 4 2 November Session 1 5 4 Session 2 2 5 Session 3 4 5 2 December Session 1 4 1 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3
Page 26
Evaluation
Evaluation bull Individual Trainee Evaluation
ndash Per episode performancendash Per class performance (group
of episodes)
Evaluationbull Group Performance
ndash Validate Scenariosndash Validate Curriculum Deployment
Evaluationbull Individual Instructor
Evaluationndash Feedback from Traineendash Performance by Trainees
ndash By Scenariondash By Class
Evaluationbull Group Instructor Evaluation
ndash Assess Curriculum Deployment
ndash Reliability of Scenariosndash Interrater Reliability
Data Examplesbull Evaluations
bull Pre Course
Data Examplesbull Evaluations
bull Post Course
Data Examplesbull Evaluations
bull Feedback on Instructors
Select WISER Programs
Difficult Airway Management
bull Anesthesiologybull Emergency Physicians
Central Venous Cannulation Training
Substantial reduction of Related Infections
Procedural Sedation for Pediatric Emergencies
bull Required Coursebull Pre-Course Contentbull Pre-Testbull Multiple Scenarios
Health System Integration Crisis Team Training
Position Task Completion
0
25
50
75
100
1 2 3
Session
Com
plet
ion
Perc
enta
ge
AirwayAirway AssistantChest compressionsFloor RNICU RN (Cart)Procedure MDRecorder ICURNTeam Leader
Improvement is rapid and measurable
Chart1 Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
01111111111
04497354497
02632275132
03814814815
02166666667
02462962963
00888888889
01944444444
0837037037
07925925926
07657407407
07518518519
07592592593
06222222222
04388888889
06388888889
09333333333
0962962963
08412698413
08074074074
08685185185
08444444444
07777777778
08055555556
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers 000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 3 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 4 3 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 2 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 2 Grand Total 8 11 13 15 13 60 August Session 1 4 2 Session 2 5 5 Session 3 1 5 5 September Session 1 1 3 Session 2 4 1 Session 3 3 3 5 October Session 1 3 1 Session 2 4 3 Session 3 2 4 2 November Session 1 5 4 Session 2 2 5 Session 3 4 5 2 December Session 1 4 1 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3
Page 27
Evaluation bull Individual Trainee Evaluation
ndash Per episode performancendash Per class performance (group
of episodes)
Evaluationbull Group Performance
ndash Validate Scenariosndash Validate Curriculum Deployment
Evaluationbull Individual Instructor
Evaluationndash Feedback from Traineendash Performance by Trainees
ndash By Scenariondash By Class
Evaluationbull Group Instructor Evaluation
ndash Assess Curriculum Deployment
ndash Reliability of Scenariosndash Interrater Reliability
Data Examplesbull Evaluations
bull Pre Course
Data Examplesbull Evaluations
bull Post Course
Data Examplesbull Evaluations
bull Feedback on Instructors
Select WISER Programs
Difficult Airway Management
bull Anesthesiologybull Emergency Physicians
Central Venous Cannulation Training
Substantial reduction of Related Infections
Procedural Sedation for Pediatric Emergencies
bull Required Coursebull Pre-Course Contentbull Pre-Testbull Multiple Scenarios
Health System Integration Crisis Team Training
Position Task Completion
0
25
50
75
100
1 2 3
Session
Com
plet
ion
Perc
enta
ge
AirwayAirway AssistantChest compressionsFloor RNICU RN (Cart)Procedure MDRecorder ICURNTeam Leader
Improvement is rapid and measurable
Chart1 Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
01111111111
04497354497
02632275132
03814814815
02166666667
02462962963
00888888889
01944444444
0837037037
07925925926
07657407407
07518518519
07592592593
06222222222
04388888889
06388888889
09333333333
0962962963
08412698413
08074074074
08685185185
08444444444
07777777778
08055555556
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers 000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 3 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 4 3 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 2 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 2 Grand Total 8 11 13 15 13 60 August Session 1 4 2 Session 2 5 5 Session 3 1 5 5 September Session 1 1 3 Session 2 4 1 Session 3 3 3 5 October Session 1 3 1 Session 2 4 3 Session 3 2 4 2 November Session 1 5 4 Session 2 2 5 Session 3 4 5 2 December Session 1 4 1 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3
Page 28
Evaluationbull Group Performance
ndash Validate Scenariosndash Validate Curriculum Deployment
Evaluationbull Individual Instructor
Evaluationndash Feedback from Traineendash Performance by Trainees
ndash By Scenariondash By Class
Evaluationbull Group Instructor Evaluation
ndash Assess Curriculum Deployment
ndash Reliability of Scenariosndash Interrater Reliability
Data Examplesbull Evaluations
bull Pre Course
Data Examplesbull Evaluations
bull Post Course
Data Examplesbull Evaluations
bull Feedback on Instructors
Select WISER Programs
Difficult Airway Management
bull Anesthesiologybull Emergency Physicians
Central Venous Cannulation Training
Substantial reduction of Related Infections
Procedural Sedation for Pediatric Emergencies
bull Required Coursebull Pre-Course Contentbull Pre-Testbull Multiple Scenarios
Health System Integration Crisis Team Training
Position Task Completion
0
25
50
75
100
1 2 3
Session
Com
plet
ion
Perc
enta
ge
AirwayAirway AssistantChest compressionsFloor RNICU RN (Cart)Procedure MDRecorder ICURNTeam Leader
Improvement is rapid and measurable
Chart1 Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
01111111111
04497354497
02632275132
03814814815
02166666667
02462962963
00888888889
01944444444
0837037037
07925925926
07657407407
07518518519
07592592593
06222222222
04388888889
06388888889
09333333333
0962962963
08412698413
08074074074
08685185185
08444444444
07777777778
08055555556
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers 000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 3 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 4 3 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 2 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 2 Grand Total 8 11 13 15 13 60 August Session 1 4 2 Session 2 5 5 Session 3 1 5 5 September Session 1 1 3 Session 2 4 1 Session 3 3 3 5 October Session 1 3 1 Session 2 4 3 Session 3 2 4 2 November Session 1 5 4 Session 2 2 5 Session 3 4 5 2 December Session 1 4 1 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3
Page 29
Evaluationbull Individual Instructor
Evaluationndash Feedback from Traineendash Performance by Trainees
ndash By Scenariondash By Class
Evaluationbull Group Instructor Evaluation
ndash Assess Curriculum Deployment
ndash Reliability of Scenariosndash Interrater Reliability
Data Examplesbull Evaluations
bull Pre Course
Data Examplesbull Evaluations
bull Post Course
Data Examplesbull Evaluations
bull Feedback on Instructors
Select WISER Programs
Difficult Airway Management
bull Anesthesiologybull Emergency Physicians
Central Venous Cannulation Training
Substantial reduction of Related Infections
Procedural Sedation for Pediatric Emergencies
bull Required Coursebull Pre-Course Contentbull Pre-Testbull Multiple Scenarios
Health System Integration Crisis Team Training
Position Task Completion
0
25
50
75
100
1 2 3
Session
Com
plet
ion
Perc
enta
ge
AirwayAirway AssistantChest compressionsFloor RNICU RN (Cart)Procedure MDRecorder ICURNTeam Leader
Improvement is rapid and measurable
Chart1 Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
01111111111
04497354497
02632275132
03814814815
02166666667
02462962963
00888888889
01944444444
0837037037
07925925926
07657407407
07518518519
07592592593
06222222222
04388888889
06388888889
09333333333
0962962963
08412698413
08074074074
08685185185
08444444444
07777777778
08055555556
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers 000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 3 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 4 3 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 2 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 2 Grand Total 8 11 13 15 13 60 August Session 1 4 2 Session 2 5 5 Session 3 1 5 5 September Session 1 1 3 Session 2 4 1 Session 3 3 3 5 October Session 1 3 1 Session 2 4 3 Session 3 2 4 2 November Session 1 5 4 Session 2 2 5 Session 3 4 5 2 December Session 1 4 1 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3
Page 30
Evaluationbull Group Instructor Evaluation
ndash Assess Curriculum Deployment
ndash Reliability of Scenariosndash Interrater Reliability
Data Examplesbull Evaluations
bull Pre Course
Data Examplesbull Evaluations
bull Post Course
Data Examplesbull Evaluations
bull Feedback on Instructors
Select WISER Programs
Difficult Airway Management
bull Anesthesiologybull Emergency Physicians
Central Venous Cannulation Training
Substantial reduction of Related Infections
Procedural Sedation for Pediatric Emergencies
bull Required Coursebull Pre-Course Contentbull Pre-Testbull Multiple Scenarios
Health System Integration Crisis Team Training
Position Task Completion
0
25
50
75
100
1 2 3
Session
Com
plet
ion
Perc
enta
ge
AirwayAirway AssistantChest compressionsFloor RNICU RN (Cart)Procedure MDRecorder ICURNTeam Leader
Improvement is rapid and measurable
Chart1 Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
01111111111
04497354497
02632275132
03814814815
02166666667
02462962963
00888888889
01944444444
0837037037
07925925926
07657407407
07518518519
07592592593
06222222222
04388888889
06388888889
09333333333
0962962963
08412698413
08074074074
08685185185
08444444444
07777777778
08055555556
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers 000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 3 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 4 3 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 2 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 2 Grand Total 8 11 13 15 13 60 August Session 1 4 2 Session 2 5 5 Session 3 1 5 5 September Session 1 1 3 Session 2 4 1 Session 3 3 3 5 October Session 1 3 1 Session 2 4 3 Session 3 2 4 2 November Session 1 5 4 Session 2 2 5 Session 3 4 5 2 December Session 1 4 1 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3
Page 31
Data Examplesbull Evaluations
bull Pre Course
Data Examplesbull Evaluations
bull Post Course
Data Examplesbull Evaluations
bull Feedback on Instructors
Select WISER Programs
Difficult Airway Management
bull Anesthesiologybull Emergency Physicians
Central Venous Cannulation Training
Substantial reduction of Related Infections
Procedural Sedation for Pediatric Emergencies
bull Required Coursebull Pre-Course Contentbull Pre-Testbull Multiple Scenarios
Health System Integration Crisis Team Training
Position Task Completion
0
25
50
75
100
1 2 3
Session
Com
plet
ion
Perc
enta
ge
AirwayAirway AssistantChest compressionsFloor RNICU RN (Cart)Procedure MDRecorder ICURNTeam Leader
Improvement is rapid and measurable
Chart1 Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
01111111111
04497354497
02632275132
03814814815
02166666667
02462962963
00888888889
01944444444
0837037037
07925925926
07657407407
07518518519
07592592593
06222222222
04388888889
06388888889
09333333333
0962962963
08412698413
08074074074
08685185185
08444444444
07777777778
08055555556
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers 000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 3 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 4 3 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 2 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 2 Grand Total 8 11 13 15 13 60 August Session 1 4 2 Session 2 5 5 Session 3 1 5 5 September Session 1 1 3 Session 2 4 1 Session 3 3 3 5 October Session 1 3 1 Session 2 4 3 Session 3 2 4 2 November Session 1 5 4 Session 2 2 5 Session 3 4 5 2 December Session 1 4 1 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3
Page 32
Data Examplesbull Evaluations
bull Post Course
Data Examplesbull Evaluations
bull Feedback on Instructors
Select WISER Programs
Difficult Airway Management
bull Anesthesiologybull Emergency Physicians
Central Venous Cannulation Training
Substantial reduction of Related Infections
Procedural Sedation for Pediatric Emergencies
bull Required Coursebull Pre-Course Contentbull Pre-Testbull Multiple Scenarios
Health System Integration Crisis Team Training
Position Task Completion
0
25
50
75
100
1 2 3
Session
Com
plet
ion
Perc
enta
ge
AirwayAirway AssistantChest compressionsFloor RNICU RN (Cart)Procedure MDRecorder ICURNTeam Leader
Improvement is rapid and measurable
Chart1 Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
01111111111
04497354497
02632275132
03814814815
02166666667
02462962963
00888888889
01944444444
0837037037
07925925926
07657407407
07518518519
07592592593
06222222222
04388888889
06388888889
09333333333
0962962963
08412698413
08074074074
08685185185
08444444444
07777777778
08055555556
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers 000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 3 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 4 3 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 2 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 2 Grand Total 8 11 13 15 13 60 August Session 1 4 2 Session 2 5 5 Session 3 1 5 5 September Session 1 1 3 Session 2 4 1 Session 3 3 3 5 October Session 1 3 1 Session 2 4 3 Session 3 2 4 2 November Session 1 5 4 Session 2 2 5 Session 3 4 5 2 December Session 1 4 1 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3
Page 33
Data Examplesbull Evaluations
bull Feedback on Instructors
Select WISER Programs
Difficult Airway Management
bull Anesthesiologybull Emergency Physicians
Central Venous Cannulation Training
Substantial reduction of Related Infections
Procedural Sedation for Pediatric Emergencies
bull Required Coursebull Pre-Course Contentbull Pre-Testbull Multiple Scenarios
Health System Integration Crisis Team Training
Position Task Completion
0
25
50
75
100
1 2 3
Session
Com
plet
ion
Perc
enta
ge
AirwayAirway AssistantChest compressionsFloor RNICU RN (Cart)Procedure MDRecorder ICURNTeam Leader
Improvement is rapid and measurable
Chart1 Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
01111111111
04497354497
02632275132
03814814815
02166666667
02462962963
00888888889
01944444444
0837037037
07925925926
07657407407
07518518519
07592592593
06222222222
04388888889
06388888889
09333333333
0962962963
08412698413
08074074074
08685185185
08444444444
07777777778
08055555556
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers 000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 3 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 4 3 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 2 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 2 Grand Total 8 11 13 15 13 60 August Session 1 4 2 Session 2 5 5 Session 3 1 5 5 September Session 1 1 3 Session 2 4 1 Session 3 3 3 5 October Session 1 3 1 Session 2 4 3 Session 3 2 4 2 November Session 1 5 4 Session 2 2 5 Session 3 4 5 2 December Session 1 4 1 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3
Page 34
Select WISER Programs
Difficult Airway Management
bull Anesthesiologybull Emergency Physicians
Central Venous Cannulation Training
Substantial reduction of Related Infections
Procedural Sedation for Pediatric Emergencies
bull Required Coursebull Pre-Course Contentbull Pre-Testbull Multiple Scenarios
Health System Integration Crisis Team Training
Position Task Completion
0
25
50
75
100
1 2 3
Session
Com
plet
ion
Perc
enta
ge
AirwayAirway AssistantChest compressionsFloor RNICU RN (Cart)Procedure MDRecorder ICURNTeam Leader
Improvement is rapid and measurable
Chart1 Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
01111111111
04497354497
02632275132
03814814815
02166666667
02462962963
00888888889
01944444444
0837037037
07925925926
07657407407
07518518519
07592592593
06222222222
04388888889
06388888889
09333333333
0962962963
08412698413
08074074074
08685185185
08444444444
07777777778
08055555556
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers 000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 3 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 4 3 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 2 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 2 Grand Total 8 11 13 15 13 60 August Session 1 4 2 Session 2 5 5 Session 3 1 5 5 September Session 1 1 3 Session 2 4 1 Session 3 3 3 5 October Session 1 3 1 Session 2 4 3 Session 3 2 4 2 November Session 1 5 4 Session 2 2 5 Session 3 4 5 2 December Session 1 4 1 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3
Page 35
Difficult Airway Management
bull Anesthesiologybull Emergency Physicians
Central Venous Cannulation Training
Substantial reduction of Related Infections
Procedural Sedation for Pediatric Emergencies
bull Required Coursebull Pre-Course Contentbull Pre-Testbull Multiple Scenarios
Health System Integration Crisis Team Training
Position Task Completion
0
25
50
75
100
1 2 3
Session
Com
plet
ion
Perc
enta
ge
AirwayAirway AssistantChest compressionsFloor RNICU RN (Cart)Procedure MDRecorder ICURNTeam Leader
Improvement is rapid and measurable
Chart1 Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
01111111111
04497354497
02632275132
03814814815
02166666667
02462962963
00888888889
01944444444
0837037037
07925925926
07657407407
07518518519
07592592593
06222222222
04388888889
06388888889
09333333333
0962962963
08412698413
08074074074
08685185185
08444444444
07777777778
08055555556
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers 000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 3 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 4 3 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 2 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 2 Grand Total 8 11 13 15 13 60 August Session 1 4 2 Session 2 5 5 Session 3 1 5 5 September Session 1 1 3 Session 2 4 1 Session 3 3 3 5 October Session 1 3 1 Session 2 4 3 Session 3 2 4 2 November Session 1 5 4 Session 2 2 5 Session 3 4 5 2 December Session 1 4 1 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3
Page 36
Central Venous Cannulation Training
Substantial reduction of Related Infections
Procedural Sedation for Pediatric Emergencies
bull Required Coursebull Pre-Course Contentbull Pre-Testbull Multiple Scenarios
Health System Integration Crisis Team Training
Position Task Completion
0
25
50
75
100
1 2 3
Session
Com
plet
ion
Perc
enta
ge
AirwayAirway AssistantChest compressionsFloor RNICU RN (Cart)Procedure MDRecorder ICURNTeam Leader
Improvement is rapid and measurable
Chart1 Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
01111111111
04497354497
02632275132
03814814815
02166666667
02462962963
00888888889
01944444444
0837037037
07925925926
07657407407
07518518519
07592592593
06222222222
04388888889
06388888889
09333333333
0962962963
08412698413
08074074074
08685185185
08444444444
07777777778
08055555556
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers 000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 3 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 4 3 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 2 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 2 Grand Total 8 11 13 15 13 60 August Session 1 4 2 Session 2 5 5 Session 3 1 5 5 September Session 1 1 3 Session 2 4 1 Session 3 3 3 5 October Session 1 3 1 Session 2 4 3 Session 3 2 4 2 November Session 1 5 4 Session 2 2 5 Session 3 4 5 2 December Session 1 4 1 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3
Page 37
Procedural Sedation for Pediatric Emergencies
bull Required Coursebull Pre-Course Contentbull Pre-Testbull Multiple Scenarios
Health System Integration Crisis Team Training
Position Task Completion
0
25
50
75
100
1 2 3
Session
Com
plet
ion
Perc
enta
ge
AirwayAirway AssistantChest compressionsFloor RNICU RN (Cart)Procedure MDRecorder ICURNTeam Leader
Improvement is rapid and measurable
Chart1 Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
01111111111
04497354497
02632275132
03814814815
02166666667
02462962963
00888888889
01944444444
0837037037
07925925926
07657407407
07518518519
07592592593
06222222222
04388888889
06388888889
09333333333
0962962963
08412698413
08074074074
08685185185
08444444444
07777777778
08055555556
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers 000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 3 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 4 3 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 2 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 2 Grand Total 8 11 13 15 13 60 August Session 1 4 2 Session 2 5 5 Session 3 1 5 5 September Session 1 1 3 Session 2 4 1 Session 3 3 3 5 October Session 1 3 1 Session 2 4 3 Session 3 2 4 2 November Session 1 5 4 Session 2 2 5 Session 3 4 5 2 December Session 1 4 1 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3
Page 38
Health System Integration Crisis Team Training
Position Task Completion
0
25
50
75
100
1 2 3
Session
Com
plet
ion
Perc
enta
ge
AirwayAirway AssistantChest compressionsFloor RNICU RN (Cart)Procedure MDRecorder ICURNTeam Leader
Improvement is rapid and measurable
Chart1 Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
01111111111
04497354497
02632275132
03814814815
02166666667
02462962963
00888888889
01944444444
0837037037
07925925926
07657407407
07518518519
07592592593
06222222222
04388888889
06388888889
09333333333
0962962963
08412698413
08074074074
08685185185
08444444444
07777777778
08055555556
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers 000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 3 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 4 3 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 2 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 2 Grand Total 8 11 13 15 13 60 August Session 1 4 2 Session 2 5 5 Session 3 1 5 5 September Session 1 1 3 Session 2 4 1 Session 3 3 3 5 October Session 1 3 1 Session 2 4 3 Session 3 2 4 2 November Session 1 5 4 Session 2 2 5 Session 3 4 5 2 December Session 1 4 1 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3
Page 39
Position Task Completion
0
25
50
75
100
1 2 3
Session
Com
plet
ion
Perc
enta
ge
AirwayAirway AssistantChest compressionsFloor RNICU RN (Cart)Procedure MDRecorder ICURNTeam Leader
Improvement is rapid and measurable
Chart1 Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
01111111111
04497354497
02632275132
03814814815
02166666667
02462962963
00888888889
01944444444
0837037037
07925925926
07657407407
07518518519
07592592593
06222222222
04388888889
06388888889
09333333333
0962962963
08412698413
08074074074
08685185185
08444444444
07777777778
08055555556
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers 000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 3 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 4 3 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 2 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 2 Grand Total 8 11 13 15 13 60 August Session 1 4 2 Session 2 5 5 Session 3 1 5 5 September Session 1 1 3 Session 2 4 1 Session 3 3 3 5 October Session 1 3 1 Session 2 4 3 Session 3 2 4 2 November Session 1 5 4 Session 2 2 5 Session 3 4 5 2 December Session 1 4 1 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3
Page 40
Chart1 Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
01111111111
04497354497
02632275132
03814814815
02166666667
02462962963
00888888889
01944444444
0837037037
07925925926
07657407407
07518518519
07592592593
06222222222
04388888889
06388888889
09333333333
0962962963
08412698413
08074074074
08685185185
08444444444
07777777778
08055555556
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers 000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 3 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 4 3 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 2 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 2 Grand Total 8 11 13 15 13 60 August Session 1 4 2 Session 2 5 5 Session 3 1 5 5 September Session 1 1 3 Session 2 4 1 Session 3 3 3 5 October Session 1 3 1 Session 2 4 3 Session 3 2 4 2 November Session 1 5 4 Session 2 2 5 Session 3 4 5 2 December Session 1 4 1 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3
Page 41
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers 000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 3 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 4 3 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 2 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 2 Grand Total 8 11 13 15 13 60 August Session 1 4 2 Session 2 5 5 Session 3 1 5 5 September Session 1 1 3 Session 2 4 1 Session 3 3 3 5 October Session 1 3 1 Session 2 4 3 Session 3 2 4 2 November Session 1 5 4 Session 2 2 5 Session 3 4 5 2 December Session 1 4 1 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
Page 42
Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers 000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 3 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 4 3 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 2 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 2 Grand Total 8 11 13 15 13 60 August Session 1 4 2 Session 2 5 5 Session 3 1 5 5 September Session 1 1 3 Session 2 4 1 Session 3 3 3 5 October Session 1 3 1 Session 2 4 3 Session 3 2 4 2 November Session 1 5 4 Session 2 2 5 Session 3 4 5 2 December Session 1 4 1 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
Page 43
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers 000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 3 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 4 3 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 2 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 2 Grand Total 8 11 13 15 13 60 August Session 1 4 2 Session 2 5 5 Session 3 1 5 5 September Session 1 1 3 Session 2 4 1 Session 3 3 3 5 October Session 1 3 1 Session 2 4 3 Session 3 2 4 2 November Session 1 5 4 Session 2 2 5 Session 3 4 5 2 December Session 1 4 1 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
Page 44
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers 000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 3 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 4 3 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 2 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 2 Grand Total 8 11 13 15 13 60 August Session 1 4 2 Session 2 5 5 Session 3 1 5 5 September Session 1 1 3 Session 2 4 1 Session 3 3 3 5 October Session 1 3 1 Session 2 4 3 Session 3 2 4 2 November Session 1 5 4 Session 2 2 5 Session 3 4 5 2 December Session 1 4 1 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Page 45
Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers 000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 3 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 4 3 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 2 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 2 Grand Total 8 11 13 15 13 60 August Session 1 4 2 Session 2 5 5 Session 3 1 5 5 September Session 1 1 3 Session 2 4 1 Session 3 3 3 5 October Session 1 3 1 Session 2 4 3 Session 3 2 4 2 November Session 1 5 4 Session 2 2 5 Session 3 4 5 2 December Session 1 4 1 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Page 46
Random Numbers 000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 3 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 4 3 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 2 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 2 Grand Total 8 11 13 15 13 60 August Session 1 4 2 Session 2 5 5 Session 3 1 5 5 September Session 1 1 3 Session 2 4 1 Session 3 3 3 5 October Session 1 3 1 Session 2 4 3 Session 3 2 4 2 November Session 1 5 4 Session 2 2 5 Session 3 4 5 2 December Session 1 4 1 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Page 47
000
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3
Session number
Mor
talit
y
Simulator ldquoMortalityrdquo
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Page 48
Death rate by session Simulator Mortality
Session number
Mortality
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
1 03333333333 01111111111
Page 49
Tables Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
9 Classes 3 sessions per class Deaths - Session vs Scenarios Sum of Death Session Why averaging grouped by position differs from averaging each task Scenario 1 2 3 Grand Total 1 4 1 5 Completed 2 4 2 0 6 Position 1 Task 1 Y Avg for Position = 50 Avg for Both Positions = 75 3 0 0 0 Task 2 Y 4 0 0 Task 3 N 5 1 0 1 2 Task 4 N Grand Total 9 3 1 13 Position 2 Task 1 Y 100 Death Rate by Session 10000 3333 1111 of Y 3 of N 5 Average by position 75 Average Task Completion by Session by task 60 Average by task 60 Average of Total Completion Session 1 2 3 Grand Total Total 2644 6967 8389 6000 Position Task Completions Position 1 2 3 Airway 1111 8370 9333 Airway Assistant 4497 7926 9630 Chest compressions 2632 7657 8413 Floor RN 3815 7519 8074 ICU RN (Cart) 2167 7593 8685 Procedure MD 2463 6222 8444 Recorder ICURN 889 4389 7778 Team Leader 1944 6389 8056
Page 50
Tables Airway
Airway Assistant
Chest compressions
Floor RN
ICU RN (Cart)
Procedure MD
Recorder ICURN
Team Leader
Session
Completion Percentage
Position Task Completion
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
Page 51
Data lutzjwBold zeros (0) areCritical Incidents but Survive
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Code Team Training Compilation Data Date Session Scenario Death Total Completion 10302 1 1 1 44 10302 2 4 0 60 10302 3 3 0 79 101402 1 2 1 27 101402 2 5 0 68 101402 3 3 0 97 112602 1 2 1 35 112602 2 3 0 62 112602 3 5 1 84 12302 1 2 1 10 12302 2 3 0 81 12302 3 5 0 91 12303 1 1 1 10 12303 2 2 1 67 12303 3 3 0 77 22503 1 1 1 30 22503 2 3 0 86 22503 3 5 0 60 31303 1 1 1 9 31303 2 2 1 66 31303 3 5 0 95 41503 1 5 1 37 41503 2 1 1 60 41503 3 2 0 92 52203 1 2 1 36 52203 2 3 0 77 52203 3 5 0 80
Page 52
Position tables Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Average of Session 1 Average of Session 2 Average of Session 3 Position Total Position Total Position Total Aide 2000 Aide 5000 Aide 10000 Airway 1111 Airway 8370 Airway 9333 Airway Assistant 4497 Airway Assistant 7926 Airway Assistant 9630 Chest compressions 2632 Chest compressions 7657 Chest compressions 8413 Floor RN 3815 Floor RN 7519 Floor RN 8074 ICU RN (Cart) 2167 ICU RN (Cart) 7593 ICU RN (Cart) 8685 Procedure MD 2463 Procedure MD 6222 Procedure MD 8444 Recorder ICURN 889 Recorder ICURN 4389 Recorder ICURN 7778 Team Leader 1944 Team Leader 6389 Team Leader 8056 Grand Total 2411 Grand Total 6902 Grand Total 8628
Page 53
Data by Position lutzjwNo 3 minute dataSession halted
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Code Team Training Task Completion By Position Percentages Date Position Session 1 Session 2 Session 3 10302 Airway 0 100 100 10302 Airway Assistant 83 50 100 10302 Floor RN 40 100 100 10302 ICU RN (Cart) 75 80 80 10302 Team Leader 50 75 100 10302 Recorder ICURN 20 40 100 10302 Procedure MD 20 100 100 10302 Chest compressions 50 100 75 10302 Aide 101403 Airway 0 100 100 101403 Airway Assistant 33 67 100 101403 Floor RN 83 67 100 101403 ICU RN (Cart) 20 33 100 101403 Team Leader 25 75 100 101403 Recorder ICURN 0 60 100 101403 Procedure MD 50 80 100 101403 Chest compressions 29 75 100 101403 Aide 50 50 100 112603 Airway 60 80 100 112603 Airway Assistant 71 50 100 112603 Floor RN 33 100 83 112603 ICU RN (Cart) 0 100 75 112603 Team Leader 0 50 75 112603 Recorder ICURN 0 0 25 112603 Procedure MD 67 0 100 112603 Chest compressions 50 100 100 112603 Aide 12303 Airway 0 100 100 12303 Airway Assistant 17 100 100 12303 Floor RN 17 67 80 12303 ICU RN (Cart) 0 80 67 12303 Team Leader 0 100 100 12303 Recorder ICURN 20 60 60 12303 Procedure MD 0 67 100 12303 Chest compressions 13 88 100 12303 Aide 0 50 100 12303 Airway 0 80 100 12303 Airway Assistant 17 67 100 12303 Floor RN 33 83 67 12303 ICU RN (Cart) 0 80 80 12303 Team Leader 0 50 0 12303 Recorder ICURN 0 25 100 12303 Procedure MD 0 67 50 12303 Chest compressions 0 60 100 12303 Aide 22503 Airway 0 100 60 22503 Airway Assistant 33 100 67 22503 Floor RN 50 50 67 22503 ICU RN (Cart) 60 80 80 22503 Team Leader 75 50 75 22503 Recorder ICURN 0 100 75 22503 Procedure MD 0 100 50 22503 Chest compressions 33 100 25 22503 Aide 0 0 31303 Airway 0 100 100 31303 Airway Assistant 33 80 100 31303 Floor RN 33 60 80 31303 ICU RN (Cart) 0 100 100 31303 Team Leader 0 50 75 31303 Recorder ICURN 0 50 100 31303 Procedure MD 0 0 100 31303 Chest compressions 0 50 100 31303 Aide 41503 Airway 40 33 100 41503 Airway Assistant 83 100 100 41503 Floor RN 20 50 83 41503 ICU RN (Cart) 0 50 100 41503 Team Leader 0 50 100 41503 Recorder ICURN 0 20 60 41503 Procedure MD 60 80 100 41503 Chest compressions 63 50 100 41503 Aide 0 100 100 52203 Airway 0 60 80 52203 Airway Assistant 33 100 100 52203 Floor RN 33 100 67 52203 ICU RN (Cart) 40 80 100 52203 Team Leader 25 75 100 52203 Recorder ICURN 40 40 80 52203 Procedure MD 25 67 60 52203 Chest compressions 0 67 57 52203 Aide 50 100
Page 54
Random Numbers Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 Session Scenario June Session 1 5 5 Count of Scenario Scenario Session 2 4 1 Session 1 2 3 4 5 (blank) Grand Total Session 3 2 3 5 Session 1 3 1 5 6 5 20 July Session 1 3 4 Session 2 3 5 4 5 3 20 Session 2 1 3 Session 3 2 5 4 4 5 20 Session 3 2 2 (blank) 3 Grand Total 8 11 13 15 13 60 August Session 1 4 4 Session 2 5 3 Session 3 1 1 5 September Session 1 1 4 Session 2 4 3 Session 3 3 4 5 October Session 1 3 4 Session 2 4 4 Session 3 2 3 3 November Session 1 5 1 Session 2 2 5 Session 3 4 4 2 December Session 1 4 4 Session 2 1 3 Session 3 3 January Session 1 3 Session 2 2 Session 3 4 February Session 1 4 Session 2 5 Session 3 3 March Session 1 1 Session 2 4 Session 3 5 April Session 1 5 Session 2 3 Session 3 1 May Session 1 4 Session 2 3 Session 3 2 June Session 1 4 Session 2 5 Session 3 3 July Session 1 3 Session 2 2 Session 3 4 August Session 1 4 Session 2 2 Session 3 5 September Session 1 5 Session 2 3 Session 3 4 October Session 1 3 Session 2 1 Session 3 5 November Session 1 1 Session 2 4 Session 3 2 December Session 1 2 Session 2 3 Session 3 5 January Session 1 5 Session 2 2 Session 3 5
Page 55
Discussion
wwwwiserpittedu
Slide Number 1 Learning OBJECTIVES What is ldquosimulationrdquohellip Reallyhellip ldquoSimulationrdquo amp Medicine Simulation Definition Overview of WISER WISER Mission Univ of Pitt Human Simulation Center--ldquoCirca 1994rdquo Physical Plant Demographics of Participants Who Does WISER Support The Job of Healthcare Educators Whatrsquos the Goal Which Tool The Tool Box Why Simulation Slide Number 17 Why Now Why Not Simulation What does WISER do Simulation Based EducationSystems Slide Number 22 Slide Number 23 WISER the Enabler Goal Successful Programs Evaluation Evaluation Evaluation Evaluation Evaluation Data Examples Data Examples Data Examples Select WISER Programs Difficult Airway Management Central Venous Cannulation Training Procedural Sedation for Pediatric Emergencies Health System Integration Crisis Team Training Improvement is rapid and measurable Simulator ldquoMortalityrdquo Slide Number 41 
