327 results match your criteria BMJ simulation & technology enhanced learning[Journal]


Efficacy and safety of Chou-Ling-Dan granules in the treatment of seasonal influenza via combining Western and traditional Chinese medicine: protocol for a multicentre, randomised controlled clinical trial.

BMJ Open 2019 Apr 2;9(4):e024800. Epub 2019 Apr 2.

State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.

Introduction: Chou-Ling-Dan (CLD) () granules are an ethnic herbal medicine from Yunnan province of China. CLD granules have been used for the treatment of inflammatory conditions and feverish diseases in China, including seasonal influenza, but few evidence-based medicine (EBM) clinical studies have been conducted to assess its efficacy and safety in the treatment of influenza. Here, we performed an EBM clinical trial combining Western Chinese medicine and traditional Chinese medicine (TCM) evaluation systems to evaluate the efficacy and safety of CLD granules in the treatment of seasonal influenza. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-024800DOI Listing

Water intake after dehydration makes muscles more susceptible to cramp but electrolytes reverse that effect.

BMJ Open Sport Exerc Med 2019 5;5(1):e000478. Epub 2019 Mar 5.

Centre for Exercise and Sports Science Research, School of Medical and Health Sciences, Edith Cowan University, Joondalup, Western Australia, Australia.

Objective: No previous study has compared water and oral rehydration solution (ORS) intake after dehydration induced by exercise in the heat for the effect on muscle cramps. The present study tested the hypothesis that water ingestion after dehydration would increase muscle cramp susceptibility, but this would be prevented by ORS ingestion.

Methods: Ten men performed two bouts of downhill running (DHR; -5%) in the heat (35°C-36 °C) until their body mass was reduced by 2%. Read More

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http://dx.doi.org/10.1136/bmjsem-2018-000478DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407543PMC

Gonorrhoea and chlamydia diagnosis as an entry point for HIV pre-exposure prophylaxis: a modelling study.

BMJ Open 2019 Mar 4;9(3):e023453. Epub 2019 Mar 4.

Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA.

Objectives: (NG) and (CT) increase the risk of HIV transmission among men who have sex with men (MSM). Diagnosis of NG/CT may provide an efficient entry point for prevention of HIV through the delivery of pre-exposure prophylaxis (PrEP); however, the additional population-level impact of targeting PrEP to MSM diagnosed with NG/CT is unknown.

Design: An agent-based simulation model of NG/CT and HIV cocirculation among MSM calibrated against census data, disease surveillance reports and the US National HIV Behavioral Surveillance study. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-023453DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6429744PMC
March 2019
6 Reads

Protocol for a randomised trial evaluating the effect of applying gamification to simulation-based endoscopy training.

BMJ Open 2019 Feb 24;9(2):e024134. Epub 2019 Feb 24.

Division of Gastroenterology, St. Michael's Hospital, Toronto, Canada.

Background: Simulation-based training (SBT) provides a safe environment and effective means to enhance skills development. Simulation-based curricula have been developed for a number of procedures, including gastrointestinal endoscopy. Gamification, which is the application of game-design principles to non-game contexts, is an instructional strategy with potential to enhance learning. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-024134DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6443058PMC
February 2019
2 Reads
2.063 Impact Factor

Effects of high-fidelity simulation based on life-threatening clinical condition scenarios on learning outcomes of undergraduate and postgraduate nursing students: a systematic review and meta-analysis.

BMJ Open 2019 Feb 22;9(2):e025306. Epub 2019 Feb 22.

Department of Health, Life and Environmental Sciences, University of L'Aquila, L'Aquila, Italy.

Objective: The purpose was to analyse the effectiveness of high-fidelity patient simulation (HFPS) based on life-threatening clinical condition scenarios on undergraduate and postgraduate nursing students' learning outcomes.

Design: A systematic review and meta-analysis were conducted based on the Cochrane Handbook for Systematic Reviews of Interventions and its reporting was checked against the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist.

Data Sources: PubMed, Scopus, CINAHL with Full Text, Wiley Online Library and Web of Science were searched until July 2017. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-025306DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6398734PMC
February 2019
1 Read

Microsimulation model for the health economic evaluation of osteoporosis interventions: study protocol.

BMJ Open 2019 Feb 18;9(2):e028365. Epub 2019 Feb 18.

Menzies Institute for Medical Research, University of Tasmania, Hobart, Tasmania, Australia.

Introduction: Osteoporosis is a systemic skeletal disease that is characterised by reduced bone strength and increased fracture risk. Osteoporosis-related fractures impose enormous disease and economic burden to the society. Although many treatments and health interventions are proven effective to prevent fractures, health economic evaluation adds evidence to their economic merits. Read More

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http://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2018-02836
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http://dx.doi.org/10.1136/bmjopen-2018-028365DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6398703PMC
February 2019
8 Reads

Evaluation of the overdiagnosis in breast screening programmes using a Monte Carlo simulation tool: a study of the influence of the parameters defining the programme configuration.

BMJ Open 2019 Feb 19;9(2):e023187. Epub 2019 Feb 19.

Departamento de Física Atómica, Molecular y Nuclear, Universidad de Granada, Granada, Spain.

Objectives: To build up and test a Monte Carlo simulation procedure for the investigation of overdiagnosis in breast screening programmes (BSPs).

Design: A Monte Carlo tool previously developed has been adapted for obtaining the quantities of interest in order to determine the overdiagnosis: the annual and cumulative number of cancers detected by screening, plus interval cancers, for a population following the BSP, and detected clinically for the same population in the absence of screening. Overdiagnosis is obtained by comparing these results in a direct way. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-023187DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6398694PMC
February 2019
1 Read

Paramedics' experiences of administering fascia iliaca compartment block to patients in South Wales with suspected hip fracture at the scene of injury: results of focus groups.

BMJ Open 2019 Feb 15;9(2):e026073. Epub 2019 Feb 15.

Medical School, Swansea University, Swansea, UK.

Objectives: To explore paramedics' experience of delivering fascia iliaca compartment block FICB) to patients with suspected hip fracture at the scene of injury.

Design: Focus groups within a randomised controlled trial.

Setting: Paramedics based at ambulance stations in the catchment area of one Emergency Department in South Wales, recruited and trained in a feasibility study about an alternative to routine prehospital pain management for patients with suspected hip fracture. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-026073DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6398707PMC
February 2019
1 Read

A patient flow simulator for healthcare management education.

BMJ Simul Technol Enhanc Learn 2019 Jan 7;5(1):46-48. Epub 2017 Oct 7.

Department of Biostatistics and Health Informatics, Institute of Psychiatry Psychology and Neuroscience, King's College London, London, UK.

Simulation and analysis of patient flow can contribute to the safe and efficient functioning of a healthcare system, yet it is rarely incorporated into routine healthcare management, partially due to the technical training required. This paper introduces a free and open source patient flow simulation software tool that enables training and experimentation with healthcare management decisions and their impact on patient flow. Users manage their simulated hospital with a simple web-based graphical interface. Read More

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http://dx.doi.org/10.1136/bmjstel-2017-000251DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6312944PMC
January 2019

Ensuring basic competency in chest tube insertion using a simulated scenario: an international validation study.

BMJ Open Respir Res 2018 10;5(1):e000362. Epub 2018 Dec 10.

Copenhagen Academy for Medical Education and Simulation (CAMES), University of Copenhagen and the Capital Region of Denmark, Rigshospitalet, Copenhagen, Denmark.

Introduction: Chest tube insertion can be associated with serious complications. A structured training programme is needed to minimise complications and enhance patient safety. Novices should pass a reliable test with solid evidence of validity before performing the procedure supervised on patients. Read More

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http://bmjopenrespres.bmj.com/lookup/doi/10.1136/bmjresp-201
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http://dx.doi.org/10.1136/bmjresp-2018-000362DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6307557PMC
December 2018
7 Reads

Comparison of the efficacy and safety of drug therapies for macular edema secondary to central retinal vein occlusion.

BMJ Open 2018 Dec 28;8(12):e022700. Epub 2018 Dec 28.

Department of Ophthalmology, Shanghai General Hospital, Shanghai Jiaotong University School of Medicine; Shanghai Key Laboratory of Ocular Fundus Diseases, Shanghai, China.

Objectives: To evaluate the efficacy and safety of anti-vascular endothelial growth factor (VEGF) agents and corticosteroids for the treatment of macular oedema (ME) secondary to central retinal vein occlusion (CRVO).

Design: Systematic review and network meta-analysis.

Participants: Patients from previously reported randomised controlled trials (RCTs) comparing anti-VEGF and corticosteroids for the treatment of ME secondary to CRVO. Read More

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http://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2018-02270
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http://dx.doi.org/10.1136/bmjopen-2018-022700DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6318534PMC
December 2018
3 Reads

ASPiH standards for simulation-based education: process of consultation, design and implementation.

Authors:
Scott B Crawford

BMJ Simul Technol Enhanc Learn 2018 Jul 15;4(3):103-104. Epub 2018 Mar 15.

Department of Emergency Medicine, Paul L. Foster School of Medicine, Texas Tech University Health Science Center El Paso, El Paso, Texas, USA.

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http://dx.doi.org/10.1136/bmjstel-2018-000323DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6204926PMC

Proficiency-based progression training: an 'end to end' model for decreasing error applied to achievement of effective epidural analgesia during labour: a randomised control study.

BMJ Open 2018 Oct 15;8(10):e020099. Epub 2018 Oct 15.

The ASSERT Centre, University College Cork, Cork, Ireland.

Background: Training procedural skills using proficiency-based progression (PBP) methodology has consistently resulted in error reduction. We hypothesised that implementation of metric-based PBP training and a valid assessment tool would decrease the failure rate of epidural analgesia during labour when compared to standard simulation-based training.

Methods: Detailed, procedure-specific metrics for labour epidural catheter placement were developed based on carefully elicited expert input. Read More

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http://dx.doi.org/10.1136/bmjopen-2017-020099DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6194403PMC
October 2018
17 Reads

Comparison of simulation debriefs with traditional needs assessment methods: a qualitative exploratory study in a critical care community setting.

BMJ Open 2018 Oct 8;8(10):e020570. Epub 2018 Oct 8.

Department of Critical Care, The Ottawa Hospital, General Campus, Ottawa, Ontario, Canada.

Objective: To better understand the potential of a needs assessment approach using qualitative data from manikin-based and virtual patient simulation debriefing sessions compared with traditional data collection methods (ie, focus groups and interviews).

Design: Original data from simulation debrief sessions was compared and contrasted with data from an earlier assessment of critical care needs in a community setting (using focus groups and interviews), thus undertaking secondary analysis of data. Time and cost data were also examined. Read More

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http://dx.doi.org/10.1136/bmjopen-2017-020570DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6194405PMC
October 2018

State of the science: the doll is dead: simulation in palliative care education.

BMJ Support Palliat Care 2018 Sep 25. Epub 2018 Sep 25.

Palliative Medicine, Velindre University NHS Trust, Cardiff, UK

Objectives: Both simulation and high-fidelity simulation involving manikins, clinical training suites, wards, computer programs and theatres have established themselves in medical undergraduate and postgraduate education. Popular among students, they have been shown to be effective learning tools. Contrasted with this is the potential risk to patients and their proxy associated with learning 'at the bedside', which can pose a real challenge in medical and palliative settings. Read More

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http://spcare.bmj.com/lookup/doi/10.1136/bmjspcare-2018-0015
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http://dx.doi.org/10.1136/bmjspcare-2018-001595DOI Listing
September 2018
23 Reads

Effect of halo-type frontal cockpit protection on overtaking.

BMJ Case Rep 2018 Sep 8;2018. Epub 2018 Sep 8.

R+M, Willcox, Arizona, USA.

In 2018, the Fédération Internationale de l'Automobile introduced the halo frontal cockpit protection system into Formula 1. While extensive testing was conducted to confirm that the halo protects the driver from contact, the halo's effect on the driver during overtaking was not tested prior to its introduction. Here, we describe the effect of a halo-type structure on the neck muscle activity of one of the authors, a national-level amateur racing driver, during on-track simulations designed to practise overtaking. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22542
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http://dx.doi.org/10.1136/bcr-2018-225427DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6129061PMC
September 2018
14 Reads

Cost-effectiveness of single-dose zoledronic acid for nursing home residents with osteoporosis in the USA.

Authors:
Kouta Ito

BMJ Open 2018 Sep 4;8(9):e022585. Epub 2018 Sep 4.

Department of Medicine, Hebrew SeniorLife, Roslindale, Massachusetts, USA.

Objective: To evaluate the cost-effectiveness of routine administration of single-dose zoledronic acid for nursing home residents with osteoporosis in the USA.

Design: Markov cohort simulation model based on published literature from a healthcare sector perspective over a lifetime horizon.

Setting: Nursing homes. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-022585DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6129093PMC
September 2018
7 Reads

Cost-utility analysis of low-intensity case management to increase contact with health services among ex-prisoners in Australia.

BMJ Open 2018 Aug 5;8(8):e023082. Epub 2018 Aug 5.

Australian Centre for Health Services Innovation (AusHSI), Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland, Australia.

Objectives: The economic burden of incarceration is substantial in Australia. People released from prison are at high risk of poor health and this is an important predictor of recidivism. The 'Passports Study' was a randomised controlled trial of an intervention designed to increase health service utilisation after release from prison. Read More

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http://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2018-02308
Publisher Site
http://dx.doi.org/10.1136/bmjopen-2018-023082DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6078233PMC
August 2018
4 Reads

Subduing the killer - sepsis; through simulation.

BMJ Evid Based Med 2019 Feb 27;24(1):26-29. Epub 2018 Jul 27.

Friarage hospital, South Tees Hospitals NHS Foundation Trust, Middlesbrough, UK.

Few pathophysiological processes have a higher morbidity and mortality than sepsis. Implementing effective strategies to improve these poor outcomes remains a challenge. Previous work has shown improvements using single and multifaceted approaches, many with inclusion of sepsis training for doctors and nurses. Read More

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http://dx.doi.org/10.1136/bmjebm-2018-110960DOI Listing
February 2019

Quality improvement of delirium status communication and documentation for intensive care unit patients during daily multidisciplinary rounds.

BMJ Open Qual 2018 29;7(2):e000239. Epub 2018 Jun 29.

Department of Operations Improvement, Memorial Health System, Springfield, Illinois, USA.

Delirium is a key quality metric identified by The Society of Critical Care Medicine for intensive care unit (ICU) patients. If not recognised early, delirium can lead to increased length of stay, hospital and societal costs, ventilator days and risk of mortality. Clinical practice guidelines recommend ICU patients be assessed for delirium at least once per shift. Read More

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http://dx.doi.org/10.1136/bmjoq-2017-000239DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6045763PMC
June 2018
21 Reads

Out-of-hospital endotracheal intubation experience, confidence and confidence-associated factors among Northern Japanese emergency life-saving technicians: a population-based cross-sectional study.

BMJ Open 2018 Jul 13;8(7):e021858. Epub 2018 Jul 13.

Emergency and Critical Care Medical Center, Fukushima Medical University, Fukushima, Japan.

Objective: Clinical procedural experience and confidence are both important when performing complex medical procedures. Since out-of-hospital endotracheal intubation (ETI) is a complex intervention, we sought to clarify clinical ETI experience among prehospital rescuers as well as their confidence in performing ETI and confidence-associated factors.

Design: Population-based cross-sectional study conducted from January to September 2017. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-021858DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6082470PMC
July 2018
12 Reads

Effectiveness of simulation in psychiatry for initial and continuing training of healthcare professionals: protocol for a systematic review.

BMJ Open 2018 Jul 11;8(7):e021012. Epub 2018 Jul 11.

School of Medecine, University Paris Descartes, Paris, France.

Introduction: Although most healthcare professionals must deal with patients with mental illness, many are not prepared for the various situations that can ensue. Simulation may be a powerful pedagogical tool for simultaneously teaching knowledge, skills and attitudes. We aim to assess the effectiveness of simulation for initial and continuous training in psychiatry for healthcare professionals. Read More

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http://dx.doi.org/10.1136/bmjopen-2017-021012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6089281PMC
July 2018
4 Reads

Inconsistent anticipatory postural adjustments (APAs) in rugby players: a source of injuries?

BMJ Open Sport Exerc Med 2018 4;4(1):e000303. Epub 2018 Jun 4.

School of Automation, Hangzhou Dianzi University, Zhejiang, China.

Background: We are developing since 2010 with Thales and the (FFR) M-Rex, a new kind of rugby scrum simulator. The study questioned whether it could improve safety and protect players from injury by using it as a tool for training/coaching the packs.

Aim: To explore the anticipatory postural adjustments (APAs) during the engagement of the ruck, because these predictive neck and back muscles contractions protect the spinal cord at the time of impacts, which is crucial to prevent injuries. Read More

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http://bmjopensem.bmj.com/lookup/doi/10.1136/bmjsem-2017-000
Publisher Site
http://dx.doi.org/10.1136/bmjsem-2017-000303DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6018848PMC
June 2018
3 Reads

Community-based HPV self-collection versus visual inspection with acetic acid in Uganda: a cost-effectiveness analysis of the ASPIRE trial.

BMJ Open 2018 Jun 12;8(6):e020484. Epub 2018 Jun 12.

Department of Health Policy and Management, Center for Health Decision Science, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.

Background: Cervical cancer is the leading cause of cancer death for women in Uganda, despite the potential for prevention through organised screening. Community-based self-collected human papillomavirus (HPV) testing has been proposed to reduce barriers to screening.

Objective: Our objective was to evaluate the cost-effectiveness of the Advances in Screening and Prevention of Reproductive Cancers (ASPIRE) trial, conducted in Kisenyi, Uganda in April 2014 (n=500). Read More

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http://dx.doi.org/10.1136/bmjopen-2017-020484DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6009460PMC
June 2018
30 Reads

POP-Brazil study protocol: a nationwide cross-sectional evaluation of the prevalence and genotype distribution of human papillomavirus (HPV) in Brazil.

BMJ Open 2018 Jun 7;8(6):e021170. Epub 2018 Jun 7.

Department of Surveillance, Prevention and Control of Sexually Transmitted Infections, HIV/AIDS and Viral Hepatitis, Brazilian Ministry of Health, Brasília, Brazil.

Introduction: Human papillomavirus (HPV) is associated with the development of genital warts and different types of cancer, including virtually all cervical cancers and a considerable number of penile, anal and oropharyngeal cancers. Data regarding the prevalence of HPV infection in Brazil are limited and fragmented. We aim to determine HPV prevalence in sexually active women and men aged 16-25 years and to investigate regional differences in virus prevalence and types. Read More

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http://dx.doi.org/10.1136/bmjopen-2017-021170DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6009568PMC
June 2018
8 Reads

Potential impact of introducing the pneumococcal conjugate vaccine into national immunisation programmes: an economic-epidemiological analysis using data from India.

BMJ Glob Health 2018 9;3(3):e000636. Epub 2018 May 9.

Department of Management Science, University of Strathclyde, Glasgow, UK.

Pneumococcal pneumonia causes an estimated 105 000 child deaths in India annually. The planned introduction of the serotype-based pneumococcal conjugate vaccine (PCV) is expected to avert child deaths, but the high cost of PCV relative to current vaccines provided under the Universal Immunization Programme has been a concern. Cost-effectiveness studies from high-income countries are not readily comparable because of differences in the distribution of prevalent serotypes, population and health systems. Read More

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http://dx.doi.org/10.1136/bmjgh-2017-000636DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5950640PMC
May 2018
8 Reads

Forecasted impacts of a sofosbuvir-based national hepatitis C treatment programme on Egypt's hepatocellular cancer epidemic: simulation of alternatives.

BMJ Glob Health 2018 20;3(2):e000572. Epub 2018 Apr 20.

Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, Michigan, USA.

Background: Egypt is experiencing a hepatocellular cancer (HCC) epidemic due to widespread hepatitis C virus (HCV) transmission. The use of sofosbuvir-related therapies producing improved treatment success has permitted an updated, nationwide, HCV treatment programme with expanded coverage. This study simulated the multidecade impacts of the new treatment programme on hepatitis and HCC. Read More

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http://dx.doi.org/10.1136/bmjgh-2017-000572DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5914708PMC
April 2018
1 Read

Does the age of acute care physicians impact their (1) crisis management performance and (2) learning after simulation-based education? A protocol for a multicentre prospective cohort study in Toronto and Ottawa, Canada.

BMJ Open 2018 04 21;8(4):e020940. Epub 2018 Apr 21.

Department of Anesthesia, University of Manitoba, Winnipeg, Canada.

Introduction: The proportion of older acute care physicians (ACPs) has been steadily increasing. Ageing is associated with physiological changes and prospective research investigating how such age-related physiological changes affect clinical performance, including crisis resource management (CRM) skills, is lacking. There is a gap in the literature on whether physician's age influences baseline CRM performance and also learning from simulation. Read More

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http://dx.doi.org/10.1136/bmjopen-2017-020940DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5914762PMC
April 2018
6 Reads

Evaluation of cognitive load and emotional states during multidisciplinary critical care simulation sessions.

BMJ Simul Technol Enhanc Learn 2018 Apr 7;4(2):87-91. Epub 2017 Dec 7.

Department of Emergency Medicine, Institute for Medical Simulation and Advanced Learning, Harlem Hospital Center, New York City, New York, USA.

Background: The simulation in critical care setting involves a heterogeneous group of participants with varied background and experience. Measuring the impacts of simulation on emotional state and cognitive load in this setting is not often performed. The feasibility of such measurement in the critical care setting needs further exploration. Read More

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http://stel.bmj.com/lookup/doi/10.1136/bmjstel-2017-000225
Publisher Site
http://dx.doi.org/10.1136/bmjstel-2017-000225DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5890622PMC
April 2018
5 Reads

Rolling-refresher simulation improves performance and retention of paediatric intensive care unit nurse code cart management.

BMJ Simul Technol Enhanc Learn 2018 Apr 25;4(2):77-82. Epub 2017 Sep 25.

Pediatric Critical Care Medicine, Geisel School of Medicine at Dartmouth, Children's Hospital at Dartmouth-Hitchcock, Lebanon, New Hampshire.

Introduction: Paediatric Intensive Care Unit Nurses (PICU RNs) manage the code cart during paediatric emergencies at the Children's Hospital at Dartmouth-Hitchcock. These are low -frequency, high-stakes events.

Methods: An uncontrolled intervention study with 6-month follow-up. Read More

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http://dx.doi.org/10.1136/bmjstel-2017-000243DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5890621PMC
April 2018
4 Reads

Use of EHR-based simulation to diagnose aetiology of information gathering issues in struggling learners: a proof of concept study.

BMJ Simul Technol Enhanc Learn 2018 Apr 3;4(2):92-94. Epub 2017 Jun 3.

Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Sciences University, Portland, Oregon, USA.

Learners who struggle with clinical decision making are often the most challenging to identify and remediate. While for some learners, struggles can be directly traced to a poor knowledge base, for many others, it is more difficult to understand the reason for their struggles. One of the main component of effective decision making is access to accurate and complete clinical information. Read More

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http://dx.doi.org/10.1136/bmjstel-2017-000217DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5890620PMC

Intubating extremely premature newborns: a randomised crossover simulation study.

BMJ Paediatr Open 2017 5;1(1):e000157. Epub 2017 Sep 5.

Division of Neonatal-Perinatal Medicine, Department of Pediatrics and Communicable Diseases, University of Michigan, Ann Arbor, Michigan, USA.

Objective: Determine whether tracheal intubation of extremely low birthweight (ELBW) neonates is more successful with a size-0 or size-00 Miller laryngoscope blade.

Design: Randomised crossover simulation study.

Setting: Simulated neonatal intensive care unit environment. Read More

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http://dx.doi.org/10.1136/bmjpo-2017-000157DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5862193PMC
September 2017
1 Read

Educational intervention to improve intravenous cannulation skills in paediatric nurses using low-fidelity simulation: Indian experience.

BMJ Paediatr Open 2017 22;1(1):e000148. Epub 2017 Dec 22.

Department of Physiology, Pramukhswami Medical College, Karamsad, Gujarat, India.

Introduction: Inserting, monitoring and maintaining intravenous access are essential components of nursing. We evaluated simulation training on a manikin to improve cannulation skills.

Methods: Nursing staff managing paediatric patients were asked to cannulate NITA Newborn-1800 manikin before and after appropriate training. Read More

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http://dx.doi.org/10.1136/bmjpo-2017-000148DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5862185PMC
December 2017
9 Reads

Developing a multisectoral National Action Plan for Health Security (NAPHS) to implement the International Health Regulations (IHR 2005) in Tanzania.

BMJ Glob Health 2018 9;3(2):e000600. Epub 2018 Mar 9.

African Regional Office, World Health Organisation, Brazzaville, Congo.

The Ebola outbreak in West Africa precipitated a renewed momentum to ensure global health security through the expedited and full implementation of the International Health Regulations (IHR) (2005) in all WHO member states. The updated IHR (2005) Monitoring and Evaluation Framework was shared with Member States in 2015 with one mandatory component, that is, States Parties annual reporting to the World Health Assembly (WHA) on compliance and three voluntary components: Joint External Evaluation (JEE), After Action Reviews and Simulation Exercises. In February 2016, Tanzania, was the first country globally to volunteer to do a JEE and the first to use the recommendations for priority actions from the JEE to develop a National Action Plan for Health Security (NAPHS) by February 2017. Read More

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http://gh.bmj.com/lookup/doi/10.1136/bmjgh-2017-000600
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http://dx.doi.org/10.1136/bmjgh-2017-000600DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5873533PMC
March 2018
34 Reads

Projecting the effects of tobacco control policies in the USA through microsimulation: a study protocol.

BMJ Open 2018 03 23;8(3):e019169. Epub 2018 Mar 23.

Department of Epidemiology, University of Michigan, Ann Arbor, Michigan, USA.

Introduction: Smoking remains the leading cause of preventable death in the USA but can be reduced through policy interventions. Computational models of smoking can provide estimates of the projected impact of tobacco control policies and can be used to inform public health decision making. We outline a protocol for simulating the effects of tobacco policies on population health outcomes. Read More

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http://dx.doi.org/10.1136/bmjopen-2017-019169DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5875683PMC
March 2018
5 Reads

A protocol for an economic evaluation of a polypill in patients with established or at high risk of cardiovascular disease in a UK NHS setting: RUPEE (NHS) study.

BMJ Open 2018 03 14;8(3):e013063. Epub 2018 Mar 14.

Southampton Health Technology Assessments Centre, University of Southampton, Southampton, UK.

Introduction: The 'Use of a Multi-drug Pill in Reducing cardiovascular Events' (UMPIRE) trial was a randomised controlled clinical trial evaluating the impact of a polypill strategy on adherence to indicated medication in a population with established cardiovascular disease (CVD) of or at high risk thereof. The aim of Researching the UMPIRE Processes for Economic Evaluation in the National Health Service (RUPEE NHS) is to estimate the potential health economic impact of a polypill strategy for CVD prevention within the NHS using UMPIRE trial and other relevant data. This paper describes the design of a modelled economic evaluation of the impact of increased adherence to the polypill versus usual care among the UK UMPIRE participants. Read More

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http://dx.doi.org/10.1136/bmjopen-2016-013063DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5857692PMC
March 2018
2 Reads

Cost-effectiveness of a complex workplace dietary intervention: an economic evaluation of the Food Choice at Work study.

BMJ Open 2018 03 3;8(3):e019182. Epub 2018 Mar 3.

School of Public Health, University College Cork, Cork, Ireland.

Objective: To evaluate the costs, benefits and cost-effectiveness of complex workplace dietary interventions, involving nutrition education and system-level dietary modification, from the perspective of healthcare providers and employers.

Design: Single-study economic evaluation of a cluster-controlled trial (Food Choice at Work (FCW) study) with 1-year follow-up.

Setting: Four multinational manufacturing workplaces in Cork, Ireland. Read More

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http://dx.doi.org/10.1136/bmjopen-2017-019182DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5879498PMC
March 2018
5 Reads

Cost-effectiveness of mechanical thrombectomy within 6 hours of acute ischaemic stroke in China.

BMJ Open 2018 02 22;8(2):e018951. Epub 2018 Feb 22.

Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.

Objectives: Endovascular mechanical thrombectomy is an effective but expensive therapy for acute ischaemic stroke with proximal anterior circulation occlusion. This study aimed to determine the cost-effectiveness of mechanical thrombectomy in China, which is the largest developing country.

Design: A combination of decision tree and Markov model was developed. Read More

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http://dx.doi.org/10.1136/bmjopen-2017-018951DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5855394PMC
February 2018
4 Reads
2.063 Impact Factor

Evaluation of learning from Practical Obstetric Multi-Professional Training and its impact on patient outcomes in Australia using Kirkpatrick's framework: a mixed methods study.

BMJ Open 2018 02 17;8(2):e017451. Epub 2018 Feb 17.

Monash Women's Service, Monash Health, Melbourne, Australia.

Objectives: The aim of this study was to evaluate the implementation of the Practical Obstetric Multi-Professional Training (PROMPT) simulation using the Kirkpatrick's framework. We explored participants' acquisition of knowledge and skills, its impact on clinical outcomes and organisational change to integrate the PROMPT programme as a credentialing tool. We also aimed to assess participants' perception of usefulness of PROMPT in their clinical practice. Read More

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http://dx.doi.org/10.1136/bmjopen-2017-017451DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5855459PMC
February 2018
4 Reads

Does exposure to simulated patient cases improve accuracy of clinicians' predictive value estimates of diagnostic test results? A within-subjects experiment at St Michael's Hospital, Toronto, Canada.

BMJ Open 2018 02 13;8(2):e019241. Epub 2018 Feb 13.

Department of Family and Community Medicine, Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto, Ontario, Canada.

Objective: Clinicians often overestimate the probability of a disease given a positive test result (positive predictive value; PPV) and the probability of no disease given a negative test result (negative predictive value; NPV). The purpose of this study was to investigate whether experiencing simulated patient cases (ie, an 'experience format') would promote more accurate PPV and NPV estimates compared with a numerical format.

Design: Participants were presented with information about three diagnostic tests for the same fictitious disease and were asked to estimate the PPV and NPV of each test. Read More

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http://dx.doi.org/10.1136/bmjopen-2017-019241DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5829891PMC
February 2018

Emergency percutaneous transtracheal jet ventilation in a hypoxic cardiopulmonary resuscitation setting: a life-saving rescue technique.

BMJ Case Rep 2018 Jan 26;2018. Epub 2018 Jan 26.

Department of Anaesthesiology, VU University Medical Centre, Amsterdam, The Netherlands.

(Un)anticipated difficult airway remains a challenge in anaesthesia. Percutaneous transtracheal jet ventilation has been shown to be an adequate technique for temporary oxygenation and ventilation and has been described as an acknowledged method in emergency settings of an unanticipated difficult airway. These emergency settings can be considered as low incidence high-risk situations. Read More

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http://dx.doi.org/10.1136/bcr-2017-222283DOI Listing
January 2018
7 Reads

Validity of self-reported age at menarche in computer-assisted interview among Chinese schoolgirls: a cross-sectional study.

BMJ Open 2018 01 23;8(1):e016799. Epub 2018 Jan 23.

Key Laboratory of Reproduction Regulation of NPFPC, SIPPR, IRD, Fudan University, Shanghai, China.

Objective: The attitudes of girls regarding menarche vary according to their cultural backgrounds. Asian girls may hesitate to discuss menarche. Computer-assisted self-administered interviewing (CASI) is considered a valid and effective tool for investigating the timing of menarche; however, the validity of self-reported menarche data from CASI in Chinese culture is currently unknown. Read More

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http://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2017-01679
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http://dx.doi.org/10.1136/bmjopen-2017-016799DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5786090PMC
January 2018
13 Reads

Disparities in spread and control of influenza in slums of Delhi: findings from an agent-based modelling study.

BMJ Open 2018 01 21;8(1):e017353. Epub 2018 Jan 21.

Network Dynamics and Simulation Sciences Laboratory, Biocomplexity Institute, Virginia Tech, Blacksburg, Virginia, USA.

Objectives: This research studies the role of slums in the spread and control of infectious diseases in the National Capital Territory of India, Delhi, using detailed social contact networks of its residents.

Methods: We use an agent-based model to study the spread of influenza in Delhi through person-to-person contact. Two different networks are used: one in which slum and non-slum regions are treated the same, and the other in which 298 slum zones are identified. Read More

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http://dx.doi.org/10.1136/bmjopen-2017-017353DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5780711PMC
January 2018
9 Reads

3D printing materials and their use in medical education: a review of current technology and trends for the future.

BMJ Simul Technol Enhanc Learn 2018 Jan 21;4(1):27-40. Epub 2017 Oct 21.

Department of Cardiovascular Surgery, McGill University Health Centre, Montreal, Quebec, Canada.

3D printing is a new technology in constant evolution. It has rapidly expanded and is now being used in health education. Patient-specific models with anatomical fidelity created from imaging dataset have the potential to significantly improve the knowledge and skills of a new generation of surgeons. Read More

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http://dx.doi.org/10.1136/bmjstel-2017-000234DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5765850PMC
January 2018
2 Reads

Medical judgement analogue studies with applications to spaceflight crew medical officer.

BMJ Simul Technol Enhanc Learn 2017 Oct 29;3(4):163-168. Epub 2017 Jun 29.

Medical Education, Summa Health System, Akron, Ohio, USA.

Background: The National Aeronautics and Space Administration (NASA) developed plans for potential emergency conditions from the Exploration Medical Conditions List. In an effort to mitigate conditions on the Exploration Medical Conditions List, NASA implemented a crew medical officer (CMO) designation for eligible astronauts. This pilot study aims to add knowledge that could be used in the Integrated Medical Model. Read More

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http://dx.doi.org/10.1136/bmjstel-2017-000210DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5765846PMC
October 2017
3 Reads

Evaluation of a multiple-encounter in situ simulation for orientation of staff to a new paediatric emergency service: a single-group pretest/post-test study.

BMJ Simul Technol Enhanc Learn 2017 Oct 28;3(4):149-153. Epub 2017 Jun 28.

Nursing Director, Nursing Research and Practice Development Centre, The Prince Charles Hospital, Rode Road, Chermside, Queensland, Australia.

Aim: To assess the utility of a multiple-encounter in-situ (MEIS) simulation as an orientation tool for multidisciplinary staff prior to opening a new paediatric emergency service.

Methods: A single-group pretest/post-test study was conducted. During the MEIS simulation, multidisciplinary staff with participant or observer roles managed eight children (mannequins) who attended triage with their parent/guardians (clinical facilitators) for a range of emergency presentations (structured scenarios designed to represent the expected range of presentations plus test various clinical pathways/systems). Read More

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http://dx.doi.org/10.1136/bmjstel-2016-000138DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5765847PMC
October 2017
7 Reads

Development of the Human Factors Skills for Healthcare Instrument: a valid and reliable tool for assessing interprofessional learning across healthcare practice settings.

BMJ Simul Technol Enhanc Learn 2017 Oct 21;3(4):135-141. Epub 2017 Jun 21.

The Florence Nightingale Faculty of Nursing and Midwifery, King's College London, London, UK.

Background: A central feature of clinical simulation training is human factors skills, providing staff with the social and cognitive skills to cope with demanding clinical situations. Although these skills are critical to safe patient care, assessing their learning is challenging. This study aimed to develop, pilot and evaluate a valid and reliable structured instrument to assess human factors skills, which can be used pre- and post-simulation training, and is relevant across a range of healthcare professions. Read More

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http://dx.doi.org/10.1136/bmjstel-2016-000159DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5765849PMC
October 2017
5 Reads

GMC's push for erasure of paediatrician is questionable.

Authors:
David J Nicholl

BMJ 2018 01 16;360:k169. Epub 2018 Jan 16.

Department of Neurology, City Hospital, Birmingham B18 7QH, UK.

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http://dx.doi.org/10.1136/bmj.k169DOI Listing
January 2018
1 Read

Mystery shopping and coaching as a form of audit and feedback to improve community pharmacy management of non-prescription medicine requests: an intervention study.

BMJ Open 2017 Dec 14;7(12):e019462. Epub 2017 Dec 14.

Faculty of Pharmacy, The University of Sydney, Sydney, New South Wales, Australia.

Objectives: To determine whether repeated mystery shopping visits with feedback improve pharmacy performance over nine visits and to determine what factors predict an appropriate outcome.

Design: Prospective, parallel, repeated intervention, repeated measures mystery shopping (pseudopatient) design.

Setting: Thirty-six community pharmacies in metropolitan Sydney, Australia in March-October 2015. Read More

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http://dx.doi.org/10.1136/bmjopen-2017-019462DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5735410PMC
December 2017
3 Reads

Efficacy of educational video game versus traditional educational apps at improving physician decision making in trauma triage: randomized controlled trial.

BMJ 2017 12 12;359:j5416. Epub 2017 Dec 12.

The Dartmouth Institute, Williamson Translational Building, 5th Floor, One Medical Center Drive, Lebanon, NH 03756, USA.

Objective: To determine whether a behavioral intervention delivered through a video game can improve the appropriateness of trauma triage decisions in the emergency department of non-trauma centers.

Design: Randomized clinical trial.

Setting: Online intervention in national sample of emergency medicine physicians who make triage decisions at US hospitals. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5725983PMC
http://dx.doi.org/10.1136/bmj.j5416DOI Listing
December 2017
6 Reads