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Full-Text Articles in Medicine and Health Sciences

Patient-Centered Appointment Scheduling Using Agent-Based Simulation, Tammy Toscos, Ayten Turkcan, Brad Doebbeling Dec 2015

Patient-Centered Appointment Scheduling Using Agent-Based Simulation, Tammy Toscos, Ayten Turkcan, Brad Doebbeling

Tammy R Toscos

Enhanced access and continuity are key components of patient-centered care. Existing studies show that several interventions such as providing same day appointments, walk-in services, after-hours care, and group appointments, have been used to redesign the healthcare systems for improved access to primary care. However, an intervention focusing on a single component of care delivery (i.e. improving access to acute care) might have a negative impact other components of the system (i.e. reduced continuity of care for chronic patients). Therefore, primary care clinics should consider implementing multiple interventions tailored for their patient population needs. We collected rapid ethnography and observations to …


Simulated Surgical Workshops Enhance Medical School Students' Preparation For Clinical Rotation, Patricia Johnson, Christine Sly, Patrick Warnke May 2015

Simulated Surgical Workshops Enhance Medical School Students' Preparation For Clinical Rotation, Patricia Johnson, Christine Sly, Patrick Warnke

Patricia Johnson

Background A major focus of the medical school curriculum is to ensure medical students are well prepared prior to entering clinical rotations, which includes the compulsory surgical rotation. Objectives The objective of this research was to design and formally evaluate a set of real-life surgical workshops aimed at better preparing medical students for their clinical rotation in surgery. These workshops would be incorporated into the pre-clinical medical school curriculum. Method Dedicated surgical workshops were introduced into the pre-clinical component of the Bachelor of Medicine/Bachelor of Surgery (MBBS) program at our University in 2009. These workshops encompassed training in the clinical …


Preparing Nurse Educators: Designing Hps Simulations Using Cerner Aes., Rachel Ramsey, Katrina Kessler, Robert Snow Dec 2014

Preparing Nurse Educators: Designing Hps Simulations Using Cerner Aes., Rachel Ramsey, Katrina Kessler, Robert Snow

Katrina J Eby

No abstract provided.


Preparing Nurse Educators: Designing Hps Simulations Using Cerner Aes., Rachel Ramsey, Katrina Kessler, Robert Snow Dec 2014

Preparing Nurse Educators: Designing Hps Simulations Using Cerner Aes., Rachel Ramsey, Katrina Kessler, Robert Snow

Rachel A. Ramsey

No abstract provided.


Clinical Reasoning During Simulation: Comparison Of Student And Faculty Ratings, Rebecca Jensen Jun 2014

Clinical Reasoning During Simulation: Comparison Of Student And Faculty Ratings, Rebecca Jensen

Rebecca S Jensen

A recently developed tool, the Lasater Clinical Judgment Rubric (LCJR) was used to evaluate nursing students' clinical reasoning during simulated pateint care scenarios. For two semesters, students and nursing faculty completed the clinical reasoning tool after participating in and observing students' reactions to simulated emergent patient simulations. Sores were compared between nursing students and faculty and between programs, associate (AS) and baccalaureate of science (BS). Students' scores differed statistically based on program, BS means greater than AS, but student and faculty ratings were rarely significantly different. Additional research across multiple programs for a larger sample size and additional testing of …


Testing A Mnemonic On Response Skills During Simulated Codes, Luanne Linnard-Palmer, William Phillips, Margaret Fink, Olivia Catolico, Natalie Sweeny May 2013

Testing A Mnemonic On Response Skills During Simulated Codes, Luanne Linnard-Palmer, William Phillips, Margaret Fink, Olivia Catolico, Natalie Sweeny

Margaret Fink

Background Baccalaureate nursing students rarely have the opportunity to practice emergency response skills. Simulation gives students the ability to practice emergency procedures in an environment that is safe. Method Nursing students’ skills accuracy and confidence ratings were assessed before and after an instructional module that incorporated a mnemonic, named ABCD-COPIME, to improve emergency response techniques to a simulated code blue scenario. Seven nursing students completed 7 trials of responding to a code blue simulation. After each trial, skill accuracy was assessed with a skills checklist, and after Trials 1, 4, and 7, each student’s confidence was measured by self-report. A …


Testing A Mnemonic On Response Skills During Simulated Codes, Luanne Linnard-Palmer, William Phillips, Margaret Fink, Olivia Catolico, Natalie Sweeny May 2013

Testing A Mnemonic On Response Skills During Simulated Codes, Luanne Linnard-Palmer, William Phillips, Margaret Fink, Olivia Catolico, Natalie Sweeny

Luanne Linnard-Palmer

Background Baccalaureate nursing students rarely have the opportunity to practice emergency response skills. Simulation gives students the ability to practice emergency procedures in an environment that is safe. Method Nursing students’ skills accuracy and confidence ratings were assessed before and after an instructional module that incorporated a mnemonic, named ABCD-COPIME, to improve emergency response techniques to a simulated code blue scenario. Seven nursing students completed 7 trials of responding to a code blue simulation. After each trial, skill accuracy was assessed with a skills checklist, and after Trials 1, 4, and 7, each student’s confidence was measured by self-report. A …


Geant4 Physics Processes For Microdosimetry Simulation: Design Foundation And Implementation Of The First Set Of Models, S. Chauvie, Z. Francis, S. Guatelli, S. Incerti, B. Mascialino, P. Moretto, P. Nieminen, Maria Pia Dec 2012

Geant4 Physics Processes For Microdosimetry Simulation: Design Foundation And Implementation Of The First Set Of Models, S. Chauvie, Z. Francis, S. Guatelli, S. Incerti, B. Mascialino, P. Moretto, P. Nieminen, Maria Pia

Susanna Guatelli

New physical processes specific for microdosimetry simulation are under development in the Geant4 Low Energy Electromagnetic package. The first set of models implemented for this purpose cover the interactions of electrons, protons and light ions in liquid water; they address a physics domain relevant to the simulation of radiation effects in biological systems, where water represents an important component. The design developed for effectively handling particle interactions down to a low energy scale and the physics models implemented in the first public release of the software are described.