An electronic dashboard for oxygen monitoring and stockout prevention was implemented during the COVID-19 pandemic in 2022 by Jhpiego through United States Agency International Development Reaching Impact, Saturation, Epidemic Control program Government of Lesotho across 12 hospitals Lesotho. Nurses documented patient blood levels, usage, facility-level stocks on a daily checklist, which populated that estimated demand usage visualized impending stockouts. During 359 facility days evaluated,...

Objectives: To study the effect of an intervention on prevention respiratory arrest and cardiopulmonary (CPA) to characterize ward CPAs by preceding signs symptoms initial cardiac rhythm.Design: A before-and-after interventional trial (12 months preintervention 12 postintervention).Setting: tertiary care, academic children's hospital.Participants: Admitted patients who subsequently had either code team or pediatric medical emergency (PMET) called a CPA wards.Intervention: Transition from...

Myocardial stunning is the transient cardiac dysfunction that follows brief episodes of ischemia and reperfusion without associated myocardial necrosis. Currently, there limited knowledge about its cellular biochemical mechanisms. In order to better understand underlying mechanisms contractile with stunning, comprehensive proteomic studies using 2-D DIGE were performed a regional model in canine heart. Cardiac myosin binding protein C (cMyBP-C), regulatory myofilament thick filament,...

Purpose To determine whether medical students and faculty perceive differences in the effectiveness of interactions with real patients versus simulated (SPs) communication skills training. Method In 2008, authors recruited volunteer outpatients (VOs) from Johns Hopkins University School Medicine internal medicine practice to participate training for all first-year students. VOs SPs were assigned clinic rooms simulation center. Each group five its preceptor rotated through randomly on two...

Research suggests that medical students are not accurate in self-assessment, but it is clear whether over- or underestimate their skills how certain characteristics correlate with accuracy self-assessment. The goal of this study was to determine the effect gender and anxiety on students' self-assessment actual performance context a high-stakes assessment.Prior fourth year school, two classes at Johns Hopkins University School Medicine completed required clinical exam fall 2010 2011,...

Summary Statement Rapid-cycle deliberate practice (RCDP) is a learner-centered simulation instructional strategy that identifies performance gaps and targets feedback to improve individual or team deficiencies. Learners have multiple opportunities observational, deductive, decision-making, psychomotor, crisis resource management skills. As its implementation grows, simulationists need shared mental model of RCDP build high-quality RCDP-based initiatives. To compare make general inferences...

Abstract Neonatal deaths are a major contributor to global under-5-year-old mortality. Training birth attendants can improve perinatal outcomes, but skills may fade over time. In this pilot study, we assessed skill decay of nursing students after remote video versus in-person resuscitation training in low-resource setting. Filipino ( n = 49) underwent traditional, simulation-based Helping Babies Breathe (HBB) Mindanao, Philippines. Participants were then assigned receive refresher at 2-month...

Management of pediatric cardiopulmonary arrest (CPA) is challenging because the low volume experience most health care providers. Use cognitive aids may assist in making rapid decisions these crises; however, there are no known published reports on whether actually used during management and they impact quality care.Sixty residents participated individual simulated CPA scenarios, which involved pulseless ventricular tachycardia electrical activity. Our primary outcome measure was proportion...

Abstract Objective To determine whether exposing junior doctors to Situation, Background, Assessment, Recommendation (SBAR) improves their telephone referrals. SBAR is a standardised minimum information communication tool. Methods A randomised controlled trial with participants and rating clinicians both blinded group allocation. Hospital interns from 2-year period (2006–2007) participated in two simulated clinical scenarios which required them make The intervention was educated between...

Assess the effect of a simulation "boot camp" on ability pediatric nurse practitioners to identify and treat low cardiac output state in postoperative patients with congenital heart disease. Additionally, assess practitioners' confidence satisfaction training.Prospective pre/post interventional pilot study.University center.Thirty acute care from 13 academic medical centers North America.We conducted an expert opinion survey guide curriculum development. The included didactic sessions, case...

Abstract Background Early mobility is one strategy to reduce the harm from immobility that children experience in paediatric intensive care unit (PICU). Early‐mobility programmes rely on nurses, who currently perceive insufficient training as a barrier mobilizing critically ill children. Nurses have identified simulation improve implementation of early‐mobility protocols. Aim To use adult learning theory develop an curriculum for nurses and evaluate if improves nursing self‐efficacy,...

Background: Paediatric intubations are a relatively rare but critical procedure that requires adequate practice to achieve skillful performance. Simulation is method teach intubation skills in safe environment. Rapid Cycle Deliberate Practice (RCDP), as of simulation debriefing, has been shown improve pediatric resident resuscitation skills. It not demonstrated if RCDP can be effectively used procedural training. The objective this study was determine with feedback real-time, well an...

Perdana University Graduate School of Medicine (PUGSOM), the first graduate-entry medical school in Malaysia, was established 2011 collaboration with Johns Hopkins (JHUSOM), an American school. This study compared learning environments (LE) at these two schools, which shared same overarching curriculum, along a comparator Malaysian school, Cyberjaya College Medical Sciences (CUCMS). As secondary aim, we 2 LE assessment tools - widely-used Dundee Ready Educational Environment Measure (DREEM)...

Introduction Difficult patient encounters (DPEs) are common and can lead to frustration dissatisfaction among healthcare providers. Pediatric resident physician experiences with DPEs curricula for enhancing necessary communication skills have not been well described. Materials methods We used a cross-sectional survey research design our needs assessment on DPEs. Thirty-three pediatric residents completed this anonymous survey. The assessed residents' self-efficacy regarding Descriptive...

Introduction: Supraventricular tachycardia (SVT) is the most frequent tachydysrhythmia in children. SVT with hemodynamic compromise should be terminated by immediate electrical cardioversion. Study objectives were to: (1) establish time to recognition and cardioversion of simulated unstable SVT; (2) document delays mistakes made during Methods: Ten teams pediatric residents presented an unresponsive "patient" (Laerdal SimMan) SVT. Actions team members simulator timestamps key events...

While a strong learning environment is critical to medical student education, the assessment of school environments has confounded researchers. Our goal was assess validity and utility Johns Hopkins Learning Environment Scale (JHLES) for preclinical students at three Malaysian schools with distinct educational institutional models. Two were new international partnerships, third leaver program established without partnership.First- second-year responded anonymously surveys end academic year....

Eighty percent of the 10 million annual deaths in children aged <5 years developing countries are estimated to be avoidable, with improvements education for pediatric emergency management being a key factor. Education must take into account cultural considerations effective. Study objectives were: (1) use simulation identify factors posing barriers patient care limited resource settings (LRS); and (2) understand how simulations LRS can affect communication decision-making processes.A...