Simulation is an educational approach well suited to development of knowledge and decision-making skills for emergent or infrequent scenarios. Electronic Health Record (EHR) based simulation, in which participants retrieve information from a simulated EHR, provides an authentic training environment with fidelity to the typical clinical decision-making process and has been associated with enduring changes in EHR use patterns. However, we do not know whether these behavior changes reflect better decision-making. We aimed to develop a measure of pediatric resident performance in an EHR based simulation using the Situation Awareness Global Assessment Technique (SAGAT).
Get full access to this article
View all access options for this article.
References
1.
AndreattaP.MarzanoD.Lori. (2014). Using Simulation for Risk Management and Quality Improvement. In UlrichB. T.ManciniM., Mastering Simulation: A Nurse’s Handbook for Success. Retrieved from http://site.ebrary.com/id/10775127
2.
AshJ. S.BergM.CoieraE. (2004). Some unintended consequences of information technology in health care: the nature of patient care information system-related errors. Journal of the American Medical Informatics Association, 11(2), 104–112. https://doi.org/10.1197/jamia.M1471
3.
BeckerD. (2014). Using Simulation in Academic Environments to Improve Learner Performance. In UlrichB. T.ManciniM., Mastering Simulation: A Nurse’s Handbook for Success. Retrieved from http://site.ebrary.com/id/10775127
4.
EndsleyM. R. (2016). Designing for Situation Awareness: An Approach to User-Centered Design, Second Edition. https://doi.org/10.1201/b11371
5.
GeisG. L.WheelerD. S.BungerA.MilitelloL. G.TaylorR. G.BauerJ. P.… PattersonM. D. (2018). A Validation Argument for a Simulation-Based Training Course Centered on Assessment, Recognition, and Early Management of Pediatric Sepsis. Simulation in Healthcare: Journal of the Society for Simulation in Healthcare, 13(1), 16–26. https://doi.org/10.1097/SIH.0000000000000271
6.
Institute of Medicine (US) Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine. (2011). The Future of Nursing: Leading Change, Advancing Health. Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK209880/
7.
KleinG.MilitelloL. (2001). 4. Some guidelines for conducting a cognitive task analysis. In Advances in Human Performance and Cognitive Engineering Research: Vol. 1. Advances in Human Performance and Cognitive Engineering Research (Vol. 1, pp. 163–199). https://doi.org/10.1016/S1479-3601(01)01006-2
8.
KoppelR. (2005). Role of Computerized Physician Order Entry Systems in Facilitating Medication Errors. JAMA, 293(10), 1197. https://doi.org/10.1001/jama.293.10.1197
9.
MarchC. A.SteigerD.SchollG.MohanV.HershW. R.GoldJ. A. (2013). Use of simulation to assess electronic health record safety in the intensive care unit: a pilot study. BMJ Open, 3(4), e002549. https://doi.org/10.1136/bmjopen-2013-002549
10.
OrensteinE. W.RasoolyI. R.MaiM. V.DziornyA. C.PhillipsW.UtidjianL.… BonafideC. P. (2018). Influence of simulation on electronic health record use patterns among pediatric residents. Journal of the American Medical Informatics Association. https://doi.org/10.1093/jamia/ocy105
11.
PattersonEmilyS.RogersMichelleL.RenderMartaL. (2004). A simulation-based embedded probe technique for human-computer interaction evaluation. Cognition, Technology & Work, 6(3). https://doi.org/10.1007/s10111-004-0161-3
12.
RussA. L.JahnM. A.PatelH.PorterB. W.NguyenK. A.ZillichA. J.… SimonS. R. (2018). Usability evaluation of a medication reconciliation tool: Embedding safety probes to assess users’ detection of medication discrepancies. Journal of Biomedical Informatics, 82, 178–186. https://doi.org/10.1016/j.jbi.2018.05.002
13.
SchubertC. R. (2012). Effect of Simulation on Nursing Knowledge and Critical Thinking in Failure to Rescue Events. The Journal of Continuing Education in Nursing, 43(10), 467–471. https://doi.org/10.3928/00220124-20120904-27
14.
WrightM. C. (2004). Objective measures of situation awareness in a simulated medical environment. Quality and Safety in Health Care, 13(suppl_1), i65–i71. https://doi.org/10.1136/qhc.13.suppl_1.i65
