EXAM QUESTIONS AND VERIFIED CORRECT
ANSWERS JUST RELEASED
is the concept of how realistic a simulator is, compared
to the object or scenario it is designed to simulate. - ANS >>>Face
validity is the concept of how realistic a simulator is, compared to
the object or scenario it is designed to simulate.
Utilizing animal skin is a common method to reproduce the
'surgical feel' of skin incisions and soft tissue dissection. However,
high levels of educational attainment can be obtained with
simulators with low face validity, such as tonsil tie simulators
made out of cardboard tubes have been shown to significantly
increase trainees' ability and confidence in performing tonsil ties,
despite having low face validity.
What is an in-situ simulation? - ANS >>>In-situ training using
simulation has the potential to increase patient safety if
administered in a controlled manner. In this type of training
initiative, simulation technicians must also be aware of the
introduction of points of failure for patient safety concerning
simulated supplies, medication, and equipment.
Some patient simulators and task trainers require the use of
simulated supplies or equipment for the best results. Ensuring
simulated supplies and equipment are not used on real patients is
essential, particularly during in-situ events where simulated and
actual supplies and equipment are nearby.
what is a sentinel event vs serious reportable events? - ANS >>>The
,Joint Commission defines a sentinel event as an unexpected
occurrence involving death, serious physical or psychological
injury.[1] The event can result in death, permanent harm, or
severe, temporary harm. The term sentinel means a system issue
that may result in similar events in the future. The National Quality
Forum defined the term serious reportable events as "preventable,
serious, and unambiguous adverse events that should never
occur."
What type of analysis is a systematic, proactive method for
identifying potential risks and assess their impact before harm has
occurred? - ANS >>>Failure mode effect analysis is a systematic,
proactive method for identifying potential risks and assess their
impact before harm has occurred.
It is making a plan to manage cases, identify potential risks, and
assess their impact before harm has occurred.
Failure mode effect analysis in which each potential threat is
assigned an occurrence, detection, and severity score. The product
of these factors provides a risk priority number by which potential
threats can then be objectively ranked and addressed by the
overall risk profile
What is Peyton's 4 steps of procedural skills training? - ANS >>>The
4 steps in Peyton's model are demonstration, deconstruction,
comprehension, and performance.
The second stage in Peyton's model is deconstruction which
involves the trainer performing the steps of a procedure slowly
with the verbal explanation being given.
Peyton's four-step model is an effective tool in non-technical skills
development and transference of technical skills.
The final step in Payton's model involves the student being able to
narrate and execute the skill from start to finish; demonstrating
,learning success.
Post-event debriefing is a common method of providing feedback
to learners following a simulation. Feedback during rapid cycle
deliberate practice takes a different form. Which of the following
describes the rationale for the type of feedback employed in rapid
cycle deliberate practice? - ANS >>>Incorporation of frequent
feedback allows for improvement during iterative cycles of the
same scenario.
Feedback is more frequent and may be more succinct in micro
debriefings compared to other forms of debriefing.
Feedback occurs during the scenario in the form of micro
debriefings, rather than exclusively at the end.
The repetition of a scenario after a micro debriefing has been
reported variably in the literature. Some facilitators repeat the
preceding 10-30 seconds while others repeat the entire simulation.
What approach uses a combination of advocacy (making an
objective statement about the scenario) and inquiry (asking a
focused question about the learner's choices, in a spirit of
curiosity)? - ANS >>>The "debriefing with good judgment" approach
uses a combination of advocacy (making an objective statement
about the scenario) and inquiry (asking a focused question about
the learner's choices, in a spirit of curiosity).
, By encouraging learners to talk through their own performance,
the facilitator creatively encourages self-assessment and reflection
while also allowing the learner to explain where they are coming
from in their own thoughts.
Debriefing with good judgment may be more effective than the
"sandwich approach," as the latter can excessively sugar-coat the
problem, meaning that less self-reflection occurs.
What is a simulated patient vs a teaching patient? - ANS >>>A
simulated patient is one that would portray signs and symptoms of
a particular psychiatric illness- for, e.g., a person can take on the
role of an agitated patient so as to teach about different de-
escalation techniques.
A simulated patient tends to be an actor trained to
portray illness. Simulated patients DO not actually
have the illness they are portraying.
A teaching patient may sometimes be referred to as a patient who
may discuss actual signs and symptoms that he /she may actually
have, while role-play may refer to learners that may portray the
roles of one with illness for the purpose of learning.
What is the most effective way to practice communication skills? -
ANS >>>Standardized patient examinations are the most effective
way to practice communication skills.
Being recorded during these examinations allows you to re-watch
the exam and see what you need to work on.
Standardized patients and preceptors can both give feedback on your
examination. This allows for course content and tracking to be
replicated and outcomes between examinees during the simulation
measured.
Practicing with other students may help, but the feedback may be
incorrect or may miss important deficits in communication.
what are concerns with video debriefing and how can you address