Department of Surgery and Cancer, Imperial College London, 10th Floor, QEQM Building, St Mary's Hospital, Praed Street, London, UK W2 1NY.
Am J Surg. 2013 Jul;206(1):96-102. doi: 10.1016/j.amjsurg.2012.08.013. Epub 2013 Mar 30.
The role of simulation in surgical education, initially confined to technical skills and procedural tasks, increasingly includes training nontechnical skills including communication, crisis management, and teamwork. Research suggests that many preventable adverse events can be attributed to nontechnical error occurring within a ward context. Ward rounds represent the primary point of interaction between patient and physician but take place without formalized training or assessment. The simulated ward should provide an environment in which processes of perioperative care can be performed safely and realistically, allowing multidisciplinary assessment and training of full ward rounds. We review existing literature and describe our experience in setting up our ward simulator. We examine the facilities, equipment, cost, and personnel required for establishing a surgical ward simulator and consider the scenario development, assessment, and feedback tools necessary to integrate it into a surgical curriculum.
模拟在外科教育中的作用，最初仅限于技术技能和程序任务，越来越多地包括培训非技术技能，包括沟通、危机管理和团队合作。研究表明，许多可预防的不良事件可归因于病房环境中发生的非技术错误。病房查房是患者和医生之间的主要交互点，但没有经过正式的培训或评估。模拟病房应该提供一个可以安全、真实地进行围手术期护理过程的环境，允许多学科评估和全面病房查房培训。我们回顾了现有文献，并描述了我们在建立病房模拟器方面的经验。我们检查了建立外科病房模拟器所需的设施、设备、成本和人员，并考虑了将其纳入外科课程所需的情景开发、评估和反馈工具。
