Zusammenfassung
Der technologische Fortschritt der Simulationshersteller hat es in den letzten Jahren zunehmend einfacher gemacht, die realitätsnahe Simulation auch außerhalb von fest aufgebauten Simulationszentren durchzuführen. Der erste realitätsnahe Simulator »SimOne « aus dem Jahr 1961 hat mehrere Räume gefüllt und hatte eine Vielzahl von schweren Computern und Maschinen konnektiert, so dass eine mobile Simulation allein schon aufgrund der Technologie unmöglich gewesen wäre (► Kap. 25; [1], [5]). Aber auch die Nachfolgegeneration in den 80er und 90er Jahren waren noch sehr große Simulatoren, die mit schweren, außerhalb der Patientenpuppe aufgestellten Gerätetürmen mit Simulationstechnik verbunden waren, so dass ein Transport dieser Simulatoren nur mit großem Aufwand und großen Transportgeräten möglich war. Seit Einführung der kompakten Simulatoren, die anfänglich bis auf die Druckluft und die Computersteuerung im Wesentlichen alle Aggregate innerhalb der Simulationspuppe integriert hatten, war es möglich, die Simulation mit vertretbarem Aufwand mobil anzubieten. Inzwischen werden Simulatoren angeboten, die gänzlich ohne Kabelverbindungen auskommen (Funksteuerung , Druckluft und Flüssigkeit im Mannequin gespeichert).
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Similar content being viewed by others
Literatur
Abrahamson S, Denson J S, Wolf RM (1969) Effectiveness of a simulator in training anesthesiology residents. J Med Educ, 44, 515–519
Allan CK, Thiagarajan RR, Beke D, Imprescia A, Kappus LJ, Garden A et al. (2010) Simulation-based training delivered directly to the pediatric cardiac intensive care unit engenders preparedness, comfort, and decreased anxiety among multidisciplinary resuscitation teams. J Thorac Cardiovasc Surg, 140 (3), 646-652.
Berkenstadt H, Erez D, Munz Y, Simon D, Ziv A (2007) Training and assessment of trauma management: the role of simulation-based medical education. Anesthesiol Clin, 25 (1), 65–74, viii–ix.
Birnbach DJ, Salas E (2008) Can medical simulation and team training reduce errors in labor and delivery? Anesthesiol Clin, 26 (1), 159–168, viii
Dieckmann P, Gaba D, Rall M (2007) Deepening the theoretical foundations of patient simulation as social practice. Simul Healthc, 2 (3), 183–193
Dieckmann P, Rall M (2008) Becoming a simulator instructor and learning to facilitate: The Instructor and Facilitation Training (In- FacT). In R. Kyle & B. W. Murray (Eds.), Clinical Simulation: Operations, Engineering, and Management (pp. 647–652). Burlington: Academic Press
Draycott TJ, Crofts JF, Ash JP, Wilson LV, Yard E, Sibanda T et al. (2008) Improving neonatal outcome through practical shoulder dystocia training. Obstet Gynecol, 112 (1), 14–20
Eppich WJ, Adler MD, McGaghie WC (2006) Emergency and critical care pediatrics: use of medical simulation for training in acute pediatric emergencies. Curr Opin Pediatr, 18 (3), 266–271
Fanning RM, Gaba DM (2007) The role of debriefing in simulation- based learning. Simulation in Healthcare, 2, 115–125
Gaba DM (2004) The future vision of simulation in health care. Qual Saf Health Care, 13 Suppl 1, i2–10
Hunt EA, Walker AR, Shaffner DH, Miller MR, Pronovost PJ (2008) Simulation of in-hospital pediatric medical emergencies and cardiopulmonary arrests: highlighting the importance of the first 5 minutes. Pediatrics, 121 (1), e34–43
Issenberg SB, McGaghie WC, Petrusa ER, Lee Gordon D, Scalese RJ (2005) Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review. Med Teach, 27 (1), 10–28
Issenberg SB, Scalese RJ (2008) (Vol. 51)
Jacobsen J, Lindekaer AL, Ostergaard HT, Nielsen K, Ostergaard D, Laub M et al. (2001) Management of anaphylactic shock evaluated using a full-scale anaesthesia simulator. Acta Anaesthesiologica Scandinavica, 45 (3), 315–319
McGaghie WC, Issenberg SB, Petrusa ER, Scalese RJ (2006) Effect of practice on standardised learning outcomes in simulationbased medical education. Med Educ, 40 (8), 792–797
Meakin GH (2007) Simulator-based training in paediatric anaesthesia. Br J Anaesth, 99 (2), 299; author reply 299
Niles D, Sutton RM, Donoghue A, Kalsi MS, Roberts K, Boyle L et al. (2009) »Rolling Refreshers«: a novel approach to main- tain CPR psychomotor skill competence. Resuscitation, 80 (8), 909–912
Nishisaki A, Donoghue AJ, Colborn S, Watson C, Meyer A, Brown CA 3rd et al. (2010) Effect of just-in-time simulation training on tracheal intubation procedure safety in the pediatric intensive care unit. Anesthesiology, 113(1), 214–223.
Nishisaki A, Keren R, Nadkarni V (2007) Does simulation improve patient safety? Self-efficacy, competence, operational performance, and patient safety. Anesthesiol Clin, 25 (2), 225–236
20 Nishisaki A, Scrattish L, Boulet J, Kalsi M, Maltese M, Castner T et l. (2008) Effect of Recent Refresher Training on in Situ Simulated Pediatric Tracheal Intubation Psychomotor Skill Performance. In: Advances in patient safety: New directions and alternative approaches. Vol. 3: Performance and Tools
21 Patterson MD, Blike GT, Nadkarni VM (2008) In Situ Simulation: Challenges and Results. In: Advances in Patient Safety: New Directions and Alternative Approaches. Vol. 3: Performance and Tools
Rall M (2010) Notfallsimulation fur die Praxis. Notfallmedizin Up2- date (5), 1–24
Rall M, Dieckmann P (2005) Safety culture and crisis resource management in airway management: general principles to enhance patient safety in critical airway situations. Best Pract Res Clin Anaesthesiol, 19 (4), 539–557
Rall M, Gaba DM (2009) Patient Simulation. In R. D. Miller (Ed.), Miller’s Anesthesia 7th Ed (7 ed., pp. 151–192). Philadelphia, PA: Elsevier, Churchhill Livingstone
Rall M, Gaba DM, Miller RD (2005) Patient Simulators Milleris Anesthesia (Vol. 6, pp. 3073–3104). Philadelphia: Elsevier Churchill Livingstone
Rall M, Lackner CK (2010) Crisis Resource Management (CRM – Der Faktor Mensch in der Akutmedizin (Leitthema). Notfall & Rettungsmedizin (13), 249–256
Rall M, Manser T, Howard SK (2000) Key Elements of debriefing for simulator training. European Journal of Anaesthesiology, 17 (8), 516 (Abstract)
Rall M, Stricker E, Reddersen S, Zieger J, Dieckmann P (2008) Mobile ‘in-situ’ crisis resource management training: simulator courses with video-assisted debriefing where participants work. In R. Kyle & B. W. Murray (Eds.), Clinical Simulation: Operations, Engineering, and Management (pp. 565–581). Burlington: Academic Press
Ringsted C, Ostergaard D, Ravn L, Pedersen JA, Berlac PA, Van Der Vleuten CP (2003) A feasibility study comparing checklists and global rating forms to assess resident performance in clinical skills. Med Teach, 25 (6), 654–658
Rosenstock C, Ostergaard D, Kristensen MS, Lippert A, Ruhnau B, Rasmussen LS (2004) Residents lack knowledge and practical skills in handling the difficult airway. Acta Anaesthesiol Scand, 48 (8), 1014–1018
Smith HM, Jacob AK, Segura LG, Dilger JA, Torsher LC (2008) Simulation Education in Anesthesia Training: A Case Report of Successful Resuscitation of Bupivacaine-Induced Cardiac Arrest Linked to Recent Simulation Training. Anesth Analg, 106 (5), 1581–1584
Steadman RH (2008) The American Society of Anesthesiologists’ national endorsement program for simulation centers. J Crit Care, 23 (2), 203–206
Sutton RM, Nadkarni VM, Berg RA (2009) Improving pediatric cardiopulmonary resuscitation techniques on manikins: one small step for critical care medicine... one giant leap for mankind! Pediatr Crit Care Med, 10 (3), 407–409
Sutton RM, Niles D, Meaney PA, Aplenc R, French B, Abella BS et al. (2011) Low-dose, high-frequency CPR training improves skill retention of in-hospital pediatric providers. Pediatrics, 128 (1), e145–151
Weinstock PH, Kappus LJ, Garden A, Burns JP (2009) Simulation at the point of care: reduced-cost, in situ training via a mobile cart. Pediatr Crit Care Med, 10 (2), 176–181
Weinstock PH, Kappus LJ, Kleinman ME, Grenier B, Hickey P, Burns JP (2005) Toward a new paradigm in hospital-based pediatric education: the development of an onsite simulator program. Pediatr Crit Care Med, 6 (6), 635–641
Weller JM, Janssen, AL, Merry AF, Robinson B (2008) Interdisciplinary team interactions: a qualitative study of perceptions of team function in simulated anaesthesia crises. Med Educ, 42 (4), 382–388
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Rall, M. (2013). Mobile »in-situ«-Simulation – »Train where you work«. In: St.Pierre, M., Breuer, G. (eds) Simulation in der Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-29436-5_17
Download citation
DOI: https://doi.org/10.1007/978-3-642-29436-5_17
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-29435-8
Online ISBN: 978-3-642-29436-5
eBook Packages: Medicine (German Language)