Evidence map›Paper›PMID 33842806›Full record

ArticleAEM education and training2021

Integration of In Situ Simulation Into an Emergency Department Code Orange Exercise in a Tertiary Care Trauma Referral Center.

Harrison Carmichael, George Mastoras, Caroline Nolan, Hung Tan, Jeffrey Tochkin, Cari Poulin, Andrew Willmore, Glenn Posner

Open access · greenAbstract read
In one paragraph

Article in AEM education and training, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Harrison CarmichaelDepartment of Emergency Medicine University of Ottawa Ottawa Ontario Canada.ORCID https://orcid.org/0000-0001-6728-283X
George MastorasDepartment of Emergency Medicine University of Ottawa Ottawa Ontario Canada.
Caroline Nolanthe Department of Emergency Management The Ottawa Hospital Ottawa Ontario Canada.
Hung Tanthe Department of Emergency Management The Ottawa Hospital Ottawa Ontario Canada.
Jeffrey Tochkinthe Department of Emergency Management The Ottawa Hospital Ottawa Ontario Canada.
Cari PoulinDepartment of Emergency Medicine University of Ottawa Ottawa Ontario Canada.
Andrew WillmoreDepartment of Emergency Medicine University of Ottawa Ottawa Ontario Canada.
Glenn Posnerand the Department of Obstetrics & Gynecology Department of Innovation in Medical Education University of Ottawa Ottawa Ontario Canada.
University of Ottawa · CAOttawa Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesDisaster-preparedness and response are a commonly overlooked aspect of hospital policy and can frequently be outdated and undertested. Simulation-based education has become a core education modality within Canadian medical training programs. We hypothesized that integrating in situ simulation (ISS) into a hospital-wide, mass-casualty response exercise would enhance realism and our ability to identify latent safety threats (LSTs).

methodsUsing ISS we created a simulated mass shooting scenario with 20 patients, played by actors in full moulage, presenting to a large tertiary care hospital over a 50-minute period.

resultsIntegrating ISS into our exercise created a realistic experience for the participants involved and improved participant education, while imparting enough systemic stress to expose LSTs associated within patient care and hospital policy.

conclusionOverall, ISS was successfully used and enhanced a large-scale test of our hospital's mass-casualty response plan.

Identifiers

PMID33842806
PMCPMC8019225
OpenAlexW3032925586

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.