Simulation-based Training Course Research Articles

Obstetric Simulation as a Risk Control Strategy

Patient safety initiatives aimed at reducing medical errors and adverse events are being implemented in Obstetrics. The Controlled Risk Insurance Company (CRICO), Risk Management Foundation (RMF) of the Harvard Medical Institutions pursued simulation as an anesthesia risk control strategy. Encouraged by their success, CRICO/RMF promoted simulation-based team training as a risk control strategy for obstetrical providers. We describe the development, implementation, and evaluation of an obstetric simulation-based team training course grounded in crisis resource management (CRM) principles. We pursued systematic design of course development, implementation, and evaluation in 3 phases, including a 1-year or more posttraining follow-up with self-assessment questionnaires. The course was highly rated overall by participants immediately after the course and 1-year or more after the course. Most survey responders reported having experienced a critical clinical event since the course and that various aspects of their teamwork had significantly or somewhat improved as a result of the course. Most (86%) reported CRM principles as useful for obstetric faculty and most (59%) recommended repeating the simulation course every 2 years. A simulation-based team-training course for obstetric clinicians was developed and is a central component of CRICO/RMF's obstetric risk management incentive program that provides a 10% reduction in annual obstetrical malpractice premiums. The course was highly regarded immediately and 1 year or more after completing the course. Most survey responders reported improved teamwork and communication in managing a critical obstetric event in the interval since taking the course. Simulation-based CRM training can serve as a strategy for mitigating adverse perinatal events.

University/industry collaboration in developing a simulation-based software project management training course

A significant factor in the success of a software project is the management skill of the project leader. The ability to effectively plan and track a software project utilizing appropriate techniques and tools requires training, mentoring, and experience. This paper describes a collaborative effort between Arizona State University and Motorola University to develop a software project management training course. Although many such courses exist in academia and industry, this course incorporates a system dynamics simulator of the software development process. The use of this simulator to train future software project managers is analogous to the use of a flight simulator to train pilots. This paper describes the software project simulator and how it is utilized in the software project management training course. Feedback from the training course participants is also shared and discussed.