Patient safety, what does clinical simulation and teaching innovation contribute?

array:23 ["pii" => "S2173572724001966" "issn" => "21735727" "doi" => "10.1016/j.medine.2024.07.008" "estado" => "S200" "fechaPublicacion" => "2024-07-19" "aid" => "2072" "copyright" => "Elsevier España, S.L.U. and SEMICYUC" "copyrightAnyo" => "2024" "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "cor" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:18 [ "pii" => "S0210569124002432" "issn" => "02105691" "doi" => "10.1016/j.medin.2024.06.016" "estado" => "S200" "fechaPublicacion" => "2024-07-29" "aid" => "2072" "copyright" => "Elsevier España, S.L.U. y SEMICYUC" "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "cor" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "es" => array:9 [ "idiomaDefecto" => true "cabecera" => "Carta al Editor" "titulo" => "Seguridad del paciente, ¿qué aportan la simulación clínica y la innovación docente?" "tienePdf" => "es" "tieneTextoCompleto" => "es" "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Patient safety, what does clinical simulation and teaching innovation contribute?" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Antonio Dueñas-Ruiz, Luis M. Tamayo Lomas, Miguel A. Castro Villamor, Francisco Martín-Rodríguez" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Antonio" "apellidos" => "Dueñas-Ruiz" ] 1 => array:2 [ "nombre" => "Luis M." "apellidos" => "Tamayo Lomas" ] 2 => array:2 [ "nombre" => "Miguel A." "apellidos" => "Castro Villamor" ] 3 => array:2 [ "nombre" => "Francisco" "apellidos" => "Martín-Rodríguez" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2173572724001966" "doi" => "10.1016/j.medine.2024.07.008" "estado" => "S200" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572724001966?idApp=WMIE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569124002432?idApp=WMIE" "url" => "/02105691/unassign/S0210569124002432/v1_202407290416/es/main.assets" ] ] "itemSiguiente" => array:17 [ "pii" => "S2173572724001905" "issn" => "21735727" "doi" => "10.1016/j.medine.2024.07.002" "estado" => "S200" "fechaPublicacion" => "2024-07-19" "aid" => "2065" "copyright" => "Elsevier España, S.L.U. and SEMICYUC" "documento" => "article" "crossmark" => 0 "subdocumento" => "crp" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "Scientific Letter" "titulo" => "Stress relaxation, another cause of “Pseudo auto-PEEP”?" "tienePdf" => "en" "tieneTextoCompleto" => "en" "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Estrés de relajación, otra causa de "Pseudo auto-PEEP"?" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1520 "Ancho" => 3341 "Tamanyo" => 408896 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0030" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "Radiological images. On the left are the conventional radiological findings and on the right are the computed tomography findings. Note the apparent disparity between lungs." ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Manuel Valdivia Marchal, María Carmen Bermúdez Ruiz, José Ricardo Naranjo Izurieta, Ashlen Rodríguez Carmona, Juan Franscico Martínez Carmona, José Manuel Serrano Simón" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Manuel Valdivia" "apellidos" => "Marchal" ] 1 => array:2 [ "nombre" => "María Carmen Bermúdez" "apellidos" => "Ruiz" ] 2 => array:2 [ "nombre" => "José Ricardo Naranjo" "apellidos" => "Izurieta" ] 3 => array:2 [ "nombre" => "Ashlen Rodríguez" "apellidos" => "Carmona" ] 4 => array:2 [ "nombre" => "Juan Franscico Martínez" "apellidos" => "Carmona" ] 5 => array:2 [ "nombre" => "José Manuel Serrano" "apellidos" => "Simón" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572724001905?idApp=WMIE" "url" => "/21735727/unassign/S2173572724001905/v1_202407190443/en/main.assets" ] "itemAnterior" => array:17 [ "pii" => "S2173572724000274" "issn" => "21735727" "doi" => "10.1016/j.medine.2024.02.003" "estado" => "S200" "fechaPublicacion" => "2024-02-25" "aid" => "1976" "copyright" => "Elsevier España, S.L.U. and SEMICYUC" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "Original article" "titulo" => "Fractional excretion of sodium and potassium and urinary strong ion difference in the evaluation of persistent AKI in sepsis" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Excreción fraccional de sodio y potasio, y brecha aniónica urinaria en la evaluación de la IRA persistente en sepsis" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1448 "Ancho" => 1675 "Tamanyo" => 110835 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0135" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "ROC curve showing the area under de curve of FENa, FEK and uSID. FENa: fractional excretion of sodium; FEK: fractional excretion of potassium; uSID: urinary strong ion difference." ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Nicolás Contrera Rolón, Joaquín Cantos, Iván Huespe, Eduardo Prado, Griselda I. Bratti, Carlos Schreck, Sergio Giannasi, Guillermo Rosa Diez, Carlos F. Varela" "autores" => array:9 [ 0 => array:2 [ "nombre" => "Nicolás" "apellidos" => "Contrera Rolón" ] 1 => array:2 [ "nombre" => "Joaquín" "apellidos" => "Cantos" ] 2 => array:2 [ "nombre" => "Iván" "apellidos" => "Huespe" ] 3 => array:2 [ "nombre" => "Eduardo" "apellidos" => "Prado" ] 4 => array:2 [ "nombre" => "Griselda I." "apellidos" => "Bratti" ] 5 => array:2 [ "nombre" => "Carlos" "apellidos" => "Schreck" ] 6 => array:2 [ "nombre" => "Sergio" "apellidos" => "Giannasi" ] 7 => array:2 [ "nombre" => "Guillermo" "apellidos" => "Rosa Diez" ] 8 => array:2 [ "nombre" => "Carlos F." "apellidos" => "Varela" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572724000274?idApp=WMIE" "url" => "/21735727/unassign/S2173572724000274/v1_202402251056/en/main.assets" ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "Letter to the Editor" "titulo" => "Patient safety, what does clinical simulation and teaching innovation contribute?" "tieneTextoCompleto" => true "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Antonio Dueñas-Ruiz, Luis M. Tamayo Lomas, Miguel A. Castro Villamor, Francisco Martín-Rodríguez" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Antonio" "apellidos" => "Dueñas-Ruiz" "email" => array:1 [ 0 => "adueas@saludcastillayleon.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Luis M." "apellidos" => "Tamayo Lomas" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Miguel A." "apellidos" => "Castro Villamor" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "b" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "Francisco" "apellidos" => "Martín-Rodríguez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "b" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Medicina Intensiva, Hospital Universitario Río Hortega, Valladolid, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Centro de Simulación Clínica Avanzada, Facultad de Medicina, Universidad de Valladolid, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Seguridad del paciente, ¿qué aportan la simulación clínica y la innovación docente?" ] ] "textoCompleto" => "We have read with pleasure the interesting article published in Medicina Intensiva, “Patient safety: what do clinical simulation and educational innovation contribute?”.<a class="elsevierStyleCrossRef" href="#bib0005">1</a> The authors focus on the use of clinical simulation to enhance and improve patient safety, an issue with which we agree; however, we want to contribute that simulation currently, and in the future has in the undergraduate education of medical students.The introduction of simulation mannequins served as a complement to medical education since 1960. In the United States and Canada, the Resusci Anne mannequin was implemented to teach mouth-to-mouth resuscitation and later evolved for the practice of cardiopulmonary resuscitation. Another mannequin, the SIM 1, was used in the 1960s for other educational purposes, as it included blinking eyes, pupils capable of changing size, a jaw that could open, and palpable carotid and radial pulses.<a class="elsevierStyleCrossRefs" href="#bib0010">2,3</a>Until recently, it was noted that in Spain, medical students received training through clinical simulation in a testimonial manner.<a class="elsevierStyleCrossRef" href="#bib0020">4</a> However, we should mention that, in certain medical schools and teaching hospitals, simulation was introduced many years ago, and currently, we are experiencing a time when a portion of the investment in many educational centers is precisely focused on it. At hospital level, one of the first groups of intensivists interested in simulation as an educational tool was the group from Santander, with the so-called Center for Emergency Medicine Studies (CEMU), created in 1987. Quesada Suescun et al. created a school, and their magnificent center grew, which eventually led to the current Hospital Virtual Valdecilla (HvV).<a class="elsevierStyleCrossRef" href="#bib0025">5</a> In medical schools, one of the first one to have a permanent Simulation structure was Valladolid, which created in 1995 four 40 m2 spaces dedicated to it. Currently, we have more than 200 m2 with 3 high-complexity simulation rooms, 1 low-complexity and early clinical immersion simulation room, 3 debriefing rooms, 2 offices, and 2 control centers. In them, cases of emergencies and urgencies are recreated, such as stroke intensive care, heart attack, intoxication, sepsis, polytrauma, hypoglycemia, seizures, dyspnea, heart failure, anaphylaxis, cranioencephalic trauma, digestive hemorrhage, smoke inhalation, or tachycardia, for 4th-, 5th-, and 6th-year medical students and, from the next academic year 2024–2025, for 3rd-year students.In 2023, the Ministry of Health urged medical schools to increase the number of students by 706 per year. It is unquestionable that Simulation Centers in faculties and hospitals will play an essential role in complying with this mandate, as they allow reducing the number of students in hospitals and enable the analysis and training in decision-making in the face of a clinical problem.<a class="elsevierStyleCrossRef" href="#bib0030">6</a> Additionally, simulation will be a tool that will shape the next era of postgraduate medical education, patient safety, and recertification of medical professionals.<a class="elsevierStyleCrossRefs" href="#bib0005">1,2</a>FundingNone declared.Conflicts of interestNone declared." "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflicts of interest" ] 2 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:6 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Seguridad del paciente, ¿Qué aportan a simulación clínica y la innovación docente?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "M.J. Broch Porcar" 1 => "Á. Castellanos-Ortega" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.medin.2024.03.017" "Revista" => array:2 [ "tituloSerie" => "Med Intensiva." "fecha" => "2024" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "History of simulation in medicine: from Resusci Annie to the Ann Myers Medical Center" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "H. Singh" 1 => "M. Kalani" 2 => "S. Acosta-Torres" 3 => "T.Y. El Ahmadieh" 4 => "J. Loya" 5 => "A. Ganju" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1227/NEU.0000000000000093" "Revista" => array:7 [ "tituloSerie" => "Neurosurgery." "fecha" => "2013" "volumen" => "73" "numero" => "Suppl 1" "paginaInicial" => "9" "paginaFinal" => "14" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24051890" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A brief history of the development of mannequin simulators for clinical education and training" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J. Cooper" 1 => "V. Taqueti" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1136/qshc.2004.009886" "Revista" => array:7 [ "tituloSerie" => "Postgrad Med J." "fecha" => "2008" "volumen" => "84" "paginaInicial" => "563" "paginaFinal" => "570" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19103813" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S0190962220331728" "estado" => "S300" "issn" => "01909622" ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Simulación clínica en el paciente politraumatizado. Aplicación en estudiantes de Medicina" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "M.A. Ballesteros" 1 => "M. Feo González" 2 => "B. Suberviola" 3 => "E. Miñambres" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.medin.2019.05.002" "Revista" => array:6 [ "tituloSerie" => "Med Intensiva." "fecha" => "2020" "volumen" => "44" "paginaInicial" => "389" "paginaFinal" => "391" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31178270" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Formación en la asistencia al paciente crítico y politraumatizado: papel de la simulación clínica" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "A. Quesada Suescun" 1 => "F.J. Burón Mediavilla" 2 => "A. Castellanos Ortega" 3 => "I. Del Moral Vicente-Mazariegos" 4 => "C.J.J. González Fernández" 5 => "J.J. Olalla Antolín" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/s0210-5691(07)74805-2" "Revista" => array:6 [ "tituloSerie" => "Med Intensiva." "fecha" => "2007" "volumen" => "31" "paginaInicial" => "187" "paginaFinal" => "193" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17562304" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Modelo para la adquisición de competencias en donación y trasplante para médicos residentes de medicina intensiva" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J.M. Pérez Villares" 1 => "L. Alarcón Martínez" 2 => "P. Fernández Floridoa" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.medin.2022.09.005" "Revista" => array:6 [ "tituloSerie" => "Med Intensiva." "fecha" => "2023" "volumen" => "47" "paginaInicial" => "239" "paginaFinal" => "241" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/36328932" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735727/unassign/S2173572724001966/v1_202407190442/en/main.assets" "Apartado" => null "PDF" => "https://static.elsevier.es/multimedia/21735727/unassign/S2173572724001966/v1_202407190442/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572724001966?idApp=WMIE"]