Do Residents and Nurses Communicate Safety Relevant Concerns? : Simulation Study on the Influence of the Authority Gradient
Residents and nursing staff are seldom able to challenge the attending physicians when patient safety is at risk.
Case and Commentary: Using Simulation to Address Hierarchy Issues During Medical Crises
This article describes a case that uses misdirection and the possibility of simulated "death" to facilitate learning among experienced clinicians about the potentially deadly effects of an unchallenged, inappropriate order.
Leaders’ and Followers’ Individual Experiences during the Early Phase of Simulation-Based Team Training: An Exploratory Study
Current simulation-based team training (SBTT) programmes most often include targets and feedback focused on the whole team and/or leader, ignoring the follower as a unique entity.
Video Review Using a Reliable Evaluation Metric Improves Team Function in High-Fidelity Simulated Trauma Resuscitation
Video review with debriefing is an effective means of teaching team competencies and improving team function in simulated trauma resuscitation.
Simulation-Based Trial of Surgical-Crisis Checklists
In a high-fidelity simulation study, checklist use was associated with significant improvement in the management of operating-room crises.
Coronary Subclavian Steal Syndrome Causing Acute Myocardial Infarction in a Patient Undergoing Coronary Artery Bypass Grafting
Coronary subclavian steal syndrome with retrograde blood flow in the left internal mammary-coronary bypass graft is a rare but severe complication of cardiac surgery.
Centrifugal Pump and Roller Pump in Adult Cardiac Surgery: A Meta-Analysis of Randomized Controlled Trials
The meta-analysis of RCTs comparing CP and RP in adult cardiac surgery suggests no significant difference for hematological variables, postoperative blood loss, transfusions, neurological outcomes, or mortality.
Where Should Electronic Records for Patients be Stored?
To help identify the architecture best suited for efficient and complete nationwide health information exchange based on the large-scale operational characteristics of these architectures.
Is a Cell Saver Necessary in Off-Pump Coronary Artery Bypass Surgery?
The use of a cell saver in off-pump surgery is useless in most cases.
Prophylactic Intra-Aortic Balloon Pump in High-Risk Patients Undergoing Coronary Artery Bypass Surgery: A Meta-Analysis of Randomized Controlled Trials
This meta-analysis supports the use of prophylactic IABP in high-risk patients to reduce hospital mortality.
Is There any Difference between Blood and Crystalloid Cardioplegia for Myocardial Protection during Cardiac Surgery? A Meta-Analysis of 5576 Patients from 36 Randomized Trials
We found evidence that argues against any superiority in terms of hard outcomes between blood or crystalloid cardioplegia for myocardial protection during cardiac surgery.
Impact of Competitive Flow on Hemodynamics in Coronary Surgery: Numerical Study of ITA-LAD Model
Competitive flow from native coronary artery is considered as a major factor in the failure of the coronary artery bypass grafts.