Two recent conferences have reviewed the state of research on simulation in healthcare and considered future directions. They both point to the need for more comprehensive and robust studies on a variety of aspects of simulation. The next step for strategic planning about research on simulation in healthcare should be to implement two mechanisms already used in fields of space sciences. One is a Science Traceability Structure that formally delineate Themes, Goals, and Objectives for the field and links them to Programs, Projects, and Methods. The second is the Decadal Survey, a highly detailed research planning activity conducted every ten years by scientific experts in the relevant fields, working under the auspices of the National Research Council. Decadal Surveys have unique characteristics, especially their extensive engagement with the research community, and their recommendations have generally been highly influential with policy-makers and legislators.
"Simulation training is historically rooted in aviation and military education, areas that have also been studied for ideas by health care practitioners and educators, which are the main focus of this research (Gaba, 2012). Recently, an international expert meeting (Issenberg, Ringsted, Ostergaard, & Dieckmann, 2011) identified three areas in which new knowledge concerning health care simulations was urgently needed: instructional design, outcomes measurement, and translational research. "
[Show abstract][Hide abstract] ABSTRACT: Second pathologist peer review is used in many surgical laboratory quality-assurance programs to detect error. Directed peer review is 1 method of second review and involves the selection of specific case types, such as cases from a particular site of anatomic origin. The benefits of using the directed peer review method are unique and directed peer review detects both errors in diagnostic accuracy and precision and this detection may be used to improve practice. We utilize the Lean quality improvement A3 method of problem solving to investigate these issues. The A3 method defines surgical pathology diagnostic error and describes the current state in surgical pathology, performs root cause analysis, hypothesizes an ideal state, and provides opportunities for improvement in error reduction. Published data indicate that directed peer review practices may be used to prevent active cognitive errors that lead to patient harm. Pathologists also may use directed peer review data to target latent factors that contribute to error and improve diagnostic precision.
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