Simulcast

199 Better airway management through translational simulation in a rural ED

Ever felt that preparing equipment for advanced airway management in your ED is ‘messy’? 

In this episode Vic interviews Dr Ava Butler, an emergency doctor and QI/ simulation practitioner from rural British Columbia. We discussed her recent article about how equipment re-design and translational simulation was used to dramatically improve preparation speed and staff level of comfort with advanced airway management. 

The conversation was informative and inspiring. We talked about the liberating structures process of brainstorming ideas for improvement, the role of patient partners in improvement, the hierarchy of interventions in quality improvement, and the significance of qualitative measures and stories in improvement efforts. 

We marvelled at the dramatic improvements they achieved using a color-coded airway cart and translational simulation; a 76% reduction in time taken to prepare airway equipment, and significant improvements in staff comfort and team culture. EM sim cases got an honourable mention 😊, as did quality improvement initiatives that bring teams to the forefront. Ava explained just how rewarding it is to be part of a rural practitioner team who design improvements with patients at the centre. 

Learn about the implementation of a color-coded airway cart and how quality improvement techniques empowered healthcare workers, increased their confidence, and enhanced patient experiences. 

Happy Listening 

 

The paper  

Ava Butler, Michael Chen, Shruti Kaushik, Terra Lee, Liam Raudaschl & Audrey Giles. From “Airway scares me” to “I would say I’m pretty comfortable”: quality improvement for reducing time to obtain equipment for adult advanced airway management in a rural emergency department. Can J Emerg Med (2025). 

198 Simulcast Journal Club February 2025

Ben and Vic are back for 2025, reviewing the latest healthcare simulation literature in the February episode of the journal club. 

 A call to honour SPs, saving $90million though simulation testing, cognitive biases in simulation debriefing and inspiring simulation-based improvement work from Tanzania. 

The papers 

Clark, L., et al (2024). Call to Action: Honoring Simulated Participants and Collaborating With Simulated Participant Educators. Simulation in Healthcare.  

Colman, Net al. (2024). The Business Case for Simulation-Based Hospital Design Testing: $90M Saved in Costs Avoided. Pediatric Quality and Safety, 9:e775.  

Meguerdichian, M. J., et al. (2024). When Common Cognitive Biases Impact Debriefing Conversations. Advances in Simulation, 9:48.  

Kamala, B. A et. al. (2025). Practice, Experiences, and Facilitators of Simulation-Based Training During One Year of Implementation in 30 Hospitals in Tanzania. SAGE Open Nursing, 11, 1–13.  

 Another great month on Simulcast. 

Happy listening 

197 Advances in Simulation: More Than a Feeling with Vicki LeBlanc & Glenn Posner

In this episode of Simulcast, Vic Brazil is joined by Vicki LeBlanc and Glenn Posner to discuss their recent article "More Than a Feeling: Emotional Regulation Strategies for Simulation-Based Education" published in Advances in Simulation.  

The conversation delves into the importance of recognizing and addressing emotions in simulation-based learning environments. Vicki and Glenn share insights on why emotions are often seen as taboo or difficult to manage in simulation, despite being a natural part of clinical practice (and everyday life!). They explain how emotions impact cognitive processes like attention, judgment and memory, and why ignoring them can hinder learning objectives. 

We explore practical strategies for identifying emotional cues, assessing whether emotions are helpful or hindering, and employing implicit or explicit regulation techniques. We emphasize the need to normalize emotional responses and view them as valuable data, rather than something to be avoided. 

The article aims to provide simulation educators with a comprehensive framework for understanding and responding to the emotional aspects of simulation-based learning. It challenges the notion that simulation should be a purely rational endeavour, underscoring the vital role emotions play in preparing healthcare learners for the realities of clinical practice. 

Happy listening! 

196 Simulcast Journal Club December 2024

Simulating ICU transports to determine lift sizes. Meta-debriefing, clinical debriefing in operating theatres, and supporting psychological safety. Another great episode on Simulcast journal club to close out 2024. We’ll be back in February 2025! 

And, for bonus holiday viewing… also check out Ben Symon’s brilliant talk at the Victorian Simulation Alliance on the importance of algorithm design in healthcare and how simulation can help.  

The articles (with links): - 

Barnett SG, Stephens KM. Simulated impact of lift car sizes on transport of critical care patients: Informing the design of the New Dunedin Hospital. Anaesth Intensive Care. 2024 May;52(3):188-196. 

Kumar, Prashant et al. Exploring the Meta-debrief: Developing a Toolbox for Debriefing the Debrief. Simulation in Healthcare, October 22, 2024 

Phillips, Emma et al. Development and validation of the theatre team tool (TTT): A clinical debriefing tool for multidisciplinary theatre teams. Trends in Anaesthesia and Critical Care, Volume 58, 2024. 

Vaughn, J. et al. Promoting psychological safety in simulation using a novel visual tool: A mixed-methods quasi-experimental study, Nurse Education Today, Volume 146, 2025, 

 

Happy holidays and thanks for listening to Simulcast in 2024! 

195 Simulcast Journal Club November 2024

Speech diarisation for simulation debriefings, simulation and root cause analysis, translational simulation implementation, and music before sim to reduce anxiety. Another great month on Simulcast. 

The articles (with links): - 

Brutschi, R., Wang, R., Kolbe, M. et al. Speech recognition technology for assessing team debriefing communication and interaction patterns: An algorithmic toolkit for healthcare simulation educators. Adv Simul 9, 42 (2024). 

Slakey DP, et al. Using simulation to improve root cause analysis of adverse surgical outcomes. Int J Qual Health Care. 2014 Apr;26(2):144-50 

Paganotti LA, Shope R, Calhoun A, McDonald PL. Barriers and Facilitators to Implementing Simulation-Based Translational Research: A Qualitative Study. Simul Healthc. 2024 Aug 1;19(4):220-227 

Gosselin, Kevin et al. Efficacy of 15-minute music intervention on nursing students' anxiety, self-efficacy, and performance in simulation testing: A randomized study. Clinical Simulation In Nursing, Nov 2024 Volume 96, 101625 

And… Don’t forget Simulation Reconnect is on again  

Bond University, Wednesday 27th November. Registration here  

194 Simulcast Journal Club October 2024

In situ sim and latent safety threats, psychological safety ecosystems, reclaiming professional identity through simulation, and simulating Mt Everest expeditions. Another great month on Simulcast. 

The articles (with links): - 

Grace MA, O'Malley R. Using In Situ Simulation to Identify Latent Safety Threats in Emergency Medicine: A Systematic Review. Simul Healthc. 2024 Aug 1;19(4):243-253 

Eller S, Vlasses F, Horsley T, Connor J. Simulation psychological safety ecosystem: using constructivist grounded theory to explore nurses’ experiences with prelicensure simulation. International Journal of Healthcare Simulation. 2024 

Smith, S.E., Tallentire, V.R., Doverty, J. et al. Reclaiming identities: exploring the influence of simulation on refugee doctors’ workforce integration. Adv Simul 9, 37 (2024) 

Dieckmann, Peter et al. Combining storytelling and a scenario re-enactment of Mt. Everest expeditions to practice cognitive and social skills. Clinical Simulation In Nursing, Volume 96, 101591 

Happy listening! 

 

And… Don’t forget Simulation Reconnect is on again  

Bond University, Wednesday 27th November. Registration here  

193 Simulcast Journal Club September 2024

The articles (with links): -

Godmon, A., Walker, K., & Symon, B. (2024). Hijacking telehealth technology to deliver tele-simulation: outlining the tangible and unanticipated benefits. International Journal of Healthcare Simulation.

Korimbocus, B., Wilson, H., McGuckin, A. et al. ‘Having skin in the game’: guiding principles for incorporating moulage into OSCEs. Adv Simul 9, 34 (2024)

Lorello GR, Hodwitz K, Issenberg SB, Brydges R. Relinquishing control? Supervisor co-regulation may disrupt students' self-regulated learning during simulation-based training. Adv Health Sci Educ Theory Pract. 2024 Mar;29(1):9-25.

Stone KP, Rutman L, Calhoun AW, et.al. SQUIRE-SIM (Standards for Quality Improvement Reporting Excellence for SIMulation): Publication Guidelines for Simulation-Based Quality Improvement Projects. Simul Healthc. 2024 Aug 16.

Happy listening!

 

And also mentioned on the podcast - Sarah Blissett’s winning article at the AMEE Simulation Journal Club. We loved it too and reviewed on Simulcast back in March. Listen again here!

And… Don’t forget Simulation Reconnect is on again

Bond University, Wednesday 27th November. Registration here

192 IPSS The Podcast with Erin Carn-Bennett

We welcomed Erin Carn-Bennet to the podcast for a conversation about her new venture – as coproducer of IPSS- The Podcast 

Erin is a Simulation Nurse Educator for Douglas Starship Simulation Programme, Lead host Sim Nurse NZ podcast, Co-founder Sim2Lead, Content Coordinator and Writer for HealthySimulation.com, Nursing Director Med Sim Solutions 

The International Paediatric Simulation Society (IPSS) is a global community of multidisciplinary paediatric focused health professionals from over 30 countries, working to improving the care of infants and children worldwide through multi-disciplinary, simulation-based education, training, and research in paediatric simulation 

IPSS host a resource rich website, run events and an annual conference. Now they’ve decided to start a podcast! Erin is joined in that venture by Samreen Vora, Christine Bailey, and Elaine Ng. 

Erin and Vic talked about the work of IPSS and the aspiration of the podcast to support that mission. 

The first episode is out, and you can listen on Spotify here. 

Happy listening 

vb 

191 Simulcast Journal Club August 2024

Training as imagined?, sim for faster stroke treatment, simulation after key events, Implementing TALK for clinical debriefing.  Another great month on Simulcast. 

The articles: - 

Kerins, J., Ralston, K., Stirling, S.A. et al. Training as imagined? A critical realist analysis of Scotland’s internal medicine simulation programme. Adv Simul 9, 27 (2024) 

Ajmi SC, Kurz M, Lindner TW, et al. Does clinical experience influence the effects of team simulation training in stroke thrombolysis? A prospective cohort study. BMJ Open 2024;14:e086413 

Diaz-Navarro, C., Jones, B., Pugh, G. et al. Improving quality through simulation; developing guidance to design simulation interventions following key events in healthcare. Adv Simul 9, 30 (2024). 

Diaz-Navarro C, Enjo-Perez I, Leon-Castelao E, Hadfield A, Nicolas-Arfelis JM, Castro-Rebollo P. Implementation of the TALK© clinical self-debriefing tool in operating theatres: a single-centre interventional study. Br J Anaesth. 2024 Jul 29:S0007-0912(24)00413-6. 

 

And also mentioned on the podcast  

The Self Development Module on ‘Introduction to Quality Improvement’ 

Happy listening! 

 

And… Date Claimers 

 

The Victorian Translational SIMposium 

6th September, Melbourne . Details and registration here  

 

Simulation Reconnect is on again  

Bond University, Wednesday 27th November. Registration here  

190 Advances in Simulation - Indirect Communication With Taryn Taylor

Taylor, T., Columbus, L., Banner, H. et al. “The patient is awake and we need to stay calm”: reconsidering indirect communication in the face of medical error and professionalism lapses. Adv Simul 9, 17 (2024). https://doi.org/10.1186/s41077-024-00293-4 

 

We know that speaking up is good for patient safety, but hard to do, and that training may not be effective in altering behaviour in the face of hierarchy and cultural barriers. In this article, Taryn Taylor and her research team suggest that indirect, subtle challenges are less well understood and may have more value than we’ve appreciated. And maybe patent presence might be an important influence on this behaviour? 

Taryn Taylor is an OBGYN and simulation practitioner and researcher. She is assistant professor of Obstetrics & Gynaecology at Western University in London Ontario Canada, a graduate of the Uni Ottawa Simulation Fellowship, and has a PhD in Health Professions Education from Maastricht University. As a researcher, most recently she’s focused on using sociological fidelity in simulation to explore the complex social dynamics in healthcare teams that impact care delivery and patient outcomes. 

The article is a methodological masterclass, showing us how to create ‘sociologic fidelity’ to allow research of these complex relational phenomena and how to use this ‘simulation primed elicitation approach’ to collect data. 

The findings are unsettling but important! Even in the face of error and lapses in patient safety, the communication remained indirect, subtle, and sometimes non-verbal. Study subjects described quite problematic assumptions about their teams, that we must recognise to advance work in this area. 

Taryn helps us get the story behind the study and we reflect on how this might translate to a broader educational agenda. 

Happy listening! 

vb