Jeffrey Taekman
Duke University, Anesthesiology, Faculty Member
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We describe health care simulation, designed primarily for training, and provide examples of how human factors experts can collaborate with health care professionals and simulationists-experts in the design and implementation of... more
We describe health care simulation, designed primarily for training, and provide examples of how human factors experts can collaborate with health care professionals and simulationists-experts in the design and implementation of simulation-to use contemporary simulation to improve health care delivery. The need-and the opportunity-to apply human factors expertise in efforts to achieve improved health outcomes has never been greater. Health care is a complex adaptive system, and simulation is an effective and flexible tool that can be used by human factors experts to better understand and improve individual, team, and system performance within health care. Expert opinion is presented, based on a panel delivered during the 2014 Human Factors and Ergonomics Society Health Care Symposium. Diverse simulators, physically or virtually representing humans or human organs, and simulation applications in education, research, and systems analysis that may be of use to human factors experts are...
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Neurosurgery is one of the most technically demanding and liable of all medical professionals. More than 75% of neurosurgical errors deemed as preventable and technical in nature. Yet in a specialty that requires such high level of... more
Neurosurgery is one of the most technically demanding and liable of all medical professionals. More than 75% of neurosurgical errors deemed as preventable and technical in nature. Yet in a specialty that requires such high level of technical expertise, with large consequences for error, there are even fewer opportunities for residents in training to practice on the most complicated cases. Although there is no replacement for actual experiences in the operating room, inter-personal mentorship, coaching, and training, there is room to supplement residency education through simulation. Here we review the evidence to support surgical simulation, describe the strengths and weaknesses of existing technologies in direct neurosurgery specific and indirect simulation applications, and advocate for the development of more neurosurgery specific applications using emerging kinetic technologies.
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Remotely monitored patients may be at risk for a delayed response to critical arrhythmias if the telemetry watchers who monitor them are subject to an excessive patient load. There are no guidelines or studies regarding the appropriate... more
Remotely monitored patients may be at risk for a delayed response to critical arrhythmias if the telemetry watchers who monitor them are subject to an excessive patient load. There are no guidelines or studies regarding the appropriate number of patients that a single watcher may safely and effectively monitor. Our objective was to determine the impact of increasing the number of patients monitored on response time to simulated cardiac arrest. Randomized trial. Laboratory-based experiment. Forty-two remote telemetry technicians and nurses from cardiac units. Number of patients monitored in a simulation of cardiac telemetry monitoring work. We carried out a study to compare response times to ventricular fibrillation across five patient loads: 16, 24, 32, 40, and 48 patients. The simulation replicated the work of telemetry watchers using a combination of real recorded patient electrocardiogram signals and a simulated patient experiencing ventricular fibrillation. Study participants we...
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Page 1. PILOTING TEAM TRAINING AT DUKE UNIVERSITY HEALTH SYSTEM Melanie C. Wright, Xuemei Luo, William J. Richardson, Michael M. Leonard*, Susan M. Hohenhaus, Jeffrey M. Taekman, Karen S. Frush Duke University ...
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American Society of Anesthesiologists. Contact ASA. | Advertising Information. Reach more than 44,000 ASA members through a variety of marketing channels. ...
... 3DiTeams Healthcare Team Training in a Virtual Environment. Jeffrey Taekman, MD, Noa Segall, Ph.D., Eugene Hobbs, CHT, Melanie Wright, Ph.D. Department of Anesthesiology, Duke University, Durham, North Carolina. ...
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CURRICULAR INFORMATION Educational Rationale Improving communications among caregivers was an im-portant 2008 Joint Commission National Patient Safety Goal. These initiatives are of great importance in light of the fact that communication... more
CURRICULAR INFORMATION Educational Rationale Improving communications among caregivers was an im-portant 2008 Joint Commission National Patient Safety Goal. These initiatives are of great importance in light of the fact that communication problems were found to be the ...
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Research Interests:
Research Interests:
Research Interests:
Research Interests:
CURRICULAR INFORMATION Educational Rationale Improving communications among caregivers was an im-portant 2008 Joint Commission National Patient Safety Goal. These initiatives are of great importance in light of the fact that communication... more
CURRICULAR INFORMATION Educational Rationale Improving communications among caregivers was an im-portant 2008 Joint Commission National Patient Safety Goal. These initiatives are of great importance in light of the fact that communication problems were found to be the ...
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Wolters Kluwer Health may email you for journal alerts and information, but is committed to maintaining your privacy and will not share your personal information without your express consent. For more information, please refer to our... more
Wolters Kluwer Health may email you for journal alerts and information, but is committed to maintaining your privacy and will not share your personal information without your express consent. For more information, please refer to our Privacy Policy. ... Skip Navigation Links Home > Winter ...
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Biological and chemical warfare training is often overlooked in residency programs, but is nonetheless an extremely important part of the curriculum and should be implemented before allowing residents to graduate. The purpose of this case... more
Biological and chemical warfare training is often overlooked in residency programs, but is nonetheless an extremely important part of the curriculum and should be implemented before allowing residents to graduate. The purpose of this case is twofold: (1) explore the diagnosis and treatment of Sarin exposure, (2) discuss the methods of protecting against contamination with toxic agents.
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Biological and chemical warfare training is often overlooked in residency programs, but is nonetheless an extremely important part of the curriculum and should be implemented before allowing residents to graduate. The purpose of this case... more
Biological and chemical warfare training is often overlooked in residency programs, but is nonetheless an extremely important part of the curriculum and should be implemented before allowing residents to graduate. The purpose of this case is twofold: (1) explore the diagnosis and treatment of Sarin exposure, (2) discuss the methods of protecting against contamination with toxic agents.
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... www.anesthesiaclinics.com | 101 REPRINTS: JEFFREY M. TAEKMAN, MD, DEPARTMENT OF ANESTHESIOLOGY, BOX 3094 DUKE UNIVERSITY MEDICAL CENTER, DURHAM, NC 27710. E-MAIL: JEFFREY.TAEKMAN@DUKE.EDU Page 2. ...
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"Simulation Roulette" is a new method of "on-the-fly" simulation scenario... more
"Simulation Roulette" is a new method of "on-the-fly" simulation scenario creation that incorporates a game-like approach to critical scenarios and emphasizes prescenario preparation. We designed it to complement our traditional anesthesia simulation curriculum, in which residents are exposed to predefined "critical" scenarios. During typical scenarios, trainees are often given minimum preparatory information; they then start the scenario knowing only that "something bad" is going to happen. As a result, trainees often report anxiety, which can be a barrier to learning. To overcome this barrier and to augment traditional critical incident training, we developed the "Simulation Roulette" game. "Simulation Roulette" consists of premade cards that are randomly selected to create a patient, another set of premade cards to assist in selecting "complications," worksheets to guide a thorough "prebrief" discussion before the scenario, and scoresheets to facilitate the "debrief" discussion at the end. Similar to traditional scenarios, it requires coordination by a facilitator to ensure plausible scenarios and evaluation of trainee performance. Although we have not conducted formal testing, we believe that (1) incorporating an element of random chance to scenario selection, (2) using a game-like framework, and (3) emphasizing the "prebrief" portion of simulation all have the potential to decrease trainee anxiety. We present the rationale for designing such a game; examples of instructions, cards, and scoresheets; and our initial experience with implementing this game within our simulation curriculum.
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Research Interests: Nursing, Biomedical Engineering, Anesthesiology, Patient Safety, Safety, and 17 moreHumans, Operating Room, Nursing Education, Risk factors, Fires, Clinical Sciences, HYDROCARBONS, Safety Management, Oxygen, Operating Rooms, Emergencies, Risk Factors, Gases, Post Disaster Planning, Simulation Healthcare, Hazardous Substances, and *Hot Temperature
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ABSTRACT Introduction/Background: Obstetric hemorrhage (OH) is a leading cause of maternal morbidity and mortality worldwide. Multidisciplinary initiatives are needed to improve outcomes in women experiencing OH. To this end, the Joint... more
ABSTRACT Introduction/Background: Obstetric hemorrhage (OH) is a leading cause of maternal morbidity and mortality worldwide. Multidisciplinary initiatives are needed to improve outcomes in women experiencing OH. To this end, the Joint Commission recommends the use of clinical protocols for OH management.1 These protocols must be practiced by the team to ensure effectiveness, but manikin-based simulations can be expensive and challenging to coordinate with all team members. In partnership with the Virtual Heroes division of Applied Research Associates, Inc., we developed a web-based computer OH simulation for the purpose of training and evaluating participants in use of an OH protocol as well as reinforcing teamwork and communication. Methods: The Obstetric Hemorrhage Scenario is an immersive multiplayer learning application built using the ILE@D platform and deployed via web plugins. Participant communication is accomplished via voice over IP (VoIP) and text chat windows. Participant move avatars through a virtual patient room and are able to interact with both the patient and objects in the room. Scenario content is constructed around an OH due to uterine atony in a primigravida. The instructor controls all patient physiology by either manual control or macro-based controls, and can adjust patient vitals and appearance based on participant therapeutic interventions. Participants are able to perform physical exam, administer fluids and medications, order labs, order and transfuse blood components, and view patient data in an electronic health record. Teamwork and communication behaviors of participants are observed and evaluated according to TeamSTEPPS principles. Knowledge learning objectives include: 1) early recognition of the signs of uterine atony; 2) appropriate use of uterotonics; 3) activation of the OH protocol; and 4) ordering laboratory studies and transfusing blood products according to the OH protocol and laboratory data. Key elements of transfusion practice observed include two-person bedside verification against the patient armband, ensuring ABO compatibility of blood products, and observation of blood product expiration times. Simulation build is complete and currently undergoing multidisciplinary beta testing in both the United States and Australia, with plans to incorporate this simulation into medical student training in 2013. Results: Conclusion: Our construction of a web-based virtual reality simulation has created a training tool that emphasizes team communication, evidence-based obstetric interventions, safe transfusion practices, and appropriate blood management for OH. This customizable, cost-effective tool allows for institution-wide training of team members in the OH protocol and provides a widely available opportunity for research into individual- and team-decision making during OH management without the need for geographic co-localization of participants. References: 1. Joint Commission on Accreditation of Healthcare Organizations, USA. Preventing Maternal Death. Sentinel Event Alert, January 26, 2010; 44:1-4. Disclosures: CSL Behring, Octapharma, TEM Systems Inc. Abbott, Pfizer Guidepoint, Maven Applied Research Associates-proprietary interest in jointly developed projects.