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Clinical SimulaƟon CenterPaƟent Safety Starts Here2016 Year in Review
Our MissionThe mission of the Penn State HersheyClinical Simula on Center is to improvepa ent outcomes with effec ve programsthat promote and enhance prac onerskills, clinical competence, teamwork,and interdisciplinary collabora on. Toadvance the field of healthcare simula on,the Center conducts innova ve researchinto simula on theory, prac ce, andtechnology.Message from the DirectorThe Penn State HersheyClinical Simula on Centeris reaching out in alldirec ons!New Rela onships: Wejointly presented adistance-learning strategysuccessfully employed inKazakhstan with a researchteam from Lithuania at theWorld Congress of Anesthesiologists. Joint researchwill explore how to implement this highly-efficienthybrid learning strategy. Our widely-acclaimedSimula on Instructor Course was rolled out at thenew na onal VA simula on facility in Orlando andwill soon be used in one of the largest healthcaresystems in the country! Dr. Angel Diaz Sanchez istransla ng our Simula on Instructor Course intoSpanish, and we are developing South Americanfaculty who will lead its implementa on.Accredita ons: We were re-accredited by theSociety for Simula on in Healthcare. Addingresearch gives us the highest level of recogni onfor Assessment, Research, Teaching, and SystemsIntegra on. Thanks for Dr. Bosseau Murray whovolunteered to head our research program! Hewill direct the distribu on of several small researchgrants in the future. We were re-endorsed bythe American Board of Anesthesiology and reaccredited by the American College of Surgeonsincluding recogni on of best prac ce for facultydevelopment.Pa ent Safety: Our por olio now includes ORteamwork prac ce every month led by Lynn Leeand Donna Ceschini. These IPE sessions bring en reOR teams together to prac ce emergencies. Manysystem improvements have resulted.Simula on Fellows: Dr. Hector Lopez is redesigninganatomy courses and the anatomy lab forthe College of Medicine. He will leverage thecombina on of high-tech and cadaver simula onto help teach the rela onships between anatomy,physiology, and pathophysiology. Dr. Lidys Riverafrom Columbia plans to develop her skills as asimula on educator.Updates: Construc on of a replica ICU room willallow prac ce for highly contagious organismsand use of the new eICU system, as well as othercri cal care training. New capabili es for ultrasoundtraining are coming. You can now access the libraryand the Sim Center any me with op ons thatwere not available before, including the One Bu onStudio and the 3-D prin ng resource.Come explore our many experien al learningop ons.Elizabeth H. Sinz, MD, MEd, FCCM, FSSHAssociate Dean of Clinical Simula onDirector of Pa ent Safety Simula onProfessor of Anesthesiology and NeurosurgeryPenn State College of Medicine
EducaƟonDuring 2016, 122 unique course tles were supported or presentedby the Clinical Simula on Center. In all, the Center maintains nearly150 courses in its course catalog. The Center impacts the en re crosssec on of health care provider educa on on the Penn State HersheyCampus, for both students and prac cing clinicians. Consistent withna onal trends, Interprofessional Educa on (IPE) has become animportant area of the focus for the Center.Among the course highlights in 2016: Adult ECMO joined the previously established Neonatal ECMOprogram with simula ons of these highly complex pa entsA new Home Care simula on was introduced by Penn StateNursingThe Central Venous Access Course, started in 2013, has beenconducted 35 mes with 394 par cipants and 52 facultyEbola and infec ous disease training con nued to be a majorprogram through 2016A new series of interprofessional educa on (IPE) in-situsimula on Opera ng Room sessions started a regular monthlyscheduleA new series of IPE sessions was started that included studentsfrom Penn State College of Medicine and College of Nursing aswell as health careers programs from Lebanon Valley College andElizabethtown College“I wanted to let you know that I took the CHSE (Cer fiedHealthcare Simula on Educator) exam yesterday and passed!I wanted to thank everyone in the Sim Center. So many meswhen I was studying, I found a memory of something we didduring our week together that helped transfer the knowledge.”SimulaƟon Instructor Course Graduate“Recogni on: Janice Mills for conduc ng aFirst Four Minutes (simula on) Drill in StateCollege which saved the life of a pa entat Benner Pike who went into respiratoryarrest.”Penn State Hershey Medical Group Minutes“This course went beyond my expecta ons.I have a be er understanding of how usefulsimula on can be and the techniques tomake it effec ve.”SimulaƟon Instructor Course ParƟcipantAdult ECMO Transport Course Features Interprofessional TeamTo meet the need for expansion of the AdultECMO (extracorporeal membrane oxygena on)transport team, the Clinical Simula on Centerpar cipated in a new interprofessional coursewith perfusionists,nurse prac oners,nurses, and respiratorytherapists to prepareand transport anECMO pa ent from theICU to another loca onsuch as radiology.These highly complexpa ents have mul pledevices a ached tothem in addi on to theECMO device itself.The Clinical Simula on Center’s crew ofSimula on Technologists created a realis cpa ent appearance with all the needed devicesmaking for one of the more elaborate pa entpresenta ons designed by the Center’s team.
Research, PublicaƟons, and PresentaƟonsFaculty and staff affiliated with the Penn StateHershey Clinical Simula on Center had sixpeer reviewed publica ons during 2016. Otheracademic output from the Center included10 conference presenta ons and 10 posterpresenta ons.Among the major publica ons were: Tisdale EJ, Wojnar, M, & Sinz, EH. DevelopingCon nuing Professional Educa on in theHealth and Medical Professions ThroughCollabora on. New Direc ons for Adult andCon nuing Educa on. 2016. 151:69-79. Ambardekar A, Singh D, Lockman JL, RodgersDL, Hales RL, Gurnaney HG, Nathan A, &Deutsch ES. Pediatric Anesthesiology FellowEduca on: Is a Simula on-Based Boot CampFeasible and Valuable? Pediatric Anesthesia.2016; 26(5): 481-487Since first being founded as the Simula onDevelopment and Cogni ve Science Laboratoryin 1992, the Clinical Simula on Center hashad a robust research history with frequentpublica ons in the peer-reviewed literature andpresenta ons around the world. During theCenter’s Society for Simula on in Healthcarereaccredita on process in 2016, the Centerachieved accredita on in Research.At right, this table represents the cumula veacademic output for Penn State simula on sinceits incep on through 2016.PublicaƟonsBooks and Book ChaptersPeer-reviewed Journal Ar clesPeer-reviewed Journal AbstractsPeer-reviewed Journal EditorialsPeer-reviewed Journal Le ersMedEd PortalOther Publica onsPresentaƟonsConference Presenta onsConference PostersExternal Grand RoundsWebinars141202112104769951Posters and presenta ons were made at na onal and interna onalconferences during the year. Among the major conferences theClinical Simula on Center and Penn State simula on facultypresented at were: Interna onal Mee ng on Simula on in Healthcare (San Diego)Interna onal Pediatric Simula on Symposia and Workshops(Glasgow, Scotland)Interna onal Simula on Symposium (Buenos Aires, Argen na)Council on Resident Educa on in Obstetrics and Gynecology(CREOG) & Associa on of Professors of Gynecology andObstetrics (APGO) Mee ng (New Orleans)Interna onal Associa on of Medical Science Educators Mee ng(Leiden, Netherlands)American Associa on for Respiratory Care Annual Conference(San Antonio)Interna onal Nursing Associa on for Clinical Simula on andLearning (INACSL) Conference (Dallas)World Congress of Anesthesia (Hong Kong)Simula on Educa on and Research FellowshipTwo new individuals were enrolled in the Simula on Educa on andResearch Fellowship program during 2016. The program has graduatedtwo Fellows since its incep on in 2014: Angel Diaz Sanchez, MD, andSusana Larbi Wumbee, MHP, MPA, BSN, RM, RN, FWACN.Lidys Rivera, MD – Dr. Rivera was trained in Colombia as a generalprac ce physician. She enrolled in the fellowship program to learn aboutsimula on-based educa on and to improve her teaching abili es whilealso learning about the US healthcare system.Hector Lopez, MD – Dr. Lopez is an Associate Professor of Medicineat the Penn State College of Medicine and leads the human structureprogram in the college. Dr. Lopez is spending part of the next year withthe Clinical Simula on Center to learn how to effec vely integratesimula on concepts into the anatomy curriculum.
ResuscitaƟon Sciences Training CenterResuscita on Quality Improvement (RQI) Program Starts in 2016The Resuscita on Sciences Training Center (RSTC)increased its numbers trained for the fi h year in a row.In 2016, 6,511 learners received AHA training through theRSTC.The training numbers included: 3,933 in Basic Life Support (BLS)1,185 in Advanced Cardiovascular Life Support (ACLS)580 in Pediatric Advanced Life Support (PALS)813 enrolled in Resuscita on Quality Improvement(RQI) Program217 AHA instructors maintain their cer fica on throughthe RSTC. This includes: 164 BLS Instructors 77 ACLS Instructors 57 PALS InstructorsThere has been five years ofsteady growth in the numberof people engaged with RSTCprograms at the Penn StateMilton S. Hershey MedicalCenter. 2017 marked theintroduc on of the RQIsystem for Basic Life Support(BLS) cer fica on whichis why the BLS classroomcourse numbers for 2017dropped.In January of 2016, the RSTC introducedthe American Heart Associa on (AHA)Resuscita on Quality Improvement (RQI)program for maintenance of CPR cer fica on.This innova ve program replaces tradi onalBasic Life Support (BLS) courses with short (10minute) sessions every three months. Thesesessions are conducted on manikins thatprovide CPR coaching and track performance.The RQI program has two main advantages.First, instead of taking several hours every twoyears away from the work site for refreshertraining, par cipantscan keep theircer fica on ac vewithout having toleave the unit ordedicate a significantblock of me to therenewal sessions.Second, skill degrada on over the tradi onaltwo year period is well established. Byinterac ng with manikins every quarter, skilllevels stay higher, leading to be er preparedrescuers.At the end of 2016 there were 813 individualsfrom 12 medical center departments enrolledin the program. The RSTCmanages four RQI carts thatare rotated between thedepartments.Penn State Hershey Medical Center staff par cipated in “Superuser”training in January 2016. This training program provided detailedinforma on on how staff need to interact with the RQI system.
Standardized PaƟent ProgramThe Standardized Pa ent (SP) Program con nuedto grow as it expanded into new areas for the useof SPs as simulators. With nearly 100 individualsaligned with the SP Program to portray pa ents,the program conducted 441 SP sessions in 2016,ranging from a single SP for a resident educa onsession to 10 SPs for medical student OSCE(Objec ve Structured Clinical Evalua on) sessions.One major new SP course this year was acustomized OSCE session held as part ofthe Annual Mee ng of the PennsylvaniaRheumatology Society. Residents from the state’srheumatology residency programs par cipated inthe session with state-wide faculty reviewing thesessions and providing feedback.Home Care Simula on Creates Challenges for Nursing StudentsA new Penn State College of Nursing Programwas started in 2016 that focused on home care.Because caring for someone in the home isso different than care in an acute se ng, thissimula on was designed to help be er preparesenior nursing students to mee ng client needsin the home se ng. This includes assessingthe home environment, inclusion of poten alfamily or other support persons in the client’scare, cultural influences, resource iden fica on,and providing significant client and familyeduca on.Students interview an SP portraying a homehealth pa ent. To prepare for this simula on,the Clinical Simula on Center created a homeenvironment in one of the simula on rooms,using props such as tables and lamps as wellas indicators of poor health habits such as junkfood and poorly organized medica ons.Hospital-wide Disaster Simula onThe Clinical Simula on Center and the SP Program playedkey roles in a major hospital disaster drill conductedin July 2016. Simula ng a bus crash with hazardousmaterials exposure, the SP Program coordinated make upand moulage for 57 pa ent actors, most of whom werepart of the program’s SP group with the rest from PennState Nursing classes. The Center also supplied severalpediatric simulators for the drill, each with a simulatoroperator to control simulator vital signs and responses.Pa ents were triaged by Emergency Department staffand sent to treatment areas for care. Many of the pa entactors were able to undergo decontamina on, including ahazmat response team scrubbing and showering them inthe medical center’s decontamina on tent.Clockwise from top right, a pediatric simulator is presented to thetriage team. An SP undergoes decontamina on by medical centerHAZMAT responders. SPs played many roles from ambulatory “walkingwounded” to stretcher pa ents during the drill.
Community Service and OutreachThe Clinical Simula on Center con nues todeliver services to the Hershey communityin a variety of ways. The Center hosts formalprograms for several area school systems inaddi on to providing informa onal tours for highschool students looking at health professionscareers. The Center also provides tours andinterac ve programs for many area service andcommunity groups to be er demonstrate howthe health care system works.At le , a Harrisburg High School student works witha simulator under the guidance of Simula on FellowSusana Larbi Wumbee during a recep on and tour hos ngHarrisburg art students whose work was being shown in theCenter.RSTC Coordinates Con nued Support for CPR in Schools ProgramThe RSTC is in its third year of support forthe American Heart Associa on (AHA) CPR inSchools (CiS) program. In 2016, grants totaling 31,470 from the Children’s Miracle Network,I.O. Silver Founda on, and a Community HealthGrant were received and will be dispersed in thecoming year. The goal is to place 44 CiS kits in 22different area schools in 2017. This will bring thetoal number of RSTC suppoorted CiS schools to34.Each kit contains 10 inflatable manikins, kneelingpads, and teaching materials enabling a schoolnurse or teacher to provide hands-only CPRtraining in short, 30-minute sessions.Clinical Simula on Center Supports Medical Center Safety ProgramThe Clinical Simula on Center was an ac vepar cipant in the 2016 Na onal Pa ent SafetyWeek ac vi es on the Hershey Medical Centercampus, the first event of its kind since theincep on of the hospital’s Pa ent SafetyDepartment. An en re pa ent room, completewith audible monitors, headwall, pumps, anda pa ent, was constructed in the main hospitalcafeteria. More than 100 par cipants scru nizedthe simulated room to iden fy more than fi eenpoten al pa ent safety concerns and wereentered in a drawing for hospital cafeteria gicards.One of the areas the Center was reaccredited bythe Society for Simula on in Healthcare in 2016was Systems Integra on. The Na onal Pa entSafety Week ac vi es were just one example ofhow the Center par cipates in events to be eralign its ac vi es with organiza onal goals.Above, Medical Center staff examine the simulated pa entroom in the Rotunda Cafe looking for items that pose safetyhazards as part of a Na onal Pa ent Safety Week event.Library Renova on Creates New Links with Simula on CenterThe Harrell Health Sciences Library underwent an extensive renova on in 2016that created new links with the Clinical Simula on Center. One link was physicalas a new open staircase was installed connec ng the Library to the Center.Both the Library and the Center sit at the crossroads of the Penn State Hersheymissions, connec ng pa ent care,educa on, and research. TheLibrary also has new capabili esincluding 3D prin ng and a newsimple to use video studio that willmake it easier to create blendedlearning programs. The TechnologyInnova on Sandbox features otherhi-tech tools that have simula onuses.
HighlightsNew Clinical Simula on Center Website Goes Live OnlineAll three of the major simula on accredi ng bodies conductedreviews, including site visits, during 2016 to review the ClinicalSimula on Center for reaccredita on. The Society for Simula onin Healthcare (SSH) accredited the Center in Assessment,Research, Teaching, and Systems Integra on. The researchaccredita on was new for this accredita on period and gives theCenter full SSH accredita on. The American College of Surgeonsreaccredita on report highlighted the Center’s Simula onInstructor Course as a Best Prac ce. The American Society ofAnesthesiologists also endorsed the Center, allowing for provisionof the Maintenance of Cer fica on in Anesthesia (MOCA)program.Reorganiza on of the health system’s Internetpresence allowed for the Clinical Simula onCenter to unveil a new web site. The new siteincludes features not previously available suchas a con nuing educa on calendar, a blog-stylecommunica on tool for upda ng faculty on newequipment and faculty development programs,a more refined search capability, and greatlyexpanded content.As of 2016, the Penn State Hershey Clinical Simula on Centerwas one of four simula on centers in the country to holdaccredita ons from all three of these organiza ons.has sec ons devoted to all the departments inthe Center including the Resuscita on SciencesTraining Center and the Standardized Pa entProgram.The new site –h ps://sites.psu.edu/hersheysimula on/RecogniƟons and Milestones Director Elizabeth Sinz MD, MEd, FCCM,FSSH, earned a Master’s in Educa on(MEd) from Penn State University. She alsowas elected a Fellow of the Society forSimula on in Healthcare (FSSH).Simula on faculty Kelly Karpa, PhD, RPh,received the 2016 Excellence in Educa onResearch Award as part of the College ofMedicine Research Recogni on Program.She was also named Assistant Dean ofInterprofessional Educa on. Center cofounder W. Bosseau Murray, MBChB,MD, assumed the role of Research Director inthe Clinical Simula on Center. During 2016, the Clinical Simula on Centerwas awarded and completed a major externalcontract to design and implement a na onalstandard simula on instructor course forthe Veterans Administra on health systemthrough the VA’s na onal SIMLearn Simula onCenter in Orlando.
Achieving ObjecƟvesThe Clinical Simula on Center supports a widerange of interprofessional and mul disciplinarysimula on-based educa on and trainingopportuni es to learners from throughout thePenn State Hershey community. 122 differentcourses conducted simula on sessions in theCenter in Fiscal Year 2016.Fiscal Year 2016 sta s cs: 3,194 Sessions23,100 Learners58,520 Contact HoursThe total number of Center room hours dedicatedto simula on-based educa on was 21,018.Growth of Center ac vi es has increasedsignificantly since the Center moved into itscurrent facility. Since moving into the currentfacility in January 2010, the Center hasexperienced: 181% increase in number of sessions peryear111% increase in learners per year74% increase in contact hours per year
Contact InformaƟonElizabeth H. Sinz MD, MEd, FCCM, FSSHDirector, Clinical Simula on CenterAssociate Dean of Clinical Simula onDirector of Pa ent Safety Simula onProfessor of Anesthesiology and NeurosurgeryPenn State College of Medicineesinz@pennstatehealth.psu.eduElizabeth Sinz, MD, MEd, FCCM FSSH - DirectorDavid Rodgers, EdD, EMT-P, NRP, FAHA – ManagerW. Bosseau Murray MBChB MD, – Research DirectorSally Rudy, MSN, RN-BC, CHSE – Simula on EducatorAngel Diaz Sanchez, MD – Simula on EducatorJody Wood, BS – Simula on TechnologistLisa Mackley, AS – Simula on TechnologistHans Hinssen, Dipl.Ing. – Simula on TechnologistKevin Thompson, MS – Simula on TechnologistBeverly Whitman – SchedulerTammi Bortner, BSN, RN – RSTC Program ManagerMonica Griffe – RSTC Administra ve SecretaryAnne Marie Schupper – RSTC Staff AssistantJessica Culver, MS – RSTC Staff AssistantStacey Carmo, BSN, RN – SP Program ManagerJenifer Benovy, BS – SP Program CoordinatorHector Lopez, MD – Simula on FellowLidys Rivera, MD – Simula on FellowPart- me SImula on Technicians:Gowri ReddyLee PhillipsEva Lynch, BSN, RNMichael Glass, BSDavid L. Rodgers EdD, EMT-P, NRP, FAHAManagerPenn State Hershey Clinical Simula on 7Tammi Bortner BSN, RNProgram ManagerResuscita on Sciences Training CenterPenn State Hershey Medical , Extension 284182Stacey Carmo BSN, RNProgram ManagerStandardized Pa ent ProgramPenn State College of Medicinescarmo@pennstatehealth.psu.edu717-531-6304
Penn State Hershey Clinical Simula on Center500 University DriveMail Code H182Room C2630Hershey, PA 17033717-531-4099h ps://sites.psu.edu/hersheysimula on/The Center is located on the second floor of thePenn State College of Medicine building, directlyabove the George T. Harrell Library.To explore opportuni es to support the Clinical Simula on Center, contact the University Developmentoffice at 717-531-8497 or email to givinginquiries@hmc.psu.edu.The Clinical Simula on Center offers external consulta on services and educa onal programmingperformed at the client’s loca on. See our web site for more informa on.
from Penn State College of Medicine and College of Nursing as well as health careers programs from Lebanon Valley College and Elizabethtown College "Recogni on: Janice Mills for conduc ng a . Program Starts in 2016 Penn State Hershey Medical Center staff par cipated in "Superuser" training in January 2016. This training program .
