Simulcast Journal Club is a monthly series that aims to encourage simulation educators to explore and learn from publications on Healthcare Simulation Education. Inspired by the ALiEM MEdIC Series, each month we publish a case and link a paper with associated questions for discussion. We moderate and summarise the discussion at the end of the month in pdf and podcast format, including opinions of experts from the field.
For the journal club to thrive we need your comments! Some participants report feeling nervous about their initial posts, but we work hard at ensuring this is a safe online space where your thoughts are valued and appreciated. To ensure this, all posts are reviewed prior to posting. We look forward to learning from you.
Title : “Happy Endings”
“This is it!” grinned Nitin. In his hand, he held a copy of ‘Resuscitation’. “An ecological study, across 26 hospitals. Improved survival! Statistical significance! This is the paper we’ve needed!”
He grasped Nimali’s hand as they walked towards their office. Nimali’s phone rang, she glanced down to see that Catherine was calling her and quietly cancelled.
“Nimali, between this data and the AHA Statement there’s no way the hospital can shut us down.”.
Her heart skipped a beat as she considered the implications. “All this time we’ve been looking at RCT’s that never get enough power. But with this paper we can justify rolling out Brad’s new rapid cycle program! Funding might get easier… This is a huge moment!”. She jumped briefly as her phone buzzed again. She put it on silent.
Nitin stared into her eyes. “I told you not to doubt yourself. Everything we do here, it actually means something. And now we have proof! What a way to finish the year.”.
Nitin’s infectious passion dampened Nimali’s inhibitions. She leaned forward and pecked him on the cheek. “Everyone else is off campus at mandatory training. I think it’s time we invested in some Spaced Repetition.”
“I’d prefer some Rapid Cycle, but as long as there’s some contextual learning.” Grinned Nitin.
For the third time Nimali’s phone buzzed. She sighed. “Hold that thought.”
“Hey, what’s up?” she asked, as Nitin kissed her neck. “What? Oh God. Catherine I’ll be right there.”.
She looked up from the phone in shock and pushed Nitin away.
“The staff meeting, we need to get there… now.”
Nitin could see the fear in her eyes. “Nimali, what is it?”.
“Professor Snythe has been murdered.”.
The Article :
Josey, K., Smith, M., Kayani, A., Young, G., Kasperski, M., Farrer, P., Gerkin, R., Theodorou, A. and Raschke, R. (2018). Hospitals with more-active participation in conducting standardized in-situ mock codes have improved survival after in-hospital cardiopulmonary arrest. Resuscitation, 133, pp.L-52.
For several years on journal club we’ve mentioned the great white whale of Simulation Research. The ability to correlate our educational efforts with improved patient outcomes. While some papers have achieved this on some levels, Josey et al’s paper finds an association between In Situ Sim Programs and decreased patient mortality in hospital arrest.
For our journal clubbers this month, does this paper seem as exciting and validating as Nimali and Nitin seem to think? Or are they seeing what they wish to see from this data?
This is our last journal club for 2018, so jump in now!
Josey, K., Smith, M., Kayani, A., Young, G., Kasperski, M., Farrer, P., Gerkin,https://www.ncbi.nlm.nih.gov/pubmed/30261220 R., Theodorou, A. and Raschke, R. (2018). Hospitals with more-active participation in conducting standardized in-situ mock codes have improved survival after in-hospital cardiopulmonary arrest. Resuscitation, 133, pp.47-52.