Stories about: Simulation Program

Paper Trail: Injection drug use, cast-saw burns, LGBTQ bullying prevention and more


Boston Children’s Hospital is at the forefront of clinical research. Stay connected with Paper Trail — a monthly feature highlighting recently published outcomes data and new approaches to the diagnosis, treatment and prevention of pediatric illnesses.

This edition of Paper Trail focuses on injection drug use and street-involved youth, cast-saw reduction rates, sleep apnea, LGBTQ bullying prevention and more. …Read More

Preparing patients for spinal fusion surgery

A nurse assists as a spinal fusion surgery patient practices giving a medical dummy an IV drug.
Hands-on experience before surgery day: A simulation of what to expect during spinal fusion surgery.

Several studies have contributed to the school of thought that thoroughly preparing patients for surgery can reduce their anxiety and even lead to better recoveries and outcomes. That notion appears to be corroborated by the first-hand experience of Michael Glotzbecker, MD, a pediatric spine specialist and surgeon in the Boston Children’s Hospital Spinal Program.

“In my experience, patients do better when they are well prepared for surgery,” says Glotzbecker. …Read More

Simulation in clinical design: Testing a building before it’s built


How do you go about building a new medical facility that improves upon current workflow and safety but also anticipates technologies and care models yet to be developed?

It’s a daunting task, and one that demands collaboration among all stakeholders: clinical staff, patients/their families and building architects. A workgroup from Boston Children’s met with consultants from FKP architects to come up with a vision for a brand new clinical building set to open in 2022. As part of the pre-planning process, FKP proposed a bold idea: constructing life-size cardboard replicas of clinical areas for doctors, nurses and patient families to “test” with simulated scenarios.

“There are no disadvantages to this approach,” says Uma Ramanathan, AIA, lead architect on the project for Shepley Bulfinch, the architecture firm designing the new building. “If only everyone could use this level of detail!” Shepley Bulfinch joined the simulation project to observe and record data and insights.

“For architects, visualizing space comes easily,” Ramanathan adds. “Not so much for others.” …Read More

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Readers’ choice: The Notes Top 5 for 2015

tablet stethoscope top 5 reader's choice

It’s hard to believe that Notes didn’t really exist a year ago. As 2015 comes to a close, it’s a good time to look back and see what you, the readers, decided were the best stories that we published this year. And you picked an interesting range of stories:

  • an op-ed on hemophilia drug pricing
  • a reflection on difficult conversations in health care
  • a report on using simulation to test a hospital’s new emergency department
  • a call for better mentorship in medical training
  • an update on neurosurgical treatment of cerebral palsy

So here they are — the Notes Top 5 for 2015, as chosen by you.

…Read More

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