center

Simulation Center

Simulation Center

A simulation Center is a dedicated area within healthcare education building, medical center, or training facility which is devoted to medical simulation.

The number of healthcare simulation centers (HSCs) in mainland China has increased exponentially recently. However, the performance of these centers varies significantly between hospitals.

The number of healthcare simulation centers (HSCs) in mainland China has increased exponentially. However, the performance of these centers varies significantly between hospitals.

The aim of a study was to address two research questions:

(1) what are the critical factors for implementing high-performance HSCs, and (2) how are these critical factors used in the development of implementation strategies to achieve satisfactory performance?

Following a literature review on information technology (IT) implementation, Yan et al. identified a framework comprising four key dimensions for HSCs implementation: technology, organization, environment, and individuals. This TOEI Technology-Organization-Environment framework was then used as a basis for a multi-center case study through which data collection and analysis proceeded. They collected 12 one-to-one in-depth interviews alongside secondary data from six high-performance HSCs in mainland China.

The study identifies critical TOEI factors that collectively influence HSC implementation performance and major activities at the six high-performance HSCs. Three strategies for implementing high-performance HSCs are also identified: facility management platform, education and training center, and innovation center.

HSC implementation is a holistic approach. The critical TOEI factors collectively build a foundation for center activities. An HSC’s implementation strategy highly relies on organizational strategic goals. Additionally, HSCs in mainland China face some common challenges such as faculty retention and future opportunities such as expanding the research scope. This study also provides insights for hospital leadership, medical associations, and policymakers 1).

Neurosurgical training

Neurosurgical training

Simulation-based training

Simulation-based training.

Simulation model

Simulation model

1)

Yan A, Li L, Lv J, Mirchandani DA. Implementation Strategies for High-Performance Healthcare Simulation Centers: A Multi-center Exploratory Case Study in China. Med Educ. 2022 Feb 6. doi: 10.1111/medu.14741. Epub ahead of print. PMID: 35128724.

Journey to the Center of the Mind Life, Health and Happiness through the Eyes of a World-Renowned Neurosurgeon

Journey to the Center of the Mind Life, Health and Happiness through the Eyes of a World-Renowned Neurosurgeon

by Alexandru Vlad Ciurea, Tudor Artenie

List Price: $22.00

Buy

Journey to the Center of the Mind, a best selling book of interviews published in Romania a few years ago, is now available to English-speaking readers. The interviews with world-renowned neurosurgeon, university professor, and inventor of a drain system for the brain Alexandru Vlad Ciurea are a window into a life lived with humility, always in the best interest of the patient and of the fellow man.

Despite adverse historical conditions, which include a world war and the tough communist regime, Professor Ciurea’s life story is one filled with joy, optimism, and life lessons for all of us.

In this series of interviews with writer and journalist Tudor Artenie, the professor talks about what constitutes a good childhood and education; about good habits and health issues; about the benefits of a glass of red wine and of a good book. His honest take on what and how people can get the most out of their lives comes at a critical moment, when competing discourses are drowning us in noise and we do not know where to look for guidance anymore.

Take the journey with him and learn from a neurosurgeon who has operated on over twenty-three thousand patients and has never lost one.

Effect of trauma center designation in severe traumatic brain injury outcome

Effect of trauma center designation in severe traumatic brain injury outcome

Trauma center designation is significantly associated with functional independence (FI) and independent expression (IE) (defined as a functional independence measure component of 4) after severe traumatic brain injury, but not moderate traumatic brain injury. Prospective study is warranted to verify and explore factors contributing to this discrepancy 1).

Patients with severe traumatic brain injury treated in American College of Surgeons (ACS)-designated level 1 trauma centers have better survival rates and outcomes than those treated in ACS-designated level 2 trauma centers 2).

In 2019 a study showed superior functional outcomes and lower mortality rates in patients undergoing a neurosurgical procedurefor severe traumatic brain injury in level 1 trauma centers 3).

References

1)

Brown JB, Stassen NA, Cheng JD, Sangosanya AT, Bankey PE, Gestring ML. Trauma center designation correlates with functional independence after severe but not moderate traumatic brain injury. J Trauma. 2010 Aug;69(2):263-9. doi: 10.1097/TA.0b013e3181e5d72e. PubMed PMID: 20699734.
2)

DuBose JJ, Browder T, Inaba K, Teixeira PG, Chan LS, Demetriades D. Effect of trauma center designation on outcome in patients with severe traumatic brain injury. Arch Surg. 2008 Dec;143(12):1213-7; discussion 1217. doi: 10.1001/archsurg.143.12.1213. PubMed PMID: 19075174.
3)

Chalouhi N, Mouchtouris N, Saiegh FA, Starke RM, Theofanis T, Das SO, Jallo J. Comparison of Outcomes in Level I vs Level II Trauma Centers in Patients Undergoing Craniotomy or Craniectomy for Severe Traumatic Brain Injury. Neurosurgery. 2019 Jan 24. doi: 10.1093/neuros/nyy634. [Epub ahead of print] PubMed PMID: 30690608.

University of Rochester Medical Center Receives Grants to Explore Role of Brain’s “Garbage Truck” in Mini-Strokes and Trauma

Over $4.5 million in new grants has been given to the lab of University of Rochester Medical Center scientist Maiken Nedergaard, M.D., D.M.Sc.  Her research explores the important role the brain’s waste disposal system may play in a range of neurological disorders. The new awards will further the understanding of how small vessel disease and traumatic brain injury can give rise to cognitive and behavioral problems.
Nedergaard and her colleagues first unveiled the brain’s unique method of removing waste – coined the glymphatic system – in a paper in Science Translational Medicine in 2012.  The research revealed that the brain possesses a circulation network that piggybacks on blood vessels and uses cerebral spinal fluid to flush away waste products from brain tissue.  Based on this original finding, the team has gone on to show that the glymphatic system works primarily while we sleep, could be a key player in diseases like Alzheimer’s, and is disrupted after traumatic brain injury.
Read more about her exciting research here.

The Abstract Center for the CNS 2016 Annual Meeting Is Open

CNS SPOTLIGHT
The Abstract Center for the CNS 2016 Annual Meeting Is Open
The CNS invites you to submit an abstract for the Original Science Program at the 2016 CNS Annual Meeting, taking place September 24–28 in San Diego, California. This is a phenomenal opportunity to present your work at one of the world’s foremost gatherings of leaders in neurosurgery and neuroscience.
The CNS Original Science Program comprises three distinct formats: Oral Presentations, Neurosurgical Forum, and Digital Posters. Learn more and submit your research.