The service is performed by MRS on Wheels.
Opening a new hospital department, adding a new staff rotation or moving to a new building are all processes, rather than events. These start from the functional and architectural planning and only end weeks after the "ribbon is cut" and the work in the new department has begun – with the stabilizing of the learning process and different working protocols.
The important planning phase is subject to many limitations, that make the final outcome not always optimum. These outcomes which can include patient safety measures, space issues and lack of trained staff compel the organization to make adaptations immediately. Due to the many variables between the planned and the real – the ability to foresee all affects and interactions is impaired – causing great difficulties in the department, sometimes days after opening, and can potentially harm patients and staff.
Performing a "system check" to examine the processes prior to opening can locate, in advance, the areas where the continuity of care and control of the processes are negatively affected.
MSR has developed a simulation-based methodology – "System Check" – to assess the system before it becomes operational, to identify those very pitfalls and assist with developing solutions and the complete processes, even before the first patient is admitted. This methodology can reduce errors and shorten the time needed for learning, once the department opens. The system check starts with the patient flow and can include simulation based training for the new staff in the new department. MSR utilizes a variety of manikins and actors (SP's), and can develop simulation scenarios from basic skills to full scale simulation across the entire hospital or department together with all auxiliary departments.
During December 2017, MSR provided a workshop to train doctors from Gaza. The workshop dealt with the principles of treating trauma victims in hospitals.
This training provides the opportunity to advance the shared purpose of saving lives. This is a joint initiative of the Faculty of Medicine at Tel Aviv University, MSR – The Israel Center for Medical Simulation and Physicians for Human Rights. Click for more ..
A crucial factor in SBME is the quality and preparedness of the instructors. Often, the instructors are experts in the relevant medical field, but have limited experience in SBME.
MSR teaches various debriefing techniques that improve the instructor's skills in debriefing, providing feedback and facilitation. The workshops can be tailored to teach a specific domain including: CRM, interpersonal communication skills and clinical skills.
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"MSR is a visionary and visioning place…unique in the world. They have collaboratively built a pioneering national centre of excellence that integrates the art and science of patient safety, quality improvement, education, cognitive behavior and human factors science. We have visited simulation education centres on 6 continents in the past 2 years…and MSR is second to none!"
MSR wishes ' Happy Passover' to all of our clients and colleagues and for
A Safe, Humane, Ethical and Patient- Centered Medical Culture.
During November 2017 MSR, The Israel Center for Medical Simulation hosted a delegation of senior teachers from a Nursing College in Bacolod City, Philippines. The delegation of six members consisted of the Dean of the Nursing School, the Assistant Vice President for Academic Affairs and four Senior Nursing instructors. The delegation came to MSR for a 5 day faculty development and “Train the Trainer” program to implement Simulation in medical education. The participants learned the MSR-OJT (On-the-Job) training model for teaching clinical skills and practiced in advanced Video based debriefing of clinical and communication based scenarios. In addition they participated in a Scenario design workshop during which they wrote and piloted the scenarios they developed using actors and different simulation modalities.
The program also involved the participants in discussions about simulation based curriculum development and assessment.
The members of the delegation testified that the training was very interesting, mind stimulating and a thorough learning experience with many practical tools acquired. The delegation left back to the Philippines very enthusiastic and with intentions for future collaboration in order to go deeper into implementing the methods and tools learned in their Nursing academic programs. Click for more ..
How did the Pediatric Trauma workshop start?
Shay Laufer, Director of “MSR on Wheels”
It was a hot summer in Jerusalem. The pediatric emergency room (ER) was quiet and calm, with only a few children waiting to be examined. One boy was being treated for a fractured arm and two more were in bed, waiting for their test results. A visitor not familiar with Emergency Deoartments might think this is a typical day at the hospital, but any experienced staff member knows this is only a façade, and that things can escalate rapidly.
Suddenly a taxi pulls in, and an alarmed mother holding her two and half year-old boy in her arms shoots out. The fear on her face is visible from a mile away. The toddler’s head is leaning sideways, he is pale, barely breathing and unconscious. The staff examines him and the mother tells them her boy was hit by a cement brick while playing in the yard.
The preliminary diagnosis identifies that the boy is suffering from severe trauma, but since he was brought in by a taxi and not by an ambulance, he arrived at the pediatric ED which is not equipped to handle such severe cases, and the staff has little experience in this field.. If he would have been brought in by ambulance he would have arrived at the hospital’s trauma unit in the general ER, six floors down. However, it’s clear the boy will not survive another transport and that they must tend to him there.
This complex and challenging story ended well. The lessons learned from it led to the development of the pediatric trauma workshop with “MSR on Wheels.”
About the workshop
The pediatric trauma workshop was designed to provide ER staff with the necessary additional training to handle the random trauma cases that arrive on their doorstep. The workshop includes selected trauma classes for multidisciplinary staff members (physicians, nurses, technicians and other staff) that train specific procedures utilizing the medical equipment and devices available at their hospital for the handling of such cases.
Following the simulation training the staff conducts video-based debriefing with the assistance of MSR instructors.
In January MSR conducted a pilot workshop in Shaare Zedek Medical Center in Jerusalem training 16 ER physicians and 24 ER nurses.
The feedback we received clarified how important the workshop was and led to the decision to offer the workshop to all pediatric ERs in Israel.
One of the biggest advantages “MSR on Wheels” can offer is the ability to adapt to each hospital’s unique characteristics and requirements, and to personalize the experience for the staff, thus maximizing the relevance of the process.
For a Safe, Humane, Ethical
and Patient-Centered Medical Culture
Medical teams from Israel and around the world come to MSR to participate in simulation based training programs to improve their clinical and communication skills.
This experiential form of training enables a participatory, structured and safe learning experience that is video-taped and debriefed, with immediate feedback given to the participants, and without placing patients at risk. The training approach applied at MSR makes extensive use of a wide range of simulation approaches, and integrates both individual and team training. Click for more....
Obstetrics and Gynecology
Military Medicine - A Communication Skills Workshop
Participants practice in complex medical scenarios calling for interaction between the caregivers and actors playing the roles of patients and their families. The scenarios are taken from real-life situations that a caregiver would encounter with patients and family members. The scenarios are carefully chosen according to the participants, i.e. Ultrasound physicians practice delivering bad news, coping with a patient’s demand to provide a service not covered by the HMO, or an arguing couple. Gynecologists and Delivery Room Nurses practice in scenarios that include relating to patients who are unresponsive to fertility treatments, treating diabetes in pregnancy, gaining informed consent for cervical suturing, dealing with somatic situations and medical errors, and more.
The practice scenarios are observed through a one-way window by communication skills and gynecological experts, as well as by the fellow participants. The various scenario stations are documented and recorded using an audio-visual system, and the recordings form the basis for the evaluation, discussions and constructive feedback for the participants.
In this experiential course, which takes place at MSR, participants train in simulations of extreme situations that challenge their communication skills. The simulations incorporate professional actors playing patients and family members, medical and nursing staff, and media figures.
Every participant is exposed to a number of challenging scenarios, as active players and as observers, and the simulations are recorded and filmed. The simulation is followed by a debriefing where the the actors give the participants feedback. Furthermore, during the debriefing the participants review the films and recordings of the simulation and get additional feedback from the program leaders (representing the client) who were trained by MSR to lead the course. Click for more...
A formation day for MSR
following the life story and songs of Arik Einstein.
On a damp morning we took a stroll in the streets of Tel Aviv, following the stories and song of Arik….You are invited to watch the photos.