Euro Italy China Health Care international issues and 2012 bilateral Educational Projects and Training Programs. 22 nd and 26 th June Beijing

Transcription

1 Euro Italy China Health Care international issues and 2012 bilateral Educational Projects and Training Programs 22 nd and 26 th June Beijing

2 University of Sassari (1562) Ø Ø Ø Founded by Jesuits 450 years ago Eleven faculties, about students Medical School with 11 degree levels v Chair and Specialty School of Cardiology Research laboratories Center of Medical Simulation (CardioSIM)

3 Fields of active reasearches Ø Prevention, diagnosis and treatment of Hypertension Ø Left ventricolar hypertrophy and function Ø Arterial stiffness and pressure wave reflection in Aging, Hypertension and Atherosclerosis Ø Cardiac and vascular damage in diabetes and other metabolic diseases Ø Clinical, genetic and molecular aspects of idiopathic cardiomyopaties

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5 Workshop at CardioSIM for Health Care Managers Best medical practices in managing high impact cardiovascular diseases Antonello Ganau Cardiology, University of Sassari

6 Learning by Simulation in Medical Education Training in Medical Simulation at CardioSIM Center (Sardinia) Professor Antonello Ganau Cardiology, University of Sassari

7 Training to achieve skills and competence in medical emergencies in a safe contest Ø Medical students need to be trained to achieve practical skills in invasive procedures and in managing medical emergencies Ø Physicians and nurses need to acquire and maintain high levels of professional competence and to identify and prevent causes of errors, even in the contest of unusual emergencies. Ø For ethical reasons, patients can not be object of the training, because they would be exposed to unacceptable risks of medical errors Ø To be effective and safe at the same time, training must occur in very realistic simulated scenarios

8 Causes of accidents in Medicine Ø In USA about 18 % of hospitalized patients are harmed by care Ø About 2% of errors result in death Ø 70 % of accidents are due to Human Factors Ø 60 % of the cases are potentially preventable

9 We need to improve patient safety and quality of care by reducing the clinical risk Ø Health care delivery remains unsafe despite major efforts in USA to improve patient safety over the past decade Ø Improving patient safety and quality of care is a complicated and challenging task Ø Fundamental improvements need fundamental changes.

10 Medical simulation improves patient safety and reduces the clinical risk Ø Currently, medical simulation primarily serves as a training tool to provide safe and realistic scenarios for helping doctors, nurses and teams to acquire valuable experience with emergencies and to learn the rules of Crisis Resources Managemet (CRM), without putting patients at risk.

11 Simulation centers for patient safety in the world Ø USA Ø Europe 434 centers 100 centers Ø Asia 67 centers Ø Canada Ø Australia 29 centers 15 centers Ø South America 10 centers

12 CardioSim MISSION The mission is to improve medical education and to allow health care professionals to acquire and maintain medical knowledge, competence and skill needed to save human lives (Competence Management System), with special focus on CV medicine.

13 CardioSim Who we are First center of high fidelity simulation in Sardinia, one of the four in Italy CardioSim was realized 6 years ago by the Chair and Specialty School of Cardiology, University of Sassari. It is devoted to train students and fellows of the Medical School and to provide courses of continuous medical education (CME) for general practitioners and specialists of the National and Regional Health System.

14 CardioSim Where we are CardioSim is located at Porto Conte Ricerche (branch of Scientific and Technology Park, Region of Sardinia), nearby the sea and inside a protected naturalistic area. 15 Km to Alghero airport

15 CardioSim

16 High fidelity simulation room

17 Debriefing room Room for lessons and debriefing, video- and audioconnected with the macrosimulation room

18 Room of Microsimulation Room with 12 laptops (simulated scenarios of medical emergencies for self-learning)

19 CardioSim activities: proposal

20 ANMCO SIC SIMEU SIS 118 Regione Autonoma Sardegna, Assessorato alla Sanità Networks for managing ST-Elevation Myocardial Infarction (STEMI) Courses for training dispatch professionals and emergency teams CardioSIM - November 20-21, and December 4-5 e

21 Hypertensive Emergencies

22 Prevenire lo scompenso e le sue recidive Strategic Regional Program Prevention of Cardiovascular Diseases Preventing heart failure and reducing relapses, hospitalizations and costs Regional course for training instructors CardioSim December 19-21, 2011

23 Course of Continuous Medical Education with Simulation Atrial Fibrillation

24 Course of Continuous Medical Education CardioSim, Tramariglio September 25-26, 2009 Cardiometabolic Epidemy: from dismetabolisms to cardiovascular disease Azienda Ospedaliero-Universitaria di Sassari

25 BLSD and ALS Courses Ø 1-day Course of basic Lif Support and Defibrillation (BLS-D) for fellows, young cardiologists and nurses Ø 1-day Course of in-hospital Intermediate Life Support (ILS) for doctors and nurses. Ø 3-day Course of Advanced Life Support (ASL) for doctors and nurses. Faculty: IRC certified CardioSim instructors

26 CardioSIM team

27 Course for instructors of High Fidelity Simulation and CRM 4-days course for Instructors of Simulation and Crisis resources management (CRM).

28 It is not the strongest species that survives, not the most intelligent, but the one most responsive to changes (Charles Darwin) Medical schools and hospitals must be very responsive to the changes needed to improve patient safety and quality of care

29 Last but not least. Good opportunity to discover, a Mith in the Mediterranean Sea (

30 .its ancient history and archaeology

31 . and the natural beauties, ancient culture and well preserved traditions of Sardinia