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Simulation & Gaming
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Components of an Effective Medical Simulation Software Solution

Howard A. Schwid

University of Washington

Advanced Cardiac Life Support (ACLS) is a set of guidelines promoted by the American Heart Association to improve management of cardiac arrest. Numerous studies have shown that retention of the treatment algorithms following ACLS training is poor. The ACLS SIMULATOR is a software solution developed to address this problem. Practice managing simulated cases using the ACLS SIMULATOR has been shown to improve physicians’ retention of ACLS guidelines better than textbook review. There are more than 10,000 copies in use, and hundreds of physicians and nurses have used the software to earn continuing education credits. The ACLS SIMULATOR uses five essential components to achieve an effective simulation training software solution: (a) simulation engine to predict simulated patient responses, (b) graphical user interface, (c) automated record-keeping system, (d) expert system for management help, and (e) automated debriefing system. These five components serve as the basis for development of other case-based simulation training programs. The addition of the expert system and automated debriefing enhance the educational experience and convert the program from being just a simulator to being an efficient learning environment for independent study.

Key Words: ACLS • advanced cardiac life support • cardiopulmonary resuscitation • computer-assisted instruction • debriefing • education, continuing, medical • education, continuing, nursing • expert system • medical simulation

Simulation & Gaming, Vol. 32, No. 2, 240-249 (2001)
DOI: 10.1177/104687810103200211


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