Assignment: High-fidelity Simulation

Assignment: High-fidelity Simulation


Assignment: High-fidelity Simulation

The EMSC federal program has recently supported a conversion of its coordinating center to one embedded in improvement science (EMSC Innovation and Improvement Center), of which its initiatives includes efforts to minimize unwanted variation in care ( One such initiative includes a partnership with the American Academy of Pediatrics for development of national ED- based evidence-based pathways. To date, these have included publically accessible pathways for septic shock, bronchiolitis, and community acquired pneumonia.49Hospital-based efforts are currently limited by gaps in data sharing across institutions to evaluate outcomes and costs related to implementation of these pathways. However, local implementation of these and other evidence-based clinical standards products will likely continue to describe the value of clinical standards in pockets across the EMSC continuum. The Pediatric Initiative for Clinical Standards (PICS), now in its second year, is moving from its development of hospital-based guidelines activities within this consortium of children’s hospitals to a phase of data collection on quality metrics in order to demonstrate value in clinical standards implementation that will include components of ED based care.

Although limitations to big data sharing will continue to limit the nation’s ability to demonstrate the aggregate value in clinical standards across the EMSC continuum, demonstrated successes in defining value for components of the system will fuel more comprehensive and widespread approaches to development and implementation. Ultimately, these patient centric approaches to clinical standards work will continue to drive improved outcomes of care, a better patient experience, and decreased costs of care–achieving the triple aim.


Travis L. Rodkey, Ph.D., Outcomes Analyst, Outcomes and Impact Service, Texas Children’s Hospital, Houston, TX.


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You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.