Abstract:
:Biomedical simulation is an effective educational complement for healthcare training, both at undergraduate and postgraduate level. It enables knowledge, skills and attitudes to be acquired in a safe, educationally orientated and efficient manner. In this context, simulation provides skills and experience that facilitate the transfer of cognitive, psychomotor and proper communication competences, thus changing behavior and attitudes, and ultimately improving patient safety. Beyond the impact on individual and team performance, simulation provides an opportunity to study organizational failures and improve system performance. Over the last decades, simulation in healthcare had a slow but steady growth, with a visible maturation in the last ten years. The simulation community must continue to provide the core leadership in developing standards. There is a need for strategies and policy development to ensure its coordinated and cost-effective implementation, applied to patient safety. This paper reviews the evolutionary movements of biomedical simulation, including a review of the Portuguese initiatives and nationwide programs. For leveling knowledge and standardize terminology, basic but essential concepts in clinical simulation, together with some considerations on assessment, validation and reliability are presented. The final sections discuss the current challenges and future initiatives and strategies, crucial for the integration of simulation programs in the greater movement toward patient safety. :A simulação biomédica é uma ferramenta educativa para a formação nas ciências da saúde, com aplicação nos vários níveis de ensino. Proporciona experiências ativas e sistemáticas de aprendizagem com o treino de conhecimentos, habilidades e atitudes, de forma segura, pedagogicamente orientada e eficiente. Neste contexto, a simulação biomédica proporciona habilidades e experiência que facilitam a transferência de competências cognitivas, psicomotoras e de comunicação, mudando assim o comportamento e atitudes, aumentando, em última instância, a segurança do doente. Para além do impacto sobre o desempenho individual e de equipa, a simulação proporciona o ambiente ideal para o estudo de falhas organizacionais e teste de melhorias nos desempenhos dos sistemas. Nas últimas décadas, a simulação na área da saúde cresceu lentamente, mas de forma constante, com um amadurecimento significativo nos últimos 10 anos. A comunidade de simulação deve continuar a liderar o estabelecimento de standards nesta área, assim como o desenvolvimento de estratégicas e políticas para assegurar a sua implementação coordenada e custo-efetiva, no aumento da segurança do doente. Este artigo apresenta os movimentos evolutivos da simulação biomédica, incluindo uma revisão das iniciativas portuguesas e programas nacionais. Para nivelar o conhecimento e padronizar a terminologia, são apresentados conceitos básicos, mas essenciais, da simulação clínica, juntamente com algumas considerações sobre avaliação, validação e fiabilidade. As seções finais discutem os desafios atuais e as iniciativas e estratégias futuras, cruciais para a integração de programas de simulação no movimento global de promoção da segurança do paciente.
journal_name
Acta Med Portjournal_title
Acta medica portuguesaauthors
Sá-Couto C,Patrão L,Maio-Matos F,Pêgo JMdoi
10.20344/amp.8403subject
Has Abstractpub_date
2016-12-30 00:00:00pages
860-868issue
12eissn
0870-399Xissn
1646-0758journal_volume
29pub_type
杂志文章abstract::Elastosis perfurans serpiginosa is a rare perforating dermatosis found primarily in adolescents and young adults, characterized by transepidermal elimination of abnormal elastic fibers. The only drug known capable of inducing elastosis perfurans serpiginosa is D-penicillamine. We report the case of a 52 year-old woman...
journal_title:Acta medica portuguesa
pub_type:
doi:10.20344/amp.6749
更新日期:2016-03-01 00:00:00
abstract::In the literature, there are few reports of posterior cerebral artery aneurysms resulting from isolated dissections. In these cases the treatment is still a matter of discussion and includes anticoagulation, surgical intervention, endovascular techniques and conservative management. We present five cases of Posterior ...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:2001-01-01 00:00:00
abstract:INTRODUCTION:To evaluate sleep deprivation and its effects on young physicians in relation to concentration capacity and psychomotor performance. MATERIAL AND METHODS:Eighteen physicians aged 26 - 33 years were divided into 2 groups: non-sleep deprived group (with no night work) and sleep deprived group (minimum 12 ho...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.5777
更新日期:2015-07-01 00:00:00
abstract::Over the last 20 years, assisted reproductive technology has been increasingly used. Ever since the first newborn resulting from artificial insemination, over two centuries ago, thousands more children were born resulting from these techniques. In Portugal, assisted reproductive technology began in 1985 at the Hospita...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2005-11-01 00:00:00
abstract::Since the introduction of imatinib mesylate for the treatment of chronic myeloid leukaemia, impressive clinical responses were observed in the majority of patients in chronic phase. However, not all patients experience an optimal response to imatinib mesylate or even to the more potent, second generation tyrosine kina...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:2013-07-01 00:00:00
abstract::After the discovery of insulin and during almost an half of a century, physicians and researchers apply their efforts in a better knowledge to reduce the perinatal mortality of the offspring of the diabetic mother. The optimisation of glucose control--the main key of the management of diabetic pregnancy--and the new m...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:2002-05-01 00:00:00
abstract::The occurrence of metastases is documented in a varied number of hepato-cellular carcinomas (HCC). The indicative metastasis is very rarely the form of clinical presentation of the disease. Two cases of HCC which were clinically presented in a secondary location, in the bone and skeletal muscle respectively, are descr...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:1995-04-01 00:00:00
abstract:UNLABELLED:Tobacco smoking is the cause of more than half million deaths/year in the European Union (EU). Monitoring smoking prevalence is an important tool to evaluate the epidemic and its evolution and to assess the effectiveness of preventive measures. The comparison between countries may help us identify good contr...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2009-07-01 00:00:00
abstract::The effects of immunodepression on several disease states have constituted an important area of research, leading to the identification of relevant associations between immunodepression and a vast set of comorbidities, including infectious diseases, cardiovascular diseases and cancer. Research on the effects of immuno...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:10.20344/amp.7997
更新日期:2017-01-31 00:00:00
abstract::The use of the transoesophageal echocardiography (TEE) in the critically ill patient admitted to the general intensive care unit begins to turn out to be very important but it is still little spread. The full implementation of the echocardiography in the general intensive cares is compromised by the acoustic window. H...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:2011-12-01 00:00:00
abstract::The authors present the experience of 63 clinical cases of microsurgical reconstruction of the head and neck. These reconstructions were accomplished by different microvascular free flaps which were selected according to the type, size and location of the defects. Fasciocutaneous, osteofasciocutaneous, adipofascial, m...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1998-10-01 00:00:00
abstract:INTRODUCTION:Portugal is experiencing the effects of the COVID-19 pandemic since March 2020. All-causes mortality in Portugal increased during March and April 2020 compared to previous years, but this increase is not explained by COVID-19 reported deaths. The aim of this study was to analyze and consider other criteria...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.13928
更新日期:2020-06-01 00:00:00
abstract::Twelve cases of extreme umbilical blood flow impairement (8 cases with loss of end-diastolic blood flow and 4 cases with reversed flow) found among 658 pregnancies studied by continuous Doppler between April 1st 1989 and March 31st 1990, are reported. The findings were associated to intra-uterine growth retardation (9...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1991-05-01 00:00:00
abstract::The circumstances preceding the future revision of the medical curriculum are analysed, main internal and external stimuli are described, and sources of resistance to changes in medical training require new educational philosophy, privileging oriented training during undergraduation, as a preliminary phase of medical ...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1993-10-01 00:00:00
abstract:INTRODUCTION:To analyze the cesarean section rate evolution in a tertiary hospital and the main indications for cesarean section. MATERIAL AND METHODS:A retrospective study was conducted at a major academic hospital and included 5 751 women who had a cesarean section from 2005 to 2011. The rates of overall, primary an...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2013-11-01 00:00:00
abstract::Referring to examples from the poetry of Fernando Pessoa and Mário de Sá Carneiro, we draw attention to the narcissistic relationship between mother and baby, to the role of the mirror-image of the mother's face, and to the organization of a false self caused by a deficiency both of that function, and of the narcissis...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1992-12-01 00:00:00
abstract:INTRODUCTION:Functional foods are those that promote health and well-being and/or decrease the risk of certain chronic diseases. It is known that young people' knowledge about functional foods is low. The aim of this study is to assess the psychometric proprieties of the "Attitudes towards Functional Foods Scale" in a ...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.9284
更新日期:2019-04-30 00:00:00
abstract::Stevens-Johnson syndrome and toxic epidermal necrolysis are potentially life-threatening adverse cutaneous drug reactions. Clinically, it manifests as a rash, often morbilliform, or atypical target lesions that evolve to epidermal detachment. There is mucosal involvement in almost all patients. The loss of skin's barr...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:2011-12-01 00:00:00
abstract:INTRODUCTION:Pneumocystis jirovecii pneumonia remains one of the most common opportunistic illnesses in patients infected with the human immunodeficiency virus. It is currently the most reported AIDS-defining infection in Portugal. The aims of this study were to analyze the features of a human immunodeficiency virus /P...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.7022
更新日期:2016-10-01 00:00:00
abstract::Several infectious, neoplastic or inflammatory skin diseases, may be early manifestations of HIV infection. We reviewed the clinical data of 226 HIV seropositive male patients with cutaneous disease, from a total of 337 inpatients at the Infectious Diseases Unit--Department of Medicine 1--Curry Cabral Hospital, from 1...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1994-03-01 00:00:00
abstract::Pleural effusions can be a manifestation of several nosological entities. Etiologic diagnosis involves a good clinical history, followed by thoracocentesis with pleural biopsy and eventually bronchoscopy or thoracoscopy. The differentiation between transudates and exudates, by the biochemical characteristics of the pl...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:1995-10-01 00:00:00
abstract::Hemangiomas are usually diagnosed based on ultrasound findings. The presence of symptoms, rapid growth or atipical imagiological findings should make us consider other diagnoses, including malignant tumors such as angiosarcomas. We describe the case of a previously healthy 46-year-old female without a history of expos...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.8593
更新日期:2017-10-31 00:00:00
abstract::This paper summons to contest some of the bonds that will be severed, probably, by the new eugenics, and may be repaired by narrative-based medicine, two of the most extreme and contradictory challenges to today's--and tomorrow's--medical practice. Accordingly, I intend to frame its development into the unbounded math...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2005-09-01 00:00:00
abstract::Differential diagnosis concerning Crohn's Disease and intestinal tuberculosis is often difficult. The authors present an illustrative case with ileal tuberculosis and secondary amyloidosis. Diagnostic tools and therapeutic measures are described. Literature review and theoretical discussion of both pathologies are inc...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1993-08-01 00:00:00
abstract::The contribution of carotid and vertebral angiography for surgical planning, particularly for the infratemporal approach, in 24 jugulotympanic paragangliomas with otoneurological symptoms is discussed. These symptoms included peripheral facial palsy, sensorineural hypoacusis, labyrinthine and nervous syndrome of the j...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1990-07-01 00:00:00
abstract:INTRODUCTION:An early investigation and management op cryptorchidism are essential for the diagnosis of associated pathologies, because intra-abdominal testis are associated with infertility and neoplasic risk. The authors describe a case of late presentation of cryptorchidism associated with genetic disorder. CASE RE...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2011-12-01 00:00:00
abstract::The exercise tolerance test (ETT) is the ancillary test of choice for the evaluation of the patient with ischaemic heart disease. When faced with complaints suggestive of angina pectoris, ETT is useful in confirming or excluding such a diagnosis, frequently reproducing the complaints while recording the tell-tale elec...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:1997-04-01 00:00:00
abstract::Atrial septum aneurysms are an uncommon condition, underestimated before the routine use of echocardiography. Their clinical importance has increased after being associated with thromboembolic events. The authors made a review of clinical, diagnostic and therapeutic features of this entity after reporting six clinical...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1998-04-01 00:00:00
abstract::Alpha-1 antitrypsin deficiency is an autosomal co-dominant inherited disorder that results in decreased circulating levels of alpha-1 antitrypsin (also known as alpha-1 proteinase inhibitor) and predisposes affected individuals to early onset lung and liver disease. There is currently no cure for alpha-1 antitrypsin d...
journal_title:Acta medica portuguesa
pub_type: 实务指引
doi:10.20344/amp.12950
更新日期:2020-06-01 00:00:00
abstract::Two types of platelet alloantigens are considered: type I, which refers to platelet alloantigens shared by platelets and other cells; and type II, which comprises the platelet-specific alloantigens. The Human Platelet Alloantigens (HPA) System consists of five diallelic alloantigens and eleven low frequency antigens. ...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2000-09-01 00:00:00