Our projects

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Projects at the Centre for Medical and Health Sciences Education

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NetworkZ (formerly known as MORSim)

NetworkZ is a national team training intervention programme for surgical teams. The goal is to improve the safety and efficiency of care for patients.The program is funded by ACC, delivered by the University of Auckland, and supported by the Health Quality and Safety Commission.

Please visit our website to find out more.

Key publications

Weller, J., Cumin, D., Torrie, J., Boyd, M., Civil, I...Merry, A. Multidisciplinary operating room simulation-based team training to reduce treatment errors: a feasibility study in New Zealand hospitals. New Zealand Medical Journal. 2015: 128, 1418; 40-51. Retrieved from https://www.nzma.org.nz.

Weller, J., Cumin, D., Civil, I., Torrie, J., Garden, A...Merry, A. Improved scores for observed teamwork in the clinical environment following a multidisciplinary operating room simulation intervention. New Zealand Medical Journal. 2016: 129, 1439; 59-67. Retrieved from https://www.nzma.org.nz.

 

Ethnography: Clinical Team Conversations

This project applies ethnographic methods to look closely at communication in clinical environments. The goal is to identify how and what health care professionals learn to communicate with one another in clinical environments. Methods include time-condensed ethnography, film and audio analysis, and ethnographic documentary film. Presently we are researching the communication learning that occurs during UIPC week at the University of Auckland; a simulation and learning activities course offered to paramedicine, nursing, pharmacy and medical students.

Key publications

Jowsey, T., Yu, T-C., Ganeshanantham, G... & Weller, J. Ward calls not so scary for medical students after interprofessional simulation course: a mixed-methods cohort evaluation study. BMJ Simulation & Technology Enahanced Learning. 2018. DOI: 10.1136/bmjstel-2017-000257.

Sheehan, D., Jowsey, T., Parwaiz, M., Birch, M., Seaton, P., Shaw, S., Duggan, A. and Wilkinson, T. (2017), Clinical learning environments: place, artefacts and rhythm. Medical Education, 51: 1049–1060. DOI: 10.1111/medu.13390.

Jowsey, T., Skilton, C., Dennis, S., Weller, J. M. Structured team communication in a simulated operation: an ethnographic approach. Internal Medicine Review. July 2016: 1-11. DOI: 10.18103/imr.v0i5.101.

 

Workplace-Based Assessment

Workplace-based assessments should provide a reliable judgement of trainee performance, but have met with mixed success. In a series of studies, we developed an entrustability scale, where supervisors scored trainees on the level of supervision required, as opposed to the level of expected performance, to improve the utility and reliability of mini-clinical evaluation exercise (CEX) assessments. 

Key publications

Weller, J. M., Castanelli, D. J., Chen, Y., & Jolly, B. (2017). Making robust assessments of specialist trainees' workplace performance. British Journal of Anaesthesia, 118(2), 207-214. DOI: 10.1093/bja/aew412.

Castanelli, D. J., Jowsey, T., Chen, Y., & Weller, J. M. (2016). Perceptions of purpose, value, and process of the mini-clinical evaluation exercise in anesthesia training. Canadian Journal of Anesthesia, 63(12), 1345-1356. DOI: 10.1007/s12630-016-0740-9.

Weller, J. M., Misur, M., Nicolson, S., Morris, J., Ure, S., Crossley, J., & Jolly, B. (2014). Can i leave the theatre? A key to more reliable workplace-based assessment. British Journal of Anaesthesia, 112(6), 1083-1091. DOI: 10.1093/bja/aeu052.

 

Psychometric Measurement

Enhancement of psychometric measurement is essential to ensure reliability and validity of assessment in research and clinical practice. The Psychometric Measurement Project constitutes continuous efforts of the CMHSE to examine and improve reliability and validity of psychometric instruments widely used in Medicine, Education and Psychology.

Key Publications

Medvedev, O. N., Krägeloh, C. U., Hill, E. M., Billington, R., Siegert, R. J., Webster, C. S., Booth, R. J., & Henning, M. A. (2017). Rasch analysis of the Perceived Stress Scale: Transformation from an ordinal to a linear measure. Journal of Health Psychology, DOI: 10.1177/1359105316689603.

Medvedev, O. N., Turner-Stokes, L., Siegert, R. J. (2018) Rasch analysis of the UK Functional Assessment Measure in patients with complex disability after stroke. Journal of Rehabilitation Medicine, DOI: 10.2340/16501977-2324.

Medvedev, O. N., Krägeloh, C. U., Narayanan, A., & Siegert, R. J. (2017). Measuring mindfulness: Applying Generalizability Theory to distinguish between state and trait. Mindfulness, DOI: 10.1007/s12671-017-0679-0.

 

Patient Safety and System Redesign

Patient safety is a central principle in all of healthcare. However, as healthcare systems and technologies become more complex, ensuring appropriate levels of patient safety can become more challenging. Better understanding the nature of complex systems and the perceptions of patients allows insight in to how things go wrong, and offers opportunities to redesign systems to make them safer.

Key publications

Webster CS. (2017) Checklists, cognitive aids, and the future of patient safety. British Journal of Anaesthesia, 119, 178–81. DOI: 10.1093/bja/aex193.

Webster, C.S., Mason, K.P., Shafer, S. Threats to safety during sedation outside of the operating room and the death of Michael Jackson, Current Opinions in Anesthesiology, 2016; 29: S36-47. DOI: 10.1097/ACO.0000000000000318.

Webster, C.S. Safety in unpredictable complex systems – a framework for the analysis of safety derived from the nuclear power industry, Prometheus, 2016; 34: 115-32. DOI: 10.1080/08109028.2017.1279873.

 

Measuring the Learning Outcomes of Healthcare Hackathons

Healthcare Hackathons are a model for teaching technology skills, and for educating and engaging healthcare professionals in developing healthcare technology solutions through interprofessional collaboration and teamwork. However, few studies have measured their effectiveness with these objectives. The aim of our research is to explore participant learning and teamwork during Hackathons, and how these are impacted by the design and execution of these events.

Key publication

Lyndon, M. P., Cassidy, M. P., Celi, L. A., Hendrik, L., Kim, Y. J., Gomez, N., . . . Dagan, A. (2018). Hacking Hackathons: Preparing the next generation for the multidisciplinary world of healthcare technology. International Journal of Medical Informatics, 112, 1-5. DOI: 10.1016/j.ijmedinf.2017.12.020.

Research grant awarded: Daniel and Olga Archibald Medical Education Research Fund