- •Education and training of health care workers is fundamental to infection prevention.
- •A systems approach is needed for optimal health care–associated infection prevention interventions.
- •A cognitive simulation, allowing the health care workers to adopt a multidimensional perspective, should be tested for efficacy in health care settings.
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to American Journal of Infection Control
- Multistate point-prevalence survey of health care–associated infections.N Engl J Med. 2014; 370: 1198-1208
- Vital signs: central line–associated blood stream infections—United States, 2001, 2008, and 2009.Ann Emerg Med. 2011; 58: 447-450
- National and state healthcare-associated infections progress report.(Atlanta (GA)) Centers for Disease Control and Prevention, 2015
- Perceived strength of evidence supporting practices to prevent health care-associated infection: results from a national survey of infection prevention personnel.Am J Infect Control. 2013; 41: 100-106
- Effectiveness of bundled behavioural interventions to control healthcare-associated infections: a systematic review of the literature.J Hosp Infect. 2007; 66: 101-108
- Design principles for the use of simulation as an aid in interventional cardiology training.Minim Invasive Ther Allied Technol. 2000; 10: 75-82
- Designing a computer-based simulator for interventional cardiology training.Catheter Cardiovasc Interv. 2000; 51: 522-527
- Design of a professional practice simulator for educating and motivating first-year engineering students.Adv Eng Educ. 2013; 3: 1-29
- Towards the simulation of clinical cognition: taking a present illness by computer.in: Computer-assisted medical decision making. Vol. 2. Springer, New York (NY)1985: 108-138
- Value of a cognitive simulation in medicine: towards optimizing decision making performance of healthcare personnel.Qual Saf Health Care. 2002; 11: 163-167
- A basis for electronic cognitive simulation: the heuristic patient.Surg Innov. 2005; 12: 43-49
- Computerized virtual patients in health professions education: a systematic review and meta-analysis.Acad Med. 2010; 85: 1589-1602
- Role of cognitive simulation in healthcare.in: Riley R.H. Manual of simulation in healthcare. 2nd ed. Oxford University Press, Oxford, UK2015: 424-438
- Preventing transmission of Clostridium difficile in healthcare settings.(IP Tools) Association for Professionals in Infection Control, Washington (DC)2011
- Strategies to prevent catheter-associated urinary tract infections in acute care hospitals: 2014 update.Infect Control. 2014; 35: 464-479
- Guideline for prevention of catheter-associated urinary tract infections 2009.Centers for Disease Control and Prevention, Atlanta (GA)2009
- Strategies to prevent central line–associated bloodstream infections in acute care hospitals.Infect Control Hosp Epidemiol. 2008; 29: S22-30
- Preventing hospital-acquired infections: a national survey of practices reported by US hospitals in 2005 and 2009.J Gen Intern Med. 2012; 27: 773-779
- A systems approach for implementing practice-based learning and improvement and systems-based practice in graduate medical education.Acad Med. 2009; 84: 335-339
- Systems-based practice in graduate medical education: systems thinking as the missing foundational construct.Teach Learn Med. 2011; 23: 179-185
- Improving patient safety by taking systems seriously.J Am Med Assoc. 2008; 299: 445-447
- Responding to the challenge: population health education for physicians.Acad Med. 2008; 83: 319-320
- The schism between medical and public health education: a historical perspective.Acad Med. 2008; 83: 1153-1157
- Educational interventions for prevention of healthcare-associated infection: a systematic review.Crit Care Med. 2008; 36: 933-940
- Preventing healthcare-associated infection through education: have surgeons been overlooked?.Surgeon. 2010; 8: 96-100
- Nurse-directed interventions to reduce catheter-associated urinary tract infections.Am J Infect Control. 2012; 40: 548-553
- Teaching residents systems-based practice through a hospital cost-reduction program: a “win–win” situation.Teach Learn Med. 2006; 18: 150-152
- Epistemic persistence: a simulation-based approach to increasing participation of women in engineering.J Women Minor Sci Eng. 2014; 20: 211-234
- Epistemic frames and islands of expertise: Learning from infusion experiences.in: Proceedings of the 6th International Conference on Learning Sciences. International Society of the Learning Sciences, Santa Monica, CA2004: 473-480
- Epistemic frames for epistemic games.Comput Educ. 2006; 46: 223-234
- Models of situated action: computer games and the problem of transfer.in: Steinkuehler C. Squire K.D. Barab S.A. Games, learning, and society: learning and meaning in the digital age. Cambridge University Press, Cambridge, UK2012: 403-431
- A novel paradigm for engineering education: virtual internships with individualized mentoring and assessment of engineering thinking.J Biomech Eng. 2015; 137 (024701)
- How computer games help children learn.Palgrave Macmillan, New York, NY2007
- Immersive interfaces for engagement and learning.Science. 2009; 323: 66-69
- Designing for knowledge integration: the impact of instructional time.J Learn Sci. 2003; 12: 451-493
- Teaching and assessing engineering design thinking with virtual internships and epistemic network analysis.Int J Eng Educ. 2016;
- Situated learning: legitimate peripheral participation.Cambridge University Press, Cambridge, MA1991
- CAML: a general framework for the development of medical simulations.in: Pien H. SPIE. Battlefield Biomedical Technologies II. Vol. 4037. 2000
- Health care costs and mortality associated with nosocomial diarrhea due to Clostridium difficile.Clin Infect Dis. 2002; 34: 346-353
- Health care–associated infections: a meta-analysis of costs and financial impact on the US health care system.JAMA Intern Med. 2013; 173: 2039-2046
- When people get in the way: promoting civic thinking through epistemic game play.Int J Gaming Comput Mediat Simul. 2009; 1: 36-52
- Who is at greatest risk for receiving poor-quality health care?.N Engl J Med. 2006; 354: 1147-1156
- Authoring networked learner models in complex domains.in: Sottilare R. Hu X. Graesser A.C. Design recommendations for intelligent tutoring systems: authoring tools. U.S. Army Research Laboratory, Orlando (FL)2015: 179-191
Funding/support: This work was funded in part by the National Science Foundation ( DRL-0918409 , DRL-0946372 , DRL-1247262 , DRL-1418288 , DUE-0919347 , DUE-1225885 , EEC-1232656 , EEC-1340402 , and REC-0347000 ), the MacArthur Foundation , the Spencer Foundation , the Wisconsin Alumni Research Foundation , and the Office of the Vice Chancellor for Research and Graduate Education at the University of Wisconsin–Madison . N.S. is supported by a Veterans Affairs–funded patient safety center and an R03 from AHRQ .
Conflicts of interest: None to report.
Disclaimer: The opinions, findings, and conclusions do not reflect the views of the funding agencies, cooperating institutions, or other individuals.