[Witness Simulation Software Download 12
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The opioid crisis is a growing public health emergency and increasing resources are being directed towards overdose education. Simulation has emerged as a novel strategy for training overdose response, yet little is known about training non-clinicians in bystander resuscitation. Understanding the perspectives of individuals who are likely to experience or witness opioid overdose is critical to ensure that emergency response is effective. The Surviving Opioid Overdose with Naloxone Education and Resuscitation (SOONER) study evaluates the effectiveness of a novel naloxone education and distribution tool among people who are non-clinicians and likely to witness opioid overdose. Participants' resuscitation skills are evaluated using a realistic overdose simulation as the primary outcome of the trial. The purpose of our study is to describe the experience of participants with the simulation process in the SOONER study. We employed a semi-structured debriefing interview and a follow up qualitative interview to understand the experience of participants with simulation. A qualitative content analysis was performed using data from 21 participants who participated in the SOONER study. Our qualitative analysis identified 5 themes and 17 subthemes which described the experience of participants within the simulation process. These themes included realism, valuing practical experience, improving self-efficacy, gaining new perspective and bidirectional learning. Our analysis found that simulation was a positive and empowering experience for participants in the SOONER trial, most of whom are marginalized in society. Our study supports the notion that expanding simulation-based education to non-clinicians may offer an acceptable and effective way of supplementing current opioid overdose education strategies. Increasing the accessibility of simulation-based education may represent a paradigm shift whereby simulation is transformed from a primarily academic practice into a patient-based community resource.
Lanner offers both public and private training courses, ensuring that you receive the training you need, where and when you need it. Private courses can be tailored to specific requirements of individuals and provided either on site at our customers premises or at Lanner's nearest training facilities.
All Lanner training courses are run by experienced simulation training professionals, who will guide you through an interactive learning process, incorporating methodology for running simulation projects, modelling concepts, experimentation design, analysis and key success factors supported by real world practical examples.
Public 4 day courses are designed for new users from any business environment. The course equips the student to undertake simulation projects that validate a process design; assure target throughput and support continuous process improvement.
Private courses are available to take place at a location of your choice. Often used to train a number of employees with a similar agenda to the public courses, private course also offer the ability to tailor instruction to better meet the individual needs of our customers. Time can also be allocated to discussing your project requirements and students can leave the course with a model suitable for real application.
As well as the above options, Lanner also offers specialist WITNESS courses, designed to provide additional knowledge to current WITNESS users. A Specialist Course can be focused on key capabilities such as: Scenario Design and Experimentation; Fluid Elements; Data Driven Modelling and Tracks and Vehicles.
Combine continuous flows with discrete events within models to address a wide range of business problems in the most efficient and appropriate way possible. Continuous elements enable the modeling of processes that include fluids flowing through pipes or tanks and situations where high volumes of parts pass through processes at speeds which can be more easily represented as fluid flows.
No need to delve deep into complex coding to define and structure your logic. WITNESS lets you develop your logic in compartmentalised modular blocks directly within building elements. More powerful coding techniques can be leveraged through the versatile WITNESS Action Language. WITNESS also supports external code libraries written in common languages such as C++, C# & VB.net.
Get to the heart of model insights and communicate answers stakeholder questions through inbuilt charts and reports that make WITNESS the ideal predictive analytics platform for business transformation. Easily export simulation data for external analysis in your favourite BI tools.
WITNESS offers support for multi-core processing of model execution allowing users to run parallel replications and experiments and deliver accurate results, insight clarity and outcome certainty for stakeholders in a suitable timeframe.
Watch our overview video and discover how you can use Lanner's WITNESS Horizon to build feature rich models and predictive digital twins, to enable you to test and validate your business decisions in a virtual, risk free environment.
Introduction: Current ethical practice allows for adult patients with decision-making capacity to refuse blood transfusion, even at the cost of high morbidity or mortality. However, for an adult patient who is of the Jehovah's Witness faith, an unwanted blood transfusion confers a psychospiritual cost to the patient and a financial cost to health care entities. The ethical boundaries are increasingly ambiguous with minors who are members of the Jehovah's Witness faith. This simulation experience intends to identify and address knowledge gaps in the care of minors in an emergent setting using a biomedical ethics framework.
Methods: This scenario provides an immersive simulation experience involving a 12-year-old Jehovah's Witness patient requiring emergent laparotomy for splenic hemorrhage. Patient interview (via simulation manikin with instructor voice) and care handoff take place in an operating room setting. The learner ascertains the patient's and family's refusal of blood products. Induction of general anesthesia results in profound patient hypotension secondary to acute blood-loss anemia. Pulseless electrical activity results if packed red blood cells are not administered. Ethical principles require the learner to impose an unwanted lifesaving therapy on a minor patient over the objections of family members. Secondly, the anesthesia provider must advocate for transfusion on these ethical grounds against a well-meaning but ultimately misguided surgeon who opposes transfusion. An included learner evaluation form based on ACGME core competencies facilitates postsimulation debriefing.
Results: Participants were primarily anesthesia residents and fellows. Anecdotally, the residents said that it "felt good to be an attending" and that the simulation helped them appreciate how important conflict resolution skills are in the OR setting. Additionally, faculty appreciated the ability to assess the development of crucial assertiveness skills, with the option of remediating incorrect behavior during the debriefing.
Discussion: This simulation experience provides experience in the emergent medical management of a pediatric trauma patient while also incorporating specific ethical consent issues unique to pediatric and trauma patient populations. Furthermore, this experience develops professionalism skills and practice in assertive patient advocacy.
Witness is a simulation tool for dynamic process simulation of manufacturing and business processes in 2D or 3D models. With these models real processes can be emulated already within the planning phase and used for experiments.
Witness is manufactured by the British company Lanner. Contact us for more information about Witness or to help you find the suitable software for your company and your project, without any obligations and free of charge.
In this work, we investigate a system of solar and thermal heat collectors in combination with local and electric net storage. The system is implemented in a Witness Horizon simulation model, allowing for the investigation and scenario analysis of different use cases. In a practical industrial application example use-case, using simulation and Discounted Cash Flow (DCF) analysis, the economic feasibility of the best system variant could be calculated. The developed model includes the local consumption and production profile and it was evaluated by a DCF model after the dynamic energy modelisation with the generic industrial production system simulation software WITNESS Horizon. This model can be in future further extended to generic and more complex production systems, simultaneously integrating the DCF cost evaluation analysis and following direct economic optimisation as well as integrating it with the production portfolio theory approach by integrating diversified virtual production market aspects and market goal-oriented optimisation.
Lanner Group Ltd is a software company specialising in simulation software such as discrete event simulation and predictive simulation, headquartered in Birmingham, UK. The business develops, markets and supports business process simulation and optimisation systems.[2][3] The company has subsidiaries in the US, China, France and Germany and a distributor network selling the company's products in 20 different countries.[4] Lanner Group was formed following a Management Buyout of AT&T Istel, a spin-off from the operational research department of British Leyland where, in 1978, the world's first visual interactive simulation tool was developed.[5] Lanner Group services automotive, aviation, criminal justice, defence and aerospace, financial services and contact centres, food and beverage, health, logistics and supply chain, manufacturing, nuclear, oil and gas, pharmaceutical, and consumer health industries.[6]
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