Comparación entre la simulación clínica y la educación convencional en sepsis. Revisión sistemática de la literatura

dc.contributor.advisorMartínez Martínez, Oscar Alejandro
dc.contributor.advisorCifuentes, Claudia
dc.contributor.authorOrtiz Ruiz , Guillermo
dc.contributor.authorGaray Fernández, Manuel Andrés
dc.contributor.authorLara García, Antonio
dc.contributor.authorBedoya Conde, Adriana Milena
dc.date.accessioned2024-07-05T21:00:08Z
dc.date.available2024-07-05T21:00:08Z
dc.date.issued2024-05
dc.description.abstractSimulation as a didactic tool in healthcare has grown in the last decade. It is used as an educational strategy from nursing to medicine, including the training of students, residents and specialists. Some studies have estimated medical error up to 83%, which seems to be related to difficulties in generating teamwork and/or lack of communication, which is why it is necessary to generate changes in the mental model of health personnel, facilitating adherence to the package of measures in patients with sepsis. The aim of this study was to determine the available evidence on the use of simulation compared to conventional education in sepsis to improve the adherence of medical students to the different packages included in the sepsis survival campaign and the impact of the training methods.
dc.description.abstractenglishLa simulación como herramienta didáctica en salud ha crecido en la última década. Se utiliza como estrategia educacional desde enfermería hasta medicina, incluyendo el entrenamiento de estudiantes, residentes y especialistas. Algunos estudios han estimado el error médico hasta el 83%, el cual parece estar relacionado con las dificultades en la generación del trabajo en equipo y/o la falta de comunicación, razón por la cual, se hace necesario generar cambios en el modelo mental del personal de salud, facilitando la adherencia al paquete de medidas en pacientes con sepsis. El objetivo de este estudio fue determinar cuál es la evidencia disponible acerca del uso de la simulación comparada con la educación convencional en sepsis, para mejorar la adherencia de estudiantes de medicina a los diferentes paquetes incluidos en la campaña de sobrevida a la sepsis y el impacto de los métodos de entrenamiento.
dc.description.degreelevelEspecializaciónspa
dc.description.degreenameEspecialista en Docencia Universitariaspa
dc.format.mimetypeapplication/pdf
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlrepourl:https://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/12568
dc.language.isoes
dc.publisher.facultyFacultad de Educaciónspa
dc.publisher.grantorUniversidad El Bosquespa
dc.publisher.programEspecialización en Docencia Universitariaspa
dc.relation.references1- Ziv, A., Erez, D., Munz, Y., Vardi, A., Barsuk, D., Levine, I., Benita, S., Rubin, O., & Berkenstadt, H. (2006). The Israel Center for Medical Simulation: a paradigm for cultural change in medical education. Academic medicine : journal of the Association of American Medical Colleges, 81(12), 1091–1097. https://doi.org/10.1097/01.ACM.0000246756.55626.1b
dc.relation.references2- Kneebone, R., Nestel, D., Wetzel, C., Black, S., Jacklin, R., Aggarwal, R., Yadollahi, F., Wolfe, J., Vincent, C., & Darzi, A. (2006). The human face of simulation: patient-focused simulation training. Academic medicine : journal of the Association of American Medical Colleges, 81(10), 919–924.
dc.relation.references3- Bradley P. (2006). The history of simulation in medical education and possible future directions. Medical education, 40(3), 254–262. https://doi.org/10.1111/j.1365-2929.2006.02394.x
dc.relation.references4- Sexton, J. B., Thomas, E. J., & Helmreich, R. L. (2000). Error, stress, and teamwork in medicine and aviation: cross sectional surveys. BMJ (Clinical research ed.), 320(7237), 745–749. https://doi.org/10.1136/bmj.320.7237.745
dc.relation.references5- Helmreich, Robert & Schaefer, Hans-Gerhard. (2018). Team Performance in the Operating Room. 10.1201/9780203751725-12.
dc.relation.references6- McIvor, W., Burden, A., Weinger, M. B., & Steadman, R. (2012). Simulation for maintenance of certification in anesthesiology: the first two years. The Journal of continuing education in the health professions, 32(4), 236–242. https://doi.org/10.1002/chp.21151
dc.relation.references7- Graber, M. A., Wyatt, C., Kasparek, L., & Xu, Y. (2005). Does simulator training for medical students change patient opinions and attitudes toward medical student procedures in the emergency department?. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 12(7), 635–639. https://doi.org/10.1197/j.aem.2005.01.009
dc.relation.references8- Sherwood, G., Thomas, E., Bennett, D. S., & Lewis, P. (2002). A teamwork model to promote patient safety in critical care. Critical care nursing clinics of North America, 14(4), 333–340. https://doi.org/10.1016/s0899-5885(02)00020-5
dc.relation.references9- Leipzig, R. M., Hyer, K., Ek, K., Wallenstein, S., Vezina, M. L., Fairchild, S., Cassel, C. K., & Howe, J. L. (2002). Attitudes toward working on interdisciplinary healthcare teams: a comparison by discipline. Journal of the American Geriatrics Society, 50(6), 1141–1148. https://doi.org/10.1046/j.1532-5415.2002.50274.x
dc.relation.references10- Arnstein F. (1997). Catalogue of human error. British journal of anaesthesia, 79(5), 645–656. https://doi.org/10.1093/bja/79.5.645
dc.relation.references11- Yee, B., Naik, V. N., Joo, H. S., Savoldelli, G. L., Chung, D. Y., Houston, P. L., Karatzoglou, B. J., & Hamstra, S. J. (2005). Nontechnical skills in anesthesia crisis management with repeated exposure to simulation-based education. Anesthesiology, 103(2), 241–248. https://doi.org/10.1097/00000542-200508000-00006
dc.relation.references12- Dombrovskiy, V. Y., Martin, A. A., Sunderram, J., & Paz, H. L. (2007). Rapid increase in hospitalization and mortality rates for severe sepsis in the United States: a trend analysis from 1993 to 2003. Critical care medicine, 35(5), 1244–1250. https://doi.org/10.1097/01.CCM.0000261890.41311.E9
dc.relation.references13- Rivers, E., Nguyen, B., Havstad, S., Ressler, J., Muzzin, A., Knoblich, B., Peterson, E., Tomlanovich, M., & Early Goal-Directed Therapy Collaborative Group (2001). Early goal-directed therapy in the treatment of severe sepsis and septic shock. The New England journal of medicine, 345(19), 1368–1377. https://doi.org/10.1056/NEJMoa010307
dc.relation.references14- Downey, A. W., Quach, J. L., Haase, M., Haase-Fielitz, A., Jones, D., & Bellomo, R. (2008). Characteristics and outcomes of patients receiving a medical emergency team review for acute change in conscious state or arrhythmias. Critical care medicine, 36(2), 477–481. https://doi.org/10.1097/01.CCM.0000300277.41113.46
dc.relation.references15- Rodríguez, F., Barrera, L., De La Rosa, G., Dennis, R., Dueñas, C., Granados, M., Londoño, D., Molina, F., Ortiz, G., & Jaimes, F. (2011). The epidemiology of sepsis in Colombia: a prospective multicenter cohort study in ten university hospitals. Critical care medicine, 39(7), 1675–1682. https://doi.org/10.1097/CCM.0b013e318218a35e
dc.relation.references16- Angus, D. C., Linde-Zwirble, W. T., Lidicker, J., Clermont, G., Carcillo, J., & Pinsky, M. R. (2001). Epidemiology of severe sepsis in the United States: analysis of incidence, outcome, and associated costs of care. Critical care medicine, 29(7), 1303–1310. https://doi.org/10.1097/00003246-200107000-00002
dc.relation.references17- Kortgen, A., Niederprüm, P., & Bauer, M. (2006). Implementation of an evidence-based "standard operating procedure" and outcome in septic shock. Critical care medicine, 34(4), 943–949. https://doi.org/10.1097/01.CCM.0000206112.32673.D4
dc.relation.references18- Zubrow, M. T., Sweeney, T. A., Fulda, G. J., Seckel, M. A., Ellicott, A. C., Mahoney, D. D., Fasano-Piectrazak, P. M., & Farraj, M. B. (2008). Improving care of the sepsis patient. Joint Commission journal on quality and patient safety, 34(4), 187–191. https://doi.org/10.1016/s1553-7250(08)34022-7
dc.relation.references19- Focht, A., Jones, A. E., & Lowe, T. J. (2009). Early goal-directed therapy: improving mortality and morbidity of sepsis in the emergency department. Joint Commission journal on quality and patient safety, 35(4), 186–191. https://doi.org/10.1016/s1553-7250(09)35025-4
dc.relation.references20- Puskarich, M. A., Marchick, M. R., Kline, J. A., Steuerwald, M. T., & Jones, A. E. (2009). One year mortality of patients treated with an emergency department based early goal directed therapy protocol for severe sepsis and septic shock: a before and after study. Critical care (London, England), 13(5), R167. https://doi.org/10.1186/cc8138
dc.relation.references21- Moore, L. J., Jones, S. L., Kreiner, L. A., McKinley, B., Sucher, J. F., Todd, S. R., Turner, K. L., Valdivia, A., & Moore, F. A. (2009). Validation of a screening tool for the early identification of sepsis. The Journal of trauma, 66(6), 1539–1547. https://doi.org/10.1097/TA.0b013e3181a3ac4b
dc.relation.references22- Zambon, M., Ceola, M., Almeida-de-Castro, R., Gullo, A., & Vincent, J. L. (2008). Implementation of the Surviving Sepsis Campaign guidelines for severe sepsis and septic shock: we could go faster. Journal of critical care, 23(4), 455–460. https://doi.org/10.1016/j.jcrc.2007.08.003
dc.relation.references23- El Solh, A. A., Akinnusi, M. E., Alsawalha, L. N., & Pineda, L. A. (2008). Outcome of septic shock in older adults after implementation of the sepsis "bundle". Journal of the American Geriatrics Society, 56(2), 272–278. https://doi.org/10.1111/j.1532-5415.2007.01529.x
dc.relation.references24- Sebat, F., Musthafa, A. A., Johnson, D., Kramer, A. A., Shoffner, D., Eliason, M., Henry, K., & Spurlock, B. (2007). Effect of a rapid response system for patients in shock on time to treatment and mortality during 5 years. Critical care medicine, 35(11), 2568–2575. https://doi.org/10.1097/01.CCM.0000287593.54658.89
dc.relation.references25- Jones, A. E., Focht, A., Horton, J. M., & Kline, J. A. (2007). Prospective external validation of the clinical effectiveness of an emergency department-based early goal-directed therapy protocol for severe sepsis and septic shock. Chest, 132(2), 425–432. https://doi.org/10.1378/chest.07-0234
dc.relation.references26- Chen, Z. Q., Jin, Y. H., Chen, H., Fu, W. J., Yang, H., & Wang, R. T. (2007). Nan fang yi ke da xue xue bao = Journal of Southern Medical University, 27(12), 1892–1895.
dc.relation.references27- Nguyen, H. B., Corbett, S. W., Steele, R., Banta, J., Clark, R. T., Hayes, S. R., Edwards, J., Cho, T. W., & Wittlake, W. A. (2007). Implementation of a bundle of quality indicators for the early management of severe sepsis and septic shock is associated with decreased mortality. Critical care medicine, 35(4), 1105–1112. https://doi.org/10.1097/01.CCM.0000259463.33848.3D
dc.relation.references28- Qu, H. P., Qin, S., Min, D., & Tang, Y. Q. (2006). Zhonghua wai ke za zhi [Chinese journal of surgery], 44(17), 1193–1196.29-Lin SM , Huang CD , Lin HC , Liu CY , Wang CH , Kuo HP . A modified goal-directed protocol improves clinical outcomes in intensive care unit patients with septic shock: a randomized controlled trial . Shock . 2006 ; 26 ( 6 ): 551 - 557
dc.relation.references30- Micek, S. T., Roubinian, N., Heuring, T., Bode, M., Williams, J., Harrison, C., Murphy, T., Prentice, D., Ruoff, B. E., & Kollef, M. H. (2006). Before-after study of a standardized hospital order set for the management of septic shock. Critical care medicine, 34(11), 2707–2713. https://doi.org/10.1097/01.CCM.0000241151.25426.D7.
dc.relation.references31- Trzeciak, S., Dellinger, R. P., Abate, N. L., Cowan, R. M., Stauss, M., Kilgannon, J. H., Zanotti, S., & Parrillo, J. E. (2006). Translating research to clinical practice: a 1-year experience with implementing early goal-directed therapy for septic shock in the emergency department. Chest, 129(2), 225–232. https://doi.org/10.1378/chest.129.2.225
dc.relation.references32- Shapiro, N. I., Howell, M. D., Talmor, D., Lahey, D., Ngo, L., Buras, J., Wolfe, R. E., Weiss, J. W., & Lisbon, A. (2006). Implementation and outcomes of the Multiple Urgent Sepsis Therapies (MUST) protocol. Critical care medicine, 34(4), 1025–1032. https://doi.org/10.1097/01.CCM.0000206104.18647.A8
dc.relation.references33- Sebat, F., Johnson, D., Musthafa, A. A., Watnik, M., Moore, S., Henry, K., & Saari, M. (2005). A multidisciplinary community hospital program for early and rapid resuscitation of shock in nontrauma patients. Chest, 127(5), 1729–1743. https://doi.org/10.1378/chest.127.5.1729
dc.relation.references35- Rivers E: Point: Adherence to Early Goal-Directed Therapy: Does It Really Matter? Yes. After a Decade, the Scientifi c Proof Speaks for Itself. Chest.2010;138:476-80.
dc.relation.references36- Mikkelsen, M. E., Gaieski, D. F., Goyal, M., Miltiades, A. N., Munson, J. C., Pines, J. M., Fuchs, B. D., Shah, C. V., Bellamy, S. L., & Christie, J. D. (2010). Factors associated with nonadherence to early goal-directed therapy in the ED. Chest, 138(3), 551–558. https://doi.org/10.1378/chest.09-2210
dc.relation.references37- Corvetto, Marcia, Bravo, María Pía, Montaña, Rodrigo, Utili, Franco, Escudero, Eliana, Boza, Camilo, Varas, Julián, & Dagnino, Jorge. (2013). Simulación en educación médica: una sinopsis. Revista médica de Chile, 141(1), 70-79. https://dx.doi.org/10.4067/S0034-98872013000100010
dc.relation.references38- Ferrer, R., Artigas, A., Levy, M. M., Blanco, J., González-Díaz, G., Garnacho-Montero, J., Ibáñez, J., Palencia, E., Quintana, M., de la Torre-Prados, M. V., & Edusepsis Study Group (2008). Improvement in process of care and outcome after a multicenter severe sepsis educational program in Spain. JAMA, 299(19), 2294–2303. https://doi.org/10.1001/jama.299.19.2294
dc.relation.references39- Strengthening the Reporting of Observational Studies in Epidemiology (STROBE Statement). STROBE checklists Disponible en: http://www.strobe-statement.org/index.
dc.relation.references40- Issenberg, S. B., McGaghie, W. C., Petrusa, E. R., Lee Gordon, D., & Scalese, R. J. (2005). Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review. Medical teacher, 27(1), 10–28. https://doi.org/10.1080/01421590500046924
dc.relation.references41- Kirkpatrick, DL (1967). Evaluación de la formación. En RL Craig & LR Bittel (Eds.), Manual de capacitación y desarrollo (págs. 87-112). Nueva York: McGraw Hill.
dc.relation.references42- Williams, J. B., McDonough, M. A., Hilliard, M. W., Williams, A. L., Cuniowski, P. C., & Gonzalez, M. G. (2009). Intermethod reliability of real-time versus delayed videotaped evaluation of a high-fidelity medical simulation septic shock scenario. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 16(9), 887–893. https://doi.org/10.1111/j.1553-2712.2009.00505.x
dc.relation.references43- Nguyen, H. B., Daniel-Underwood, L., Van Ginkel, C., Wong, M., Lee, D., Lucas, A. S., Palaganas, J., Banta, D., Denmark, T. K., & Clem, K. (2009). An educational course including medical simulation for early goal-directed therapy and the severe sepsis resuscitation bundle: an evaluation for medical student training. Resuscitation, 80(6), 674–679. https://doi.org/10.1016/j.resuscitation.2009.02.021
dc.relation.references44- Hänsel, M., Winkelmann, A. M., Hardt, F., Gijselaers, W., Hacker, W., Stiehl, M., Koch, T., & Müller, M. P. (2012). Impact of simulator training and crew resource management training on final-year medical students' performance in sepsis resuscitation: a randomized trial. Minerva anestesiologica, 78(8), 901–909.
dc.relation.references45- Li, C. H., Kuan, W. S., Mahadevan, M., Daniel-Underwood, L., Chiu, T. F., Nguyen, H. B., & ATLAS Investigators (Asia neTwork to reguLAte Sepsis care) (2012). A multinational randomised study comparing didactic lectures with case scenario in a severe sepsis medical simulation course. Emergency medicine journal : EMJ, 29(7), 559–564. https://doi.org/10.1136/emermed-2011-200068
dc.relation.references47- Mah, J. W., Bingham, K., Dobkin, E. D., Malchiodi, L., Russell, A., Donahue, S., Staff, I., Ivy, M. E., & Kirton, O. C. (2009). Mannequin simulation identifies common surgical intensive care unit teamwork errors long after introduction of sepsis guidelines. Simulation in healthcare : journal of the Society for Simulation in Healthcare, 4(4), 193–199. https://doi.org/10.1097/SIH.0b013e3181abe9d6
dc.relation.references48- Via, D. K., Kyle, R. R., Trask, J. D., Shields, C. H., & Mongan, P. D. (2004). Using high-fidelity patient simulation and an advanced distance education network to teach pharmacology to second-year medical students. Journal of clinical anesthesia, 16(2), 144–151. https://doi.org/10.1016/j.jclinane.2003.09.001
dc.relation.references49- Fitch M. T. (2007). Using high-fidelity emergency simulation with large groups of preclinical medical students in a basic science course. Medical teacher, 29(2-3), 261–263. https://doi.org/10.1080/01421590701297334
dc.relation.references50- Van Sickle, K. R., Ritter, E. M., & Smith, C. D. (2006). The pretrained novice: using simulation-based training to improve learning in the operating room. Surgical innovation, 13(3), 198–204. https://doi.org/10.1177/1553350606293370
dc.relation.references51- Murray D. J. (2011). Current trends in simulation training in anesthesia: a review. Minerva anestesiologica, 77(5), 528–533.
dc.relation.references52- Bressan, F., Buti, G., & Boncinelli, S. (2007). Medical simulation in anesthesiology training. Minerva anestesiologica, 73(1-2), 1–11.
dc.relation.references53- Woodward, M. (2013). Epidemiología: diseño de estudios y análisis de datos, tercera edición (3ª ed.). Chapman y Hall/CRC. https://doi.org/10.1201/b16343
dc.relation.references54- Barsuk, J. H., Cohen, E. R., Feinglass, J., McGaghie, W. C., & Wayne, D. B. (2009). Use of simulation-based education to reduce catheter-related bloodstream infections. Archives of internal medicine, 169(15), 1420–1423. https://doi.org/10.1001/archinternmed.2009.215
dc.relation.references55- Larsen, C. R., Soerensen, J. L., Grantcharov, T. P., Dalsgaard, T., Schouenborg, L., Ottosen, C., Schroeder, T. V., & Ottesen, B. S. (2009). Effect of virtual reality training on laparoscopic surgery: randomised controlled trial. BMJ (Clinical research ed.), 338, b1802. https://doi.org/10.1136/bmj.b1802
dc.relation.references56- Pope, C., van Royen, P., & Baker, R. (2002). Qualitative methods in research on healthcare quality. Quality & safety in health care, 11(2), 148–152. https://doi.org/10.1136/qhc.11.2.148
dc.relation.references57- Jamieson, S. (2008). Likert scale. In S. Boslaugh (Ed.), Encyclopedia of epidemiology. (pp. 603-605). Thousand Oaks, CA: SAGE Publications, Inc. doi: http://dx.doi.org/10.4135/9781412953948.n261
dc.relation.references58- Bahl, R., Murphy, D. J., & Strachan, B. (2009). Qualitative analysis by interviews and video recordings to establish the components of a skilled low-cavity non-rotational vacuum delivery. BJOG : an international journal of obstetrics and gynaecology, 116(2), 319–326. https://doi.org/10.1111/j.1471-0528.2008.01967.x
dc.relation.references59- Benson, A. A., Bobo, L. S., & Green, M. S. (2012). Comparison of video and real-time scoring techniques. Journal of allied health, 41(3), 118–122.
dc.relation.references60- Jeannot, Emmanuelle & Kelly, Christopher & Thompson, David. (2003). The Development of Situation Awareness Measures in ATM Systems
dc.relation.references61- Wright, M. C., Taekman, J. M., & Endsley, M. R. (2004). Objective measures of situation awareness in a simulated medical environment. Quality & safety in health care, 13 Suppl 1(Suppl 1), i65–i71. https://doi.org/10.1136/qhc.13.suppl_1.i65
dc.relation.references62- Bressan, F.; Cabrini, L.; Simulation And Non-Technical Skills: The Way Is Correct But More Accurate Researches Are Mandatory; Letterto The Editor; Minerva Anestesiologica; November 2012.
dc.relation.references63- Barsuk, J. H., McGaghie, W. C., Cohen, E. R., Balachandran, J. S., & Wayne, D. B. (2009). Use of simulation-based mastery learning to improve the quality of central venous catheter placement in a medical intensive care unit. Journal of hospital medicine, 4(7), 397–403. https://doi.org/10.1002/jhm.468
dc.relation.references64- Fanning, R. M., & Gaba, D. M. (2007). The role of debriefing in simulation-based learning. Simulation in healthcare : journal of the Society for Simulation in Healthcare, 2(2), 115–125. https://doi.org/10.1097/SIH.0b013e3180315539
dc.relation.references65- Couper, K., Salman, B., Soar, J., Finn, J., & Perkins, G. D. (2013). Debriefing to improve outcomes from critical illness: a systematic review and meta-analysis. Intensive care medicine, 39(9), 1513–1523. https://doi.org/10.1007/s00134-013-2951-7
dc.relation.references66- Bhopal, R., Macfarlane, G. J., Smith, W. C., West, R., & Management Executive Committee for the XIX World Congress of Epidemiology (2011). What is the future of epidemiology?. Lancet (London, England), 378(9790), 464–465. https://doi.org/10.1016/S0140-6736(11)61147-1
dc.relation.references67- Stroup, D. F., Berlin, J. A., Morton, S. C., Olkin, I., Williamson, G. D., Rennie, D., Moher, D., Becker, B. J., Sipe, T. A., & Thacker, S. B. (2000). Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta-analysis Of Observational Studies in Epidemiology (MOOSE) group. JAMA, 283(15), 2008–2012. https://doi.org/10.1001/jama.283.15.2008
dc.relation.references68- Capuzzo, M., Rambaldi, M., Pinelli, G., Campesato, M., Pigna, A., Zanello, M., Barbagallo, M., Girardis, M., & Toschi, E. (2012). Hospital staff education on severe sepsis/septic shock and hospital mortality: an original hypothesis. BMC anesthesiology, 12, 28. https://doi.org/10.1186/1471-2253-12-28
dc.relation.references69- Girardis, M., Rinaldi, L., Donno, L., Marietta, M., Codeluppi, M., Marchegiano, P., Venturelli, C., & Sopravvivere alla Sepsi Group of the Modena-University Hospital (2009). Effects on management and outcome of severe sepsis and septic shock patients admitted to the intensive care unit after implementation of a sepsis program: a pilot study. Critical care (London, England), 13(5), R143. https://doi.org/10.1186/cc8029
dc.relation.references70- Chen YC, Chang SC, Pu C, Tang GJ (2013) El impacto del programa educativo nacional en la práctica clínica en la atención de la sepsis y la mortalidad de la sepsis grave: un estudio poblacional en Taiwán. MÁS UNO 8(10): e77414. https://doi.org/10.1371/journal.pone.0077414
dc.rightsAtribución-NoComercial-CompartirIgual 4.0 Internacionalen
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.localAcceso abiertospa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/4.0/
dc.subjectSimulación
dc.subjectSepsis
dc.subjectEntrenamiento
dc.subjectMedicina
dc.subject.ddc378.12
dc.subject.keywordsSimulation
dc.subject.keywordsSepsis
dc.subject.keywordsTraining
dc.subject.keywordsMedical
dc.titleComparación entre la simulación clínica y la educación convencional en sepsis. Revisión sistemática de la literatura
dc.title.translatedComparison between clinical simulation and conventional sepsis education. Systematic review of the literature
dc.type.coarhttps://purl.org/coar/resource_type/c_7a1f
dc.type.coarversionhttps://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.driverinfo:eu-repo/semantics/bachelorThesis
dc.type.hasversioninfo:eu-repo/semantics/acceptedVersion
dc.type.localTesis/Trabajo de grado - Monografía - Especializaciónspa

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