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P & T Committee Approvals, FDA Warning About Diabetes Drugs

Pharmacy Focus

See highlights of the April meeting of the Pharmacy and Therapeutics Committee. Also, the U.S. Food and Drug Administration has released a warning that the Type 2 diabetes medications canagliflozin, dapagliflozin and empagliflozin may lead to acidosis, including ketoacidosis.

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Surgery Grand Rounds

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Grand Rounds

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Surgery Scheduling

Click the "read more" for hours and contact information for surgery scheduling.

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Sim Center Accredited After Less Than 2 Years

"Patients" in the Women's Guild Simulation Center for Advanced Clinical Skills are mannequins controlled by technicians in computer rooms.

Just 19 months after opening, the Cedars-Sinai Women's Guild Simulation Center for Advanced Clinical Skills has received full accreditation from the Society for Simulation in Healthcare (SSIH). This designation places Cedars-Sinai among an elite group of institutions in the U.S. to have earned the endorsement of the SSIH, the acknowledged leader in the oversight of simulation in healthcare.

"It's quite extraordinary because of the short time that we have been open," said Ellen Wilson Green, director of Medical Education. "Accreditation demonstrates that national standards of excellence exist, and for Cedars-Sinai to not only meet them, but to exceed them, enhances our status in the world of simulation."

Known as the sim center, the 10,000-square-foot facility is a state-of-the-art immersive environment that replicates the reality of clinical and surgical settings and allows individuals and teams to work with the latest in medical technology. The sim center, located in the Advanced Health Sciences Pavilion, includes two fully equipped and functioning operating rooms, an intensive care unit, an OB-GYN room and a trauma bay. It also has a neonatal ICU, a virtual reality skills room with computerized tools to practice robotic surgery and laparoscopic and ultrasound procedures, and several classrooms.

"Accreditation by the SSIH has become the accepted standard for excellence, and we are one of the few simulation centers across the U.S. and across the globe to have achieved this," said Russell Metcalfe-Smith, the manager of the sim center. "Accreditation improves our context for research, allows us to integrate more with other accredited centers and organizations, and will help us in the future with research grants and other projects."

Green and Metcalfe-Smith said the accreditation is the result of a team effort by participants from throughout the medical center. A daylong site visit March 9, during which three inspectors from the SSIH examined every aspect of the sim center and observed it in use, resulted in special recognition for Cedars-Sinai in the areas of teaching, research and integration with patient safety.

The lion's share of the paperwork for the accreditation application, which included a vast and complex set of data that took a year to compile, was handled by Amelia Manlutac, management assistant II at the sim center.

"We provided information like the numbers and kinds of users, the academic credentials of the users, the kinds of research being done, how we protect students in terms of confidentiality," Manlutac said. "You have to show you are a pure research facility, and that there is a clear boundary between the sim center and the clinical care at the medical center."

With about 1,200 users per month from inside and outside Cedars-Sinai, the sim center is a solid success.

"The accreditation is a great testament to the work that is taking place here by a large number of different groups," Metcalfe-Smith said. "From my angle, what's positive is that it's now touching most parts of the organization, and it's this level of engagement that has allowed us to achieve this so quickly."

Previously in Sutures:

Surgery in Simulation Center Has Real Effect on Teamwork (March 27, 2015)