In situ simulation: detection of safety threats and teamwork training in a high risk emergency department

@article{Patterson2013InSS,
  title={In situ simulation: detection of safety threats and teamwork training in a high risk emergency department},
  author={Mary D. Patterson and Gary Lee Geis and Richard A. Jr. Falcone and Thomas LeMaster and Robert L. Wears},
  journal={BMJ Quality \& Safety},
  year={2013},
  volume={22},
  pages={468 - 477}
}
Objective Implement and demonstrate feasibility of in situ simulations to identify latent safety threats (LSTs) at a higher rate than lab-based training, and reinforce teamwork training in a paediatric emergency department (ED). Methods Multidisciplinary healthcare providers responded to critical simulated patients in an urban ED during all shifts. Unannounced in situ simulations were limited to 10 min of simulation and 10 min of debriefing, and were video recorded. A standardised debriefing… Expand
Detecting latent safety threats in an interprofessional training that combines in situ simulation with task training in an emergency department
TLDR
Simulation-based training in actual care areas allows the detection of at least one LST per simulation scenario, regardless of theme, and training allowed a high rate of detecting LSTRegardless of theme. Expand
Multiprofessional perspectives on the identification of latent safety threats via in situ simulation: a prospective cohort pilot study
TLDR
In this study, participants with ≤10 years of experience and simulations with paediatric scenarios were associated with a higher number of identified LSTs; however, the difference was not statistically significant. Expand
Trauma Resuscitation Using in situ Simulation Team Training (TRUST) study: latent safety threat evaluation using framework analysis and video review
TLDR
A diverse set of critical LSTs during trauma resuscitations are identified using ISS coupled with video-based framework analysis and the hazard matrix scoring, in combination with detailed LST subthemes, supported identification of criticalLSTs requiring intervention and enhanced efforts intended to improve patient safety. Expand
Identification of latent safety threats using high-fidelity simulation-based training with multidisciplinary neonatology teams.
TLDR
The subsequent clinical improvements made to the actual clinical care environment are the best objective evidence of the benefits of simulation-based multidisciplinary team training. Expand
Designing in situ simulation in the emergency department: evaluating safety attitudes amongst physicians and nurses
TLDR
This study designed a feasible strategy for implementing in situ simulation based on a needs analysis of critical incidents and adverse events and short-term ethnography and showed that the training was positively evaluated. Expand
Crash testing the dummy: a review of in situ trauma simulation at a Canadian tertiary centre
TLDR
In situ trauma simulations are feasible in a Canadian centre and provide a safe environment to identify and rectify errors. Expand
SC15 In-situ simulation in the emergency department: our experience, development and outcome
TLDR
The experience of running a weekly in-situ sim programme in two busy type 1 ED’s over the last 12 months is presented, demonstrating the practicality and success of a multi-professional simulation program. Expand
Inter-professional in-situ simulated team and resuscitation training for patient safety: Description and impact of a programmatic approach
TLDR
The programmatic approach of Kern's six steps for curriculum development helped to overcome barriers of design, implementation and assessment of an in-situ team and resuscitation training program and may help improve effectiveness and impact of an on-the-spot simulated training program. Expand
Mode of Delivery: Development and Implementation of an Obstetrical In Situ Simulation Program.
TLDR
An in situ simulation program allows for deliberate practice of obstetrical emergencies and promotes a culture of patient safety and lessons learned provide valuable data to identify limitations within current practices and inform future policy change. Expand
Interdisciplinary in situ simulation-based medical education in the emergency department of a teaching hospital in Nepal
TLDR
The baseline knowledge score and the confidence level of the staff were low and self-reported feedback suggested increased confidence level and teamwork skills after ISS, which promoted identification and remediation of latent safety threats. Expand
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 40 REFERENCES
Simulation to Assess the Safety of New Healthcare Teams and New Facilities
TLDR
This pilot project provides a template for evaluation of new teams and clinical settings before patient exposure and helps determine provider workload, refine team responsibilities, and identify latent safety threats in both new and established settings. Expand
Detecting breaches in defensive barriers using in situ simulation for obstetric emergencies
TLDR
In situ simulation helps recognise and remedy both active failures and latent conditions before they combine to cause bad outcomes, and suggests where to invest resources to help achieve a high reliability. Expand
Portable advanced medical simulation for new emergency department testing and orientation.
  • L. Kobayashi, M. Shapiro, +6 authors G. Jay
  • Medicine
  • Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
  • 2006
TLDR
Transportable SIM was used to evaluate the capacity of a new ED for emergent resuscitative processes and assist facility orientation before opening day, and limited comparison did not reveal SIM enhancement of orientation. Expand
Identifying key nursing and team behaviours to achieve high reliability.
TLDR
Skills necessary for nurses to contribute to highly reliable, interdisciplinary teams are not consistently observed during critical events and constitute breaches in defensive barriers for ensuring patient safety. Expand
In Situ Simulation-based Team Training for Post-cardiac Surgical Emergency Chest Reopen in the Intensive Care Unit
TLDR
Simulation-based training appeared to be at least as effective as video- based training in improving both knowledge and confidence in post cardiac surgical emergency resternotomy. Expand
Impact of Simulation-Based Extracorporeal Membrane Oxygenation Training in the Simulation Laboratory and Clinical Environment
TLDR
Simulation-based training is an effective method to improve safety knowledge, attitudes, and teamwork surrounding ECMO emergencies and allows transfer of skills from the simulated setting to clinical environment. Expand
Simulation at the point of care: Reduced-cost, in situ training via a mobile cart
  • Peter Weinstock, L. Kappus, A. Garden, J. Burns
  • Medicine
  • Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
  • 2009
TLDR
A reduced-cost low-space mobile cart is developed to provide realistic simulation experiences to a range of providers within the clinical environment and to serve as a model for transportable, cost-effective, widespread simulation-based training of bona-fide workplace teams. Expand
Using in situ simulation to improve in-hospital cardiopulmonary resuscitation.
TLDR
In situ simulation of cardiac arrests elicits lifelike behaviors and allows engagement of all personnel and resources applicable to real arrests, and may be a useful, efficient technique that complements existing quality assurance processes in hospitals. Expand
Simulation to implement a novel system of care for pediatric critical airway obstruction.
TLDR
High-fidelity simulation was an effective method to design and implement a novel system of care for pediatric critical airway obstruction and the novel system was associated with more rapid response times and elimination of simulated patient deaths. Expand
The human factor: the critical importance of effective teamwork and communication in providing safe care
TLDR
Clinical experience in the application of surgical briefings, properties of high reliability perinatal care, the value of critical event training and simulation, and benefits of a standardised communication process in the care of patients transferred from hospitals to skilled nursing facilities are described. Expand
...
1
2
3
4
...