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Using In Situ Simulations to Improve Pediatric Patient Safety in Emergency Departments.
Lee, Moon O; Schertzer, Kimberly; Khanna, Kajal; Wang, N Ewen; Camargo, Carlos A; Sebok-Syer, Stefanie S.
Afiliação
  • Lee MO; M.O. Lee is associate professor, Department of Emergency Medicine, Stanford University School of Medicine, Stanford, California.
  • Schertzer K; K. Schertzer is assistant professor, Department of Emergency Medicine, Stanford University School of Medicine, Stanford, California.
  • Khanna K; K. Khanna is associate professor, Department of Emergency Medicine, Stanford University School of Medicine, Stanford, California.
  • Wang NE; N.E. Wang is professor, Department of Emergency Medicine, Stanford University School of Medicine, Stanford, California.
  • Camargo CA; C.A. Camargo Jr is professor, Departments of Emergency Medicine, Medicine, and Epidemiology, Harvard University, Boston, Massachusetts.
  • Sebok-Syer SS; S.S. Sebok-Syer is instructor, Department of Emergency Medicine, Stanford University School of Medicine, Stanford, California.
Acad Med ; 96(3): 395-398, 2021 03 01.
Article em En | MEDLINE | ID: mdl-33116057
PROBLEM: Given the complex interaction among patients, individual providers, health care teams, and the clinical environment, patient safety events with serious consequences are most likely to occur in intensive care units, operating rooms, and emergency departments (EDs). With low-frequency, high-risk events such as pediatric resuscitations, health care teams working in EDs may not have the clinical opportunity to identify deficiencies, review and reinforce knowledge and skills, and problem solve in authentic clinical conditions. Without creating opportunities to safely practice, hospitals run the risk of having health care teams and environments that are not prepared to provide optimal patient care. APPROACH: Researchers employed a case series design and used a train-the-trainer model for in situ simulation. They trained health care professionals (instructors) in 3 general, nonacademic EDs in the San Francisco Bay area of California to perform pediatric resuscitation in situ simulations in 2018-2019. In situ simulations occur in the clinical work environment with simulation participants (teams) who are health care professionals taking care of actual patients. OUTCOMES: Teams made up of physicians, nurses, and ED technicians were evaluated for clinical performance, teamwork, and communication during in situ simulations conducted by instructors at baseline, 6 months, and 12 months. Debriefing after the simulations identified multiple latent safety threats (i.e., unidentified potential safety hazards) that were previously unknown. Each ED's pediatric readiness-its ability to provide emergency care for children-was evaluated at baseline and 12 months. NEXT STEPS: The authors will continue to monitor and examine the impact and sustainability of the pediatric in situ simulation program on pediatric readiness scores and its possible translation to other high-risk clinical settings, as well as explore the relationship between in situ simulations and patient outcomes.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Pessoal de Saúde / Segurança do Paciente / Capacitação de Professores / Capacitação em Serviço Tipo de estudo: Evaluation_studies / Prognostic_studies Limite: Child / Humans País/Região como assunto: America do norte Idioma: En Revista: Acad Med Assunto da revista: EDUCACAO Ano de publicação: 2021 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Pessoal de Saúde / Segurança do Paciente / Capacitação de Professores / Capacitação em Serviço Tipo de estudo: Evaluation_studies / Prognostic_studies Limite: Child / Humans País/Região como assunto: America do norte Idioma: En Revista: Acad Med Assunto da revista: EDUCACAO Ano de publicação: 2021 Tipo de documento: Article