scholarly journals A Collaborative In Situ Simulation-based Pediatric Readiness Improvement Program for Community Emergency Departments

2017 ◽  
Vol 25 (2) ◽  
pp. 177-185 ◽  
Author(s):  
Kamal Abulebda ◽  
Riad Lutfi ◽  
Travis Whitfill ◽  
Samer Abu-Sultaneh ◽  
Kellie J. Leeper ◽  
...  
Keyword(s):  
Emergency Departments ◽  
Improvement Program ◽  
In Situ Simulation ◽  
Simulation Based

scholarly journals Adherence to Pediatric Cardiac Arrest Guidelines Across a Spectrum of Fifty Emergency Departments: A Prospective, In Situ, Simulation‐based Study

2018 ◽  
Vol 25 (12) ◽  
pp. 1396-1408 ◽  
Author(s):  
Marc Auerbach ◽  
Linda Brown ◽  
Travis Whitfill ◽  
Janette Baird ◽  
Kamal Abulebda ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Emergency Departments ◽  
In Situ Simulation ◽  
Simulation Based

scholarly journals Improving safety and reducing error in endoscopy: simulation training in human factors

2019 ◽  
Vol 10 (2) ◽  
pp. 160-166 ◽  
Author(s):  
Srivathsan Ravindran ◽  
Siwan Thomas-Gibson ◽  
Sam Murray ◽  
Eleanor Wood
Keyword(s):  
Human Factors ◽  
Simulation Training ◽  
Working Environment ◽  
Advisory Group ◽  
In Situ Simulation ◽  
Simulation Based ◽  
The Uk ◽  
Endoscopy Simulation ◽  
Patient Safety Incidents

Patient safety incidents occur throughout healthcare and early reports have exposed how deficiencies in ‘human factors’ have contributed to mortality in endoscopy. Recognising this, in the UK, the Joint Advisory Group for Gastrointestinal Endoscopy have implemented a number of initiatives including the ‘Improving Safety and Reducing Error in Endoscopy’ (ISREE) strategy. Within this, simulation training in human factors and Endoscopic Non-Technical Skills (ENTS) is being developed. Across healthcare, simulation training has been shown to improve team skills and patient outcomes. Although the literature is sparse, integrated and in situ simulation modalities have shown promise in endoscopy. Outcomes demonstrate improved individual and team performance and development of skills that aid clinical practice. Additionally, the use of simulation training to detect latent errors in the working environment is of significant value in reducing error and preventing harm. Implementation of simulation training at local and regional levels can be successfully achieved with collaboration between organisational, educational and clinical leads. Nationally, simulation strategies are a key aspect of the ISREE strategy to improve ENTS training. These may include integration of simulation into current training or development of novel simulation-based curricula. However used, it is evident that simulation training is an important tool in developing safer endoscopy.

An In Situ Simulation-Based Training Approach to Active Shooter Response in the Emergency Department

2018 ◽  
Vol 13 (02) ◽  
pp. 345-352 ◽  
Author(s):  
Mark S. Mannenbach ◽  
Carol J. Fahje ◽  
Kharmene L. Sunga ◽  
Matthew D. Sztajnkrycer
Keyword(s):  
Emergency Department ◽  
Emergency Departments ◽  
Low Frequency ◽  
Training Model ◽  
The United States ◽  
Lessons Learned ◽  
Added Value ◽  
Active Shooter ◽  
In Situ Simulation

ABSTRACTWith an increased number of active shooter events in the United States, emergency departments are challenged to ensure preparedness for these low frequency but high stakes events. Engagement of all emergency department personnel can be very challenging due to a variety of barriers. This article describes the use of an in situ simulation training model as a component of active shooter education in one emergency department. The educational tool was intentionally developed to be multidisciplinary in planning and involvement, to avoid interference with patient care and to be completed in the true footprint of the work space of the participants. Feedback from the participants was overwhelmingly positive both in terms of added value and avoidance of creating secondary emotional or psychological stress. The specific barriers and methods to overcome implementation are outlined. Although the approach was used in only one department, the approach and lessons learned can be applied to other emergency departments in their planning and preparation. (Disaster Med Public Health Preparedness. 2019;13:345–352)

1115: Improvement in Pediatric Airway Management in Community EDs After In Situ Simulation-Based Program

2020 ◽  
Vol 49 (1) ◽  
pp. 559-559
Author(s):  
Manahil Mustafa ◽  
Kamal Abulebda ◽  
Riad Lutfi ◽  
Hani Alsaedi ◽  
Samer Abu-Sultaneh
Keyword(s):  
Airway Management ◽  
Pediatric Airway ◽  
In Situ Simulation ◽  
Simulation Based

scholarly journals In-situ Simulation-Based Module to Train Interns in Resuscitation Skills During Cardiac Arrest

2020 ◽  
Vol Volume 11 ◽  
pp. 271-285 ◽  
Author(s):  
Roshana Shrestha ◽  
Dinesh Badyal ◽  
Anmol Purna Shrestha ◽  
Abha Shrestha
Keyword(s):  
Cardiac Arrest ◽  
In Situ Simulation ◽  
Simulation Based

scholarly journals Reducing door-to-needle times in stroke thrombolysis to 13 min through protocol revision and simulation training: a quality improvement project in a Norwegian stroke centre

2019 ◽  
Vol 28 (11) ◽  
pp. 939-948 ◽  
Author(s):  
Soffien Chadli Ajmi ◽  
Rajiv Advani ◽  
Lars Fjetland ◽  
Kathinka Dehli Kurz ◽  
Thomas Lindner ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Patient Outcomes ◽  
Treatment Protocol ◽  
Team Training ◽  
Quality Improvement Project ◽  
Improvement Project ◽  
In Situ Simulation ◽  
Simulation Based ◽  
Stroke Thrombolysis

BackgroundIn eligible patients with acute ischaemic stroke, rapid revascularisation is crucial for good outcome. At our treatment centre, we had achieved and sustained a median door-to-needle time of under 30 min. We hypothesised that further improvement could be achieved through implementing a revised treatment protocol and in situ simulation-based team training sessions. This report describes a quality improvement project aiming to reduce door-to-needle times in stroke thrombolysis.MethodsAll members of the acute stroke treatment team were surveyed to tailor the interventions to local conditions. Through a review of responses and available literature, the improvement team suggested changes to streamline the protocol and designed in situ simulation-based team training sessions. Implementation of interventions started in February 2017. We completed 14 simulation sessions from February to June 2017 and an additional 12 sessions from November 2017 to March 2018. Applying Kirkpatrick’s four-level training evaluation model, participant reactions, clinical behaviour and patient outcomes were measured. Statistical process control charts were used to demonstrate changes in treatment times and patient outcomes.ResultsA total of 650 consecutive patients, including a 3-year baseline, treated with intravenous thrombolysis were assessed. Median door to needle times were significantly reduced from 27 to 13 min and remained consistent after 13 months. Risk-adjusted cumulative sum charts indicate a reduced proportion of patients deceased or bedridden after 90 days. There was no significant change in balancing measures (stroke mimics, fatal intracranial haemorrhage and prehospital times).ConclusionsImplementing a revised treatment protocol in combination with in situ simulation-based team training sessions for stroke thrombolysis was followed by a considerable reduction in door-to-needle times and improved patient outcomes. Additional work is needed to assess sustainability and generalisability of the interventions.

scholarly journals National implementation of in situ simulation training in Helicopter Emergency Medical Services: A multicenter study

2020 ◽  
Author(s):  
Per P. Bredmose ◽  
Jo Røislien ◽  
Doris Østergaard ◽  
Stephen Sollid
Keyword(s):  
Simulation Training ◽  
Emergency Services ◽  
Successful Implementation ◽  
In Situ Simulation ◽  
National Implementation ◽  
Simulation Based ◽  
Key Factor ◽  
One Year ◽  
Implementation Factors

Abstract IntroductionMedical simulation is used in helicopter emergency services as a tool for training the crew. Using in situ simulation we aimed to evaluate the degree of implementation, factors for successful simulation and the crew’s attitude towards this form for training.MethodsA one year prospective study on simulation at all Norwegian helicopter emergency services bases and one search and rescue base. Local facilitators were educated and conducted simulations at their own discretion.ResultsAll bases participated, but the number of simulations attempted at each base varied from 1 to 46. Busier bases had a significantly higher number of aborted simulations. Regardless of base and number of attempted simulations, participating crews scored self-evaluated satisfaction with this form of training highly. The number of local facilitators and their travel distance to work seemed to make no difference to the number of attempted simulations.DiscussionOur study reveals large differences in the number of attempted simulations between bases. Our findings suggest that the local facilitator is a key factor for successful implementation of simulation based training in helicopter emergency services.

Ten (+1) lessons from conducting a mass casualty in situ simulation exercise in a Canadian academic hospital setting

2021 ◽  
Vol 19 (3) ◽  
pp. 253-265
Author(s):  
Jeffrey T. Tochkin, MA, CEM ◽  
Hung Tan, MSc ◽  
Caroline Nolan ◽  
Harrison Carmichael, MD ◽  
Andrew Willmore, MD ◽  
...  
Keyword(s):  
Disaster Preparedness ◽  
Hospital Setting ◽  
Mass Casualty ◽  
First Century ◽  
System Level ◽  
In Situ Simulation ◽  
Hospital Administrators ◽  
Simulation Based ◽  
Disaster Exercise

Providing care in a twenty-first century urban emergency department (ED) and trauma center is a complex high-pressure practice environment. The pressure is intensified during patient surge scenarios commonly seen during mass casualty incidents, such that response must be practiced regularly. Beyond clinical mastery of individual patient trauma care, a coordinated system-level response is essential to optimize patient care during these relatively infrequent events. This paper highlights the need to perform exercises in hospitals while providing practical advice on how to utilize in situ simulation for mass casualty testing. Eleven lessons are presented to assist other emergency management professionals, hospital administrators, or clinical staff to achieve success with in situ simulation. Based upon our experience designing and executing an in situ mass casualty simulation within an ED, we offer lessons applicable to any type of disaster exercise. Simulation offers a powerful tool for the conduct of disaster preparedness exercises for staff across multiple hospital departments and professions.

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