Simulation in medical education: a synopsis (Rev Med Chile 2013; 141: 70-79).

A pandemic has sent the world into chaos. It has not only upended our lives; hundreds of thousands of lives have already been tragically lost. The global crisis has been disruptive, even a threat, to healthcare simulation, affecting all aspects of operations from education to employment. While simulationists around the world have responded to this crisis, it has also provided a stimulus for the continued evolution of simulation. We have crafted a manifesto for action, incorporating a more comprehensive understanding of healthcare simulation, beyond tool, technique or experience, to understanding it now as a professional practice. Healthcare simulation as a practice forms the foundation for the three tenets comprising the manifesto: safety, advocacy and leadership. Using these three tenets, we can powerfully shape the resilience of healthcare simulation practice for now and for the future. Our call to action for all simulationists is to adopt a commitment to comprehensive safety, to advocate collaboratively and to lead ethically.

Objective: to determine the content and face validity of a safe drug administration assessment instrument for nursing students. Method: quantitative, descriptive study. The literature on medication errors made by students was analyzed, and an instrument was developed using the Architecture of Integrated Information Systems and the Work Breakdown Structure. Face validity was analyzed using the nominal technique, with experts in education, management, research and/or clinical practice. Results: nine experts participated in the validation process, which resulted in an instrument containing 8 sub-processes and 58 items, adjusted to the simulation environment and to clinical practice. Conclusion: the instrument may be used for the evaluation of safe drug administration by nursing students, especially in a simulation environment.

Patient safety is an ever-present topic in the discussion of educators. It has been 20 years since the publication of To Err Is Human, and there are lessons learned, although there is still much to be done. Healthcare systems are becoming increasingly complex, putting the safety of patients at risk. In this context, there is a greater exposure of healthcare professionals to medical-legal liability issues and to becoming victims of situations that are often preventable. Nurses and medical doctors are especially exposed to these situations, since they are visible during procedures, or do so during the points of greater risk during the patient care process. This chapter will review the contribution provided by the curricular integration of simulation-based education as a tool to train technical and nontechnical issues and how this work can be done for the safety of patients through a standardized training plan, under controlled and evaluated processes. We will discuss how resources and elements allow to perform healthcare interventions in a more safely manner. Finally, we will review the existing literature, some experiences, and the available evidence on this topic.

Este artículo está licenciado bajo licencia Creative Commons Atribución 4.0 Internacional, que permite el uso sin restricciones, distribución y reproducción en cualquier medio, siempre y cuando la publicación original sea correctamente citada. RESUMENOBJETIVOS: Presentar la experiencia de la creación, desarrollo y resultados de un currículo de enfermería que integra la simulación clínica y la seguridad del paciente con sus desafíos y alcances después de cuatro generaciones egresadas. DESCRIPCIÓN DE LA EXPERIENCIA: La Escuela de Enfermería de la Universidad Finis Terrae es resultado de una solicitud directa de las autoridades de la institución en un momento en que el país requería el aumento de la oferta de los profesionales de enfermería. Esta parte con un proyecto que a través de su desarrollo y puesta en marcha requiere varios ajustes en términos programáticos. El proyecto tiene en consideración desde su generación la integración de la simulación y pone en el centro del desarrollo a la seguridad. Para esto, se trabajó en nuevos instrumentos que establecieron la forma de implementar el proceso educativo, generando un modelo propio de docencia basada en simulación, sumado al establecimiento de puntos de control que permitieran aplicar el modelo de mejora continua. A través de su desarrollo, se configuran elementos sellos que diferencian al estudiante de enfermería en el medio nacional. En la actualidad nos mantenemos trabajando en el cumplimiento de estándares internacionales, revisando periódicamente las estrategias implementadas y la forma de hacer docencia en beneficio de nuestros estudiantes. Nos planteamos como desafíos la generación de trabajo interprofesional, el fortalecimiento del cuerpo docente y la generación de investigaciones que evidencien los beneficios de tener un currículo para la seguridad basado en simulación considerando nuestra realidad local. CONCLUSIONES: La integración de la simulación y seguridad del paciente en el currículo de la carrera de enfermería es un desafío que requiere implementar procesos innovadores, movilizando recursos de todo tipo para el logro del objetivo. Fortalecer el liderazgo, el juicio clínico y la calidad de los profesionales enfermeros merece este tipo de cambios. Creemos que cambios como este en la educación de enfermería permitirán alcanzar mejores resultados de salud a nivel mundial.DESCRIPTORES: educación en enfermería; entrenamiento simulado; seguridad del paciente. ABSTRACTAIMS: To present the experience of creation, development and results of a nursing curriculum that integrates clinical simulation and patient safety with its challenges and achievements after four generations of graduates. EXPERIENCE DESCRIPTION: The School of Nursing at the Finis Terrae University is the result of a direct request from the authorities of the institution at a time when the country required an increase in the supply of nursing professionals. It started with a project that in the course of its development and implementation require several adjustments in programmatic terms. ...