Creating High-Fidelity and Hybrid Simulations for Residents in Emergency Medicine

Cassara, Michael; Kerner, Robert L.; Drozd, Andrew L.

doi:10.1891/9780826169075.0006

Cited by 1 publication

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“…In the laboratory, 5 stations with cadavers served 5 teams, with faculty rotating from station to station, explaining specific details of procedures as performed as Northwell Health (formerly North Shore-LIJ). We modeled this methodology, which did not use scenarios, on our procedural training program for emergency medicine residents, 32 adapted to interprofessional use. 60 It provided physicians the opportunity to practice specific procedures with current instrumentation, but it also enabled teams to demonstrate the various ancillary tasks while imparting to nurses and patient technicians contextual knowledge, including visual and tactile information.…”

Section: Methodsmentioning

confidence: 99%

Simulation for Operational Readiness in a New Freestanding Emergency Department

et al. 2016

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Summary StatementSimulation in multiple contexts over the course of a 10-week period served as a core learning strategy to orient experienced clinicians before opening a large new urban freestanding emergency department. To ensure technical and procedural skills of all team members, who would provide care without on-site recourse to specialty backup, we designed a comprehensive interprofessional curriculum to verify and regularize a wide range of competencies and best practices for all clinicians. Formulated under the rubric of systems integration, simulation activities aimed to instill a shared culture of patient safety among the entire cohort of 43 experienced emergency physicians, physician assistants, nurses, and patient technicians, most newly hired to the health system, who had never before worked together. Methods throughout the preoperational term included predominantly hands-on skills review, high-fidelity simulation, and simulation with standardized patients. We also used simulation during instruction in disaster preparedness, sexual assault forensics, and community outreach. Our program culminated with 2 days of in-situ simulation deployed in simultaneous and overlapping timeframes to challenge system response capabilities, resilience, and flexibility; this work revealed latent safety threats, lapses in communication, issues of intake procedure and patient flow, and the persistence of inapt or inapplicable mental models in responding to clinical emergencies.

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Section: Methodsmentioning

confidence: 99%