Five Topics Health Care Simulation Can Address to Improve Patient Safety: Results From a Consensus Process

Sollid, Stephen J. M.; Dieckman, Peter; Aase, Karina; Søreide, Eldar; Ringsted, Charlotte; Østergaard, Doris

doi:10.1097/pts.0000000000000254

Cited by 57 publications

(48 citation statements)

References 32 publications

(37 reference statements)

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“…[14][15][16] This study affirms that simulation has proven itself to be an effective educational methodology of enhancing student learning outcomes. Improving patient safety and quality of care is an attribute of simulation learning, [40] reaffirmed by this study's findings. Enhancing students' knowledge, skills and attitude towards patient care, through simulation educational experience, will eventually lead to a nurse who can critically think through patient risk assessments to provide competent and proficient patient care.…”

Section: Discussionsupporting

confidence: 80%

A pilot assessment: Integrating a cystic fibrosis simulation scenario to enhance pre-licensure educational understanding of genomics

Sharoff

2019

JNEP

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Background and objective: Integration of patient simulations into the nursing student curricula have been shown to be effective and innovative teaching enhancements leading to enhanced knowledge, clinical reasoning and judgment for students, whilst promoting optimal patient care. This pilot study aimed to explore how the use of a simulation, with a genetic component of a Cystic Fibrosis (CF) case scenario, improved the self-perceived knowledge comprehension of pre-licensure baccalaureate nursing students of a large diverse urban School of Nursing.Methods: Three assessment surveys were utilized to glean data: nine multiple choice questions explored factual content of CF pre/post simulation; five question survey explored self-perception of knowledge and one open-ended simplified critical incident report provided qualitative data.Results: Twenty-four pre-licensure third year nursing students participated (three groups of eight students). All participants agreed that their understanding of the genetic component of CF improved post simulation. Four major themes emerged from the qualitative data: genomics and nursing; patient education; teamwork exercise and patient-nurse relationship. Conclusions: Integrating a genetically-based condition into a simulation, whereby students are expected to research the condition, engage in patient education, facilitate effective and appropriate nursing care enriches their critical thinking, confidence, skills and knowledge acquisition.

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Section: Discussionsupporting

confidence: 80%

A pilot assessment: Integrating a cystic fibrosis simulation scenario to enhance pre-licensure educational understanding of genomics

Sharoff

2019

JNEP

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“…It is important to listen carefully and identify the key clinical issues and to design simulations for the exact problems at hand, rather than "resell" existing courses from the shelves. Even in time-pressured situations, we believe that systematic analysis of (learning) needs and careful selection of contents and methods are crucial [18][19][20]. Simulation should be seen as an interventive tool for training and as a diagnostic tool for the analysis of work structures and processes [21].…”

Section: Putting Plans Into Practicementioning

confidence: 99%

The use of simulation to prepare and improve responses to infectious disease outbreaks like COVID-19: practical tips and resources from Norway, Denmark, and the UK

et al. 2020

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In this paper, we describe the potential of simulation to improve hospital responses to the COVID-19 crisis. We provide tools which can be used to analyse the current needs of the situation, explain how simulation can help to improve responses to the crisis, what the key issues are with integrating simulation into organisations, and what to focus on when conducting simulations. We provide an overview of helpful resources and a collection of scenarios and support for centre-based and in situ simulations.

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“…Previous research has highlighted inter-professional simulationbased training as a tool to improve both technical and non-technical skills. 52 Increased use of this approach might enhance the effectiveness of RRT in caring for deteriorating patients and breaking down silos between RRT and ward personnel.…”

Section: Major Findingsmentioning

confidence: 99%

Succeeding with rapid response systems – a never-ending process: A systematic review of how health-care professionals perceive facilitators and barriers within the limbs of the RRS

et al. 2019

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Background: Meta-analyses show that hospital rapid response systems (RRS) are associated with reduced rates of cardiorespiratory arrest and mortality. However, many RRS fail to provide appropriate outcomes. Thus an improved understanding of how to succeed with a RRS is crucial. By understanding the barriers and facilitators within the limbs of a RRS, these can be addressed.Objective: To explore the barriers and facilitators within the limbs of a RRS as described by health-care professionals working within the system. Methods:The electronic databases searched were: EMBASE, MEDLINE, CINAHL, Epistemonikos, Cochrane, PsychInfo and Web of Science. Search terms were related to RRS and their facilitators and barriers. Studies were appraised guided by the CASP tool. Twenty-one qualitative studies were identified and subjected to content analysis.Results: Clear leadership, interprofessional trust and collaboration seems to be crucial for succeeding with a RRS. Clear protocols, feedback, continuous evaluation and interprofessional training were highlighted as facilitators. Reprimanding down the hierarchy, underestimating the importance of call-criteria, alarm fatigue and a lack of integration with other hospital systems were identified as barriers. Conclusion:To succeed with a RRS, the keys seem to lie in the administrative and quality improvement limbs. Clear leadership and continuous quality improvement provide the foundation for the continuing collaboration to manage deteriorating patients. Succeeding with a RRS is a never-ending process.

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Five Topics Health Care Simulation Can Address to Improve Patient Safety: Results From a Consensus Process

Cited by 57 publications

References 32 publications

A pilot assessment: Integrating a cystic fibrosis simulation scenario to enhance pre-licensure educational understanding of genomics

A pilot assessment: Integrating a cystic fibrosis simulation scenario to enhance pre-licensure educational understanding of genomics

The use of simulation to prepare and improve responses to infectious disease outbreaks like COVID-19: practical tips and resources from Norway, Denmark, and the UK

Succeeding with rapid response systems – a never-ending process: A systematic review of how health-care professionals perceive facilitators and barriers within the limbs of the RRS

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