Integrated In-Situ Simulation Using Redirected Faculty Educational Time to Minimize Costs

Calhoun, Aaron W.; Boone, Megan; Peterson, Eleanor; Boland, Kimberly A.; Montgomery, Vicki

doi:10.1097/sih.0b013e318224bdde

Cited by 37 publications

(29 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although several studies show that successful ISS can take place with at a minimal cost compared to simulation centres [19, 29, 66–68], ISS can require extra space for clinical activities, which may mean increased costs.…”

Section: Discussionmentioning

confidence: 99%

Design of simulation-based medical education and advantages and disadvantages of in situ simulation versus off-site simulation

et al. 2017

View full text Add to dashboard Cite

BackgroundSimulation-based medical education (SBME) has traditionally been conducted as off-site simulation in simulation centres. Some hospital departments also provide off-site simulation using in-house training room(s) set up for simulation away from the clinical setting, and these activities are called in-house training. In-house training facilities can be part of hospital departments and resemble to some extent simulation centres but often have less technical equipment. In situ simulation, introduced over the past decade, mainly comprises of team-based activities and occurs in patient care units with healthcare professionals in their own working environment. Thus, this intentional blend of simulation and real working environments means that in situ simulation brings simulation to the real working environment and provides training where people work. In situ simulation can be either announced or unannounced, the latter also known as a drill. This article presents and discusses the design of SBME and the advantage and disadvantage of the different simulation settings, such as training in simulation-centres, in-house simulations in hospital departments, announced or unannounced in situ simulations.DiscussionNon-randomised studies argue that in situ simulation is more effective for educational purposes than other types of simulation settings. Conversely, the few comparison studies that exist, either randomised or retrospective, show that choice of setting does not seem to influence individual or team learning. However, hospital department-based simulations, such as in-house simulation and in situ simulation, lead to a gain in organisational learning. To our knowledge no studies have compared announced and unannounced in situ simulation. The literature suggests some improved organisational learning from unannounced in situ simulation; however, unannounced in situ simulation was also found to be challenging to plan and conduct, and more stressful among participants. The importance of setting, context and fidelity are discussed.SummaryBased on the current limited research we suggest that choice of setting for simulations does not seem to influence individual and team learning. Department-based local simulation, such as simulation in-house and especially in situ simulation, leads to gains in organisational learning. The overall objectives of simulation-based education and factors such as feasibility can help determine choice of simulation setting.

show abstract

Section: Discussionmentioning

confidence: 99%

Design of simulation-based medical education and advantages and disadvantages of in situ simulation versus off-site simulation

et al. 2017

View full text Add to dashboard Cite

show abstract

“…An advantage of ISS is that it is conducted in the real workplace, thus making it possible to train staff and also identify systemic weaknesses, which in turn forms the basis for required organisational changes 15–18. Some have argued that ISS is more feasible and cost saving compared with traditional simulation conducted in simulation centres 19 20. Some studies concluded that ISS is met with widespread acceptance among participants and has resulted in a collaborative approach to patient safety 14 19 21 22…”

Section: Introductionmentioning

confidence: 99%

Unannounced in situ simulation of obstetric emergencies: staff perceptions and organisational impact

Sørensen

Lottrup

Vleuten

et al. 2014

Postgraduate Medical Journal

View full text Add to dashboard Cite

The number of staff members with a positive perception of multiprofessional unannounced ISS increased after implementation; however, one-third considered ISS to be stressful and unpleasant and midwives more frequently so. The specific perception of ISS by each healthcare profession should be taken into account when planning ISS. The information from the debriefing sessions showed that implementation of ISS had an impact as it provided information required for organisational changes.

show abstract

“…As highlighted in this review, there is great variation in the approach to the utilization of simulation and curricular design across institutions. Although the majority of pediatric studies have used simulation centers or in situ simulation programs for assessment of resident performance and procedural proficiency, 23,27,28,33,36,43,48,49,57,58 alternative tech niques such as the crea tion of a www.hospitalpediatrics.org formal mock code curriculum 24,37,41,59 and just-in-time procedural training as part of the PICU rotation 20,35 have also been performed. Although some of these curriculum designs have achieved meaningful results, there is a lack of consensus for the ideal approach to simulation implementation into a pediatric residency program.…”

Section: Discussionmentioning

confidence: 99%

Simulation Training as a Mechanism for Procedural and Resuscitation Education for Pediatric Residents: A Systematic Review

Mills

Williams

Dobson

2013

Hospital Pediatrics

View full text Add to dashboard Cite

BACKGROUND: Pediatric residents often fi nish their training lacking suffi cient procedural profi ciency and resuscitation experience in the care of critically ill children. Simulation is gaining favor in pediatric residency programs as a modality for procedural and resuscitation education. We reviewed the literature assessing simulation and its role in pediatric resident training. METHODS:We conducted a Medline and PubMed search of simulation training in pediatric resident education from January 2007 to July 2012. RESULTS:Eight studies were included and divided into simulated procedural assessments and simulated resuscitation scenario assessments. The studies varied widely in their approach and analysis, and they yielded mixed results. CONCLUSIONS:Although some studies show the merits of simulation in the procedural and resuscitation training of pediatric residents, more research is needed to assess the effectiveness of simulation as an educational tool. Goals of future simulation research should include creation of validated assessment tools and applying skills learned to patient care outcomes.

show abstract

Integrated In-Situ Simulation Using Redirected Faculty Educational Time to Minimize Costs

Cited by 37 publications

References 22 publications

Design of simulation-based medical education and advantages and disadvantages of in situ simulation versus off-site simulation

Design of simulation-based medical education and advantages and disadvantages of in situ simulation versus off-site simulation

Unannounced in situ simulation of obstetric emergencies: staff perceptions and organisational impact

Simulation Training as a Mechanism for Procedural and Resuscitation Education for Pediatric Residents: A Systematic Review

Contact Info

Product

Resources

About