Be Prepared

Autor: Roberta Hales, Vinay M. Nadkarni, Rodrigo J. Daly Guris, Anne Ades, Marjorie A Hamburger, Akira Nishisaki, Mizue Kishida, AnneMarie Monachino, Aleeshamonae Dove, Danielle C Benson, Grace Good, Keith Widmeier
Rok vydání: 2021
Předmět:
Zdroj: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare. 17:226-233
ISSN: 1559-713X
1559-2332
Popis: INTRODUCTION: The COVID-19 pandemic forced healthcare institutions to rapidly adapt practices for patient care, staff safety, and resource management. We evaluated contributions of the simulation center in a freestanding children's hospital during the early stages of the pandemic. METHODS: We reviewed our simulation center's activity for education-based and system-focused simulation for 2 consecutive academic years (AY19: 2018-2019 and AY20: 2019-2020). We used statistical control charts and χ2 analyses to assess the impact of the pandemic on simulation activity as well as outputs of system-focused simulation during the first wave of the pandemic (March-June 2020) using the system failure mode taxonomy and required level of resolution. RESULTS: A total of 1983 event counts were reported. Total counts were similar between years (994 in AY19 and 989 in AY20). System-focused simulation was more prevalent in AY20 compared with AY19 (8% vs. 2% of total simulation activity, P < 0.001), mainly driven by COVID-19-related simulation events. COVID-19-related simulation occurred across the institution, identified system failure modes in all categories except culture, and was more likely to identify macro-level issues than non-COVID-19-related simulation (64% vs. 44%, P = 0.027). CONCLUSIONS: Our simulation center pivoted to deliver substantial system-focused simulation across the hospital during the first wave of the COVID-19 pandemic. Our experience suggests that simulation centers are essential resources in achieving safe and effective hospital-wide improvement.
Databáze: OpenAIRE
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