Ward-based in situ simulation: lessons learnt from a UK District General Hospital

Autor: Wisam Jafar, Deborah Suggitt, Souvik Das, Julian Tristan Schwartze, Jeanette Baxter, Simon Tunstall, Nicholas Ronan, Helen Stannard, Amina Rezgui, David Neil Baxter
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: BMJ Open Quality, Vol 13, Iss 2 (2024)
Druh dokumentu: article
ISSN: 2399-6641
DOI: 10.1136/bmjoq-2023-002571
Popis: Introduction In situ simulation (ISS) enables multiprofessional healthcare teams to train for real emergencies in their own working environment and identify latent patient safety threats. This study aimed to determine ISS impact on teamwork, technical skill performance, healthcare staff perception and latent error identification during simulated medical emergencies.Materials and methods Unannounced ISS sessions (n=14, n=75 staff members) using a high-fidelity mannequin were conducted in medical, paediatric and rehabilitation wards at Stepping Hill Hospital (Stockport National Health Service Foundation Trust, UK). Each session encompassed a 15 min simulation followed by a 15 min faculty-led debrief.Results The clinical team score revealed low overall teamwork performances during simulated medical emergencies (mean±SEM: 4.3±0.5). Linear regression analysis revealed that overall communication (r=0.9, p
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