Developing a simulation safety policy for translational simulation programs in healthcare

Brazil, Victoria; Scott, Clare L.; Matulich, Jack; Shanahan, Brenton

doi:10.1186/s41077-022-00200-9

Cited by 8 publications

(5 citation statements)

References 14 publications

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“…Adverse events have occurred during in situ simulation training; hence, there is a need to develop a simulation safety policy. The difference between simulated and actual practice could sometimes be unclear [ 59 ]. According to the participants, the simulated patient in our study reported less cordial treatment when the situation became intense.…”

Section: Discussionmentioning

confidence: 99%

In situ simulation-based team training and its significance for transfer of learning to clinical practice—A qualitative focus group interview study of anaesthesia personnel

et al. 2023

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Background Anaesthesia personnel are an integral part of an interprofessional operating room-team; hence, team-based training in non-technical skills (NTS) are important in preventing adverse events. Quite a few studies have been done on interprofessional in situ simulation-based team training (SBTT). However, research on anaesthesia personnel’s experiences and the significance for transfer of learning to clinical practice is limited. The aim of this study is to explore anaesthesia personnel’s experience from interprofessional in situ SBTT in NTS and its significance for transfer of learning to clinical practice. Methods Follow-up focus group interviews with anaesthesia personnel, who had taken part in interprofessional in situ SBTT were conducted. A qualitative inductive content analysis was performed. Results Anaesthesia personnel experienced that interprofessional in situ SBTT motivated transfer of learning and provided the opportunity to be aware of own practice regarding NTS and teamwork. One main category, ‘interprofessional in situ SBTT as a contributor to enhance anaesthesia practice’ and three generic categories, ‘interprofessional in situ SBTT motivates learning and improves NTS’, ‘realism in SBTT is important for learning outcome’, and ‘SBTT increases the awareness of teamwork’ illustrated their experiences. Conclusions Participants in the interprofessional in situ SBTT gained experiences in coping with emotions and demanding situations, which could be significant for transfer of learning essential for clinical practice. Herein communication and decision-making were highlighted as important learning objectives. Furthermore, participants emphasized the importance of realism and fidelity and debriefing in the learning design.

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Section: Discussionmentioning

confidence: 99%

In situ simulation-based team training and its significance for transfer of learning to clinical practice—A qualitative focus group interview study of anaesthesia personnel

et al. 2023

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“…These include translational simulation to prepare health services for the COVID-19 pandemic [ 18 – 30 ], for hospital relocation or physical space testing [ 31 ], for clinical pathway or process testing [ 32 – 39 ], and for shaping culture and teamwork in healthcare settings [ 35 , 40 – 46 ]. Other citing literature has included conceptual discussions and review articles [ 47 – 51 ], as well as efforts to develop methods and tools for ‘translational simulation in action’ [ 16 , 32 , 52 ]. We now consider and critique these examples and provide a summary in Table 1 .…”

Section: Exploring Translational Simulation In Practicementioning

confidence: 99%

“…Guidance on how to position translational simulation programs (operationally) within healthcare institutions is emerging [ 15 ], but much more is to be learned. Safety has become a particular concern when simulation is conducted in clinical spaces, potentially leading to unintended threats to system integrity or patient safety [ 52 , 106 , 107 ]. Faculty development for translational simulation is embryonic, with even established programs taking predominantly informal approaches [ 108 ].…”

Section: The Developing Translational Simulation Conceptual Model: Pu...mentioning

confidence: 99%

Translational simulation revisited: an evolving conceptual model for the contribution of simulation to healthcare quality and safety

Brazil,

Reedy

2024

Adv Simul

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The simulation community has effectively responded to calls for a more direct contribution by simulation to healthcare quality and safety, and clearer alignment with health service priorities, but the conceptual framing of this contribution has been vague. The term ‘translational simulation’ was proposed in 2017 as a “functional term for how simulation may be connected directly with health service priorities and patient outcomes, through interventional and diagnostic functions” (Brazil V. Adv Simul. 2:20, 2017). Six years later, this conceptual framing is clearer. Translational simulation has been applied in diverse contexts, affording insights into its strengths and limitations. Three core concepts are identifiable in recently published translational simulation studies: a clear identification of simulation purpose, an articulation of the simulation process, and an engagement with the conceptual foundations of translational simulation practice. In this article, we reflect on current translational simulation practice and scholarship, especially with respect to these three core concepts, and offer a further elaborated conceptual model based on its use to date.

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“…65 Simulation programmes have adopted systems and processes to mitigate these risks, including the development of formal no-go criteria for cancelling in situ simulation exercises, 66 and guidance on developing simulation safety policies. 67 If simulation sessions are poorly facilitated, there are also potential threats to the psychological safety of teams, which could have downstream effects on patient safety.…”

Section: Box 6 Debriefing To Marginal Gainsmentioning

confidence: 99%

Simulation as an Improvement Technique

Brazil

Purdy

Bajaj

2023

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Historically simulation was used as an education and training technique in healthcare, but now has an emerging role in improving quality and safety. Simulation-based techniques can be applied to help understand healthcare settings and the practices and behaviours of those who work in them. Simulation-based interventions can help to improve care and outcomes – for example, by improving readiness of teams to respond effectively to situations or to improve skill and speed. Simulation can also help test planned interventions and infrastructural changes, allowing possible vulnerabilities and risks to be identified and addressed. Challenges include cost, resources, training, and evaluation, and the lack of connection between the simulation and improvement fields, both in practice and in scholarship. The business case for simulation as an improvement technique remains to be established. This Element concludes by offering a way forward for simulation in practice and for future scholarly directions to improve the approach. This title is also available as Open Access on Cambridge Core.

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Developing a simulation safety policy for translational simulation programs in healthcare

Cited by 8 publications

References 14 publications

In situ simulation-based team training and its significance for transfer of learning to clinical practice—A qualitative focus group interview study of anaesthesia personnel

In situ simulation-based team training and its significance for transfer of learning to clinical practice—A qualitative focus group interview study of anaesthesia personnel

Translational simulation revisited: an evolving conceptual model for the contribution of simulation to healthcare quality and safety

Simulation as an Improvement Technique

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