High-reliability emergency response teams in the hospital: improving quality and safety using in situ simulation training

Wheeler, Derek S.; Geis, Gary L.; Mack, Elizabeth H.; LeMaster, Tom; Patterson, Mary

doi:10.1136/bmjqs-2012-000931

Cited by 127 publications

(117 citation statements)

References 42 publications

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“…ISS can drive improved performance and safety in clinical environments during real patient care in ways that centre-based simulation does not. ISS has demonstrated potential as a method of prospective risk reduction via the evaluation of system competence and the identification of the latent conditions that may predispose patients to harm 1 2…”

Section: Introductionmentioning

confidence: 99%

“…There are a number of recent publications that describe the identification of LSTs using ISS in multiple hospital settings including emergency departments, operating rooms, labour and delivery suites, and various inpatient units 2 6–12. Paediatrics is an area that is suitable for the use of ISS to detect LSTs as many high stakes paediatric conditions are extremely low frequency events in a single institution and therefore there are limited opportunities to assess the safety of care that is provided (eg, paediatric cardiac arrest).…”

Section: Introductionmentioning

confidence: 99%

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The use of in situ simulation to detect latent safety threats in paediatrics: a cross-sectional survey

2015

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BackgroundIn situ simulation (ISS) has been reported as an innovative method to identify and mitigate latent safety threats (LSTs) in healthcare. Little is known about the current utilisation of ISS across academic simulation programmes.ObjectiveThis study aims to describe the use of ISS to identify LST across paediatric academic simulation programmes.MethodsA 25-question cross-sectional survey was conducted at two simulation meetings in January 2014 to recruit leaders from paediatric simulation programmes. The total eligible sample was 82 individuals representing 48 distinct academic medical centres. The 25 survey questions were created to describe the constructs of: (1) utilisation of ISS (location, participants, cancellations and coordination) and (2) the outcomes of ISS (detection of and response to safety threats). Descriptive statistics were carried out using SPSS V.21.0 (IBM Corp released 2012).ResultsThe response rate was 68% (56/82), representing 79% (38/48) of the eligible academic medical centres. The majority of respondents (52/56) reported that their programmes utilised ISS. ISS was most commonly conducted in acute care settings. Almost all respondents (48/52) detected an LST during ISS. More than half of the respondents (28/52) utilised a formal reporting process after ISS sessions to feedback the LST to other individuals within their institution. 23% (12/52) of respondents reported the detection of a serious LST in ISS that was not resolved and subsequently led to a safety event during real patient care.ConclusionsThe use of ISS to identify and mitigate LST is common in this cross-sectional survey of paediatric simulation programmes. Diverse processes and organisational structures exist for reporting and mitigating LSTs identified in ISS. A more integrated and systematic approach to ISS and LST could help ensure the mitigation of LSTs before they impact on patients.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The use of in situ simulation to detect latent safety threats in paediatrics: a cross-sectional survey

2015

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“…These professionals are able to recognize situations of risk and those that minimize children's complications and diseases, and thus ensure the quality of care provided to them and their families in emergency rooms. (12) The aim of the present study was to evaluate the satisfaction rate of the pediatric patient's companion in relation to the quality of care provided in the Pediatric Emergency Room.…”

Section: Introductionmentioning

confidence: 99%

Satisfação da qualidade de atendimento em um Pronto-Socorro Infantil

Macedo

D’Innocenzo

2017

Acta paul. enferm.

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Objective: To evaluate the satisfaction index of pediatric patients' companions in relation to the quality of care provided in an emergency service. Methods: Cross-sectional and descriptive study conducted in a Pediatric Emergency Room of a teaching hospital with participation of 300 companions of pediatric patients. A validated instrument was offered to family members for their evaluation of the emergency service quality. Results: Pediatric patients' companions demonstrated satisfaction with the quality of care provided at the Pediatric Emergency Room. There was a significant statistical difference (p<0.05) in the satisfaction index of family members of children diagnosed with dermatological diseases and who received medications administered via rectal route, and those who sought the service because they considered it a reference or because they did not have health insurance. Conclusion: The family members surveyed are satisfied with the quality of care provided to their children in the emergency room service. ResumoObjetivo: Avaliar o índice de satisfação do acompanhante do paciente pediátrico com relação à qualidade do atendimento prestado em um serviço de emergência. Métodos: Pesquisa transversal e descritiva desenvolvida em um Pronto-Socorro Infantil de um hospital universitário, com a participação de 300 acompanhantes dos pacientes pediátricos. Utilizou-se um instrumento validado oferecido aos familiares para avaliar a qualidade do serviço de emergência. Resultados: Os acompanhantes dos pacientes pediátricos demonstraram satisfação com a qualidade de atendimento prestado pelo ProntoSocorro Infantil. Registrou-se diferença estatística significativa (p<0,05) quanto ao índice de satisfação manifestado pelos familiares das crianças diagnosticadas com doenças dermatológicas, que receberam medicações administradas pela via retal e que procuraram o serviço por considerarem-no como referência ou por não possuírem plano de saúde. Conclusão: Os familiares pesquisados encontram-se satisfeitos no que se refere à qualidade de atendimento prestado às suas crianças no serviço de pronto-socorro.

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“…In situ simulation training can be used to identify and correct these environmental threats before real patients are harmed. 20,21 …”

Section: Teamwork Trainingmentioning

confidence: 99%

Simulation in emergency care

Ranniger

Littlewood

2014

Emergency Care and the Public's Health

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High-reliability emergency response teams in the hospital: improving quality and safety using in situ simulation training

Abstract: In situ simulations can identify latent safety threats, identify knowledge gaps, and reinforce teamwork behaviours when used as part of an organisation-wide safety programme.

Cited by 127 publications

References 42 publications

The use of in situ simulation to detect latent safety threats in paediatrics: a cross-sectional survey

The use of in situ simulation to detect latent safety threats in paediatrics: a cross-sectional survey

Satisfação da qualidade de atendimento em um Pronto-Socorro Infantil

Simulation in emergency care

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