In-Situ simulation for enhancing teamwork in the emergency department

Sharara‐Chami, Rana; Lakissian, Zavi; Farha, Randa; Tamim, Hani; Batley, Nicholas

doi:10.1016/j.ajem.2019.158452

Cited by 11 publications

(9 citation statements)

References 8 publications

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“…Additional strategies, including table-top scenarios and in situ simulation, have been used to prepare for a variety of emergent scenarios including mass casualty training, hospital codes, and disaster drills. The in situ strategy has proven effectiveness in emergency departments for the development of protocols, improvement of teamwork, and provision of timely care [ 7 ].…”

Section: Evidence For Simulationmentioning

confidence: 99%

Simulation in emergency medicine graduate medical education: a call to lead

2023

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Section: Evidence For Simulationmentioning

confidence: 99%

Simulation in emergency medicine graduate medical education: a call to lead

2023

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“…Recent studies supported the effect of "in situ" simulation as a new simulation modality, in comparison to "off-site" simulation, on increasing confidence, competence, and teamwork and identifying system-based challenges to CPR [8,9]. Unlike off-site simulation that occurs in controlled lab environments, in situ simulation is encountered in a real-life setting where the clinical procedure occurs.…”

Section: Introductionmentioning

confidence: 99%

Developing and Testing a Protocol for Managing Cardiopulmonary Resuscitation of Patients with Suspected or Confirmed COVID-19: In Situ Simulation Study

Sowan¹,

Heins²,

Dayton³

et al. 2022

JMIR Nursing

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Background Resuscitating patients with suspected or confirmed COVID-19 imposes unique challenges to organizations and code blue teams. Studies that applied the American Heart Association (AHA) COVID-19–related Interim Resuscitation Guideline and similar European guidelines are scarce. Objective This study aimed to develop and test a cardiopulmonary resuscitation protocol based on the AHA COVID-19–related Interim Resuscitation Guideline. Methods The study was conducted as an in situ simulation in a medical intensive care unit. The COVID-19 cardiopulmonary resuscitation protocol was created and validated by 11 health care team members and tested using 4 simulation sessions where 46 code blue team members participated. During the simulation, we observed role clarity, the effectiveness of communication, team dynamics, infection control measures, and the availability of essential supplies and equipment. Results The main issues identified in each simulation session were debriefed to the code blue teams and used to further revise the protocol. These include the assignment of tasks, availability of equipment and supplies, and failure of communication between the in-room and out-of-room teams. Solutions included changes in the placement of team members and roles and responsibilities; the creation of an isolation code medication package, a respiratory therapy kit, and an isolation code blue bag; and the use of two-way radios and N-95 masks with eye goggles to enhance communication between the teams. Conclusions This study shed light on the challenges to implement the AHA COVID-19–related Interim Resuscitation Guideline. The in situ simulation was an effective approach for rapid training, identifying unreliable equipment and ineffective and inefficient workflow, and managing the complexity of the physical environment.

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“…Above all, communication in teamwork is the foundation of effective medical care and is associated with a significant reduction in adverse events [ 1 , 2 ]. Communication within the team is essential, but it is poorly taught, including during continuing medical education [ 3 ]. Sharara-Chamia et al [ 3 ] reported that emergency physicians lack knowledge about communicating in teams.…”

Section: Introductionmentioning

confidence: 99%

“…Communication within the team is essential, but it is poorly taught, including during continuing medical education [ 3 ]. Sharara-Chamia et al [ 3 ] reported that emergency physicians lack knowledge about communicating in teams. Currently, there is no consensus on how to effectively teach these skills in health education [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

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A Didactic Escape Game for Emergency Medicine Aimed at Learning to Work as a Team and Making Diagnoses: Methodology for Game Development

Vuillaume¹,

Laudren²,

Bosio³

et al. 2021

JMIR Serious Games

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Background In the health care environment, teamwork is paramount, especially when referring to patient safety. We are interested in recent and innovative solutions such as escape games, which is a type of adventure game that may be highly useful as an educational tool, potentially combining good communication skills with successful gamification. They involve teams of 5 to 10 individuals who are “locked” in the same room and must collaborate to solve puzzles while under pressure from a timer. Objective The purpose of this paper was to describe the steps involved in creating and implementing an educational escape game. This tool can then be put into service or further developed by trainers who wish to use it for learning interprofessional collaboration. Therefore, we started with an experience of creating an educational escape game for emergency medicine teams. Methods We chose to develop an educational escape game by using 6 successive steps. First, we built a team. Second, we chose the pedagogical objectives. Third, we gamified (switched from objectives to scenario). Next, we found the human and material resources needed. Thereafter, we designed briefing and debriefing. Lastly, we tested the game. Results By following these 6 steps, we created the first ambulant educational escape game that teaches people, or nurses, doctors, and paramedics, working in emergency medicine to work as a team. Conclusions From a pedagogic point of view, this game may be a good tool for helping people in multidisciplinary fields (medical and paramedical teams) to learn how to work collaboratively and to communicate as a group. Above all, it seems to be an innovative tool that complements medical simulation–based learning and thus consolidates traditional education.

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In-Situ simulation for enhancing teamwork in the emergency department

Cited by 11 publications

References 8 publications

Simulation in emergency medicine graduate medical education: a call to lead

Simulation in emergency medicine graduate medical education: a call to lead

Developing and Testing a Protocol for Managing Cardiopulmonary Resuscitation of Patients with Suspected or Confirmed COVID-19: In Situ Simulation Study

A Didactic Escape Game for Emergency Medicine Aimed at Learning to Work as a Team and Making Diagnoses: Methodology for Game Development

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