In Situ Simulation Training for Paediatric Cardiorespiratory Arrest: Initial Observations and Identification of Latent Errors

Garden, Alexander; Mills, Sherri; Wilson, Rebecca; Watts, Peter Murray; Griffin, John M.; Gannon, Steven; Kapoor, Indu

doi:10.1177/0310057x1003800613

Cited by 17 publications

(20 citation statements)

References 8 publications

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“…This aspect of in situ simulation has been described in the literature14 22 and is often the ultimate endpoint of such simulations. For example, Herzer et al 13 advocated the use of in situ simulation to ‘identify hazards and defects associated with latent failure modes that are embedded in the system’ in their recommendations to prospectively identify and mitigate clinical hazards.…”

Section: Discussionmentioning

confidence: 99%

Unannounced in situ simulations: integrating training and clinical practice

et al. 2012

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Simulation-based training for healthcare providers is well established as a viable, efficacious training tool, particularly for the training of non-technical team-working skills. These skills are known to be critical to effective teamwork, and important in the prevention of error and adverse events in hospitals. However, simulation suites are costly to develop and releasing staff to attend training is often difficult. These factors may restrict access to simulation training. We discuss our experiences of 'in situ' simulation for unannounced cardiac arrest training when the training is taken to the clinical environment. This has the benefit of decreasing required resources, increasing realism and affordability, and widening multidisciplinary team participation, thus enabling assessment and training of non-technical team-working skills in real clinical teams. While there are practical considerations of delivering training in the clinical environment, we feel there are many potential benefits compared with other forms of simulation training. We are able to tailor the training to the needs of the location, enabling staff to see a scenario that is relevant to their practice. This is particularly useful for staff who have less exposure to cardiac arrest events, such as radiology staff. We also describe the important benefit of risk assessment for a clinical environment. During our simulations we have identified a number of issues that, had they occurred during a real resuscitation attempt, may have led to patient harm or patient death. For these reasons we feel in situ simulation should be considered by every hospital as part of a patient safety initiative.

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Section: Discussionmentioning

confidence: 99%

Unannounced in situ simulations: integrating training and clinical practice

et al. 2012

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“…[11][12][13] Other aims included increasing patient safety or orientating staff to a new clinical environment. [14][15][16] A few studies evaluated the design of the simulation and what design would be most effective. [17][18][19][20][21] There were also specialty specific aims such as resuscitation skills.…”

Section: Purpose Of Simulation Trainingmentioning

confidence: 99%

“…Simulation has been used in a number of different specialties within medicine, the most common being resuscitation skills. [11][12][13]15,[22][23][24][25][26][27][28] Other specialties included obstetrics and gynecology, midwifery, anesthesiology and mental health.…”

Section: Settingmentioning

confidence: 99%

“…19 Non-anesthetists practiced sedation skills in pediatric emergency settings. 32 A study in a mental health triage ward focused on medically deteriorating patients in a mental health setting, choosing priority training needs for the staff with scenarios such as respiratory distress, diabetic • Paediatric ED 1,12,13,16,22,23,27,28,32 • Adult ED 11,18,24,25,29, • Neonatal resuscitation 39 • Obstetrics and gynaecology 20,21,26,30,31 • Mental health 33 • Neurology 37 • ICU 35 • Anaesthetics 17,32 • Primary care 34 • General 14,36 Aim • Low-fidelity 11,27 • Medium fidelity 13 • High-fidelity 15,33,39 • Multi-centre design 12,22,23,25,34,36,39 Scheduling…”

Section: Settingmentioning

confidence: 99%

“…• Trained instructors 15,17,25,26,29,41 • Pre-designed points to facilitate debrief 13,25 • Debrief followed by teaching 26,33 Evaluation Method…”

Section: Designmentioning

confidence: 99%

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<p>The Use of in situ Simulation in Healthcare Education: Current Perspectives</p>

Martin

Cross

Attoe

2020

AMEP

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In situ simulation is the practice of using simulated scenarios in a clinical environment itself rather than in training facilities to promote learning and improved clinical care. The use of in situ simulation has been increasingly used to train healthcare staff in dealing with emergencies, resuscitation and clinical skills. The aim of this study is to provide an overview of the themes, perspectives and approaches to in situ simulation for educational purposes with healthcare staff. The literature search included studies describing and evaluating in situ simulations with an educational component. We carried out a narrative synthesis and extracted data on the clinical setting, the simulation purpose, design, evaluation method and impact. In situ simulation has proved useful in a range of different specialties for skills improvement and team development. Simulation design ranges in terms of fidelity, duration and topic. No specific design has shown to be the most efficient. However, adopting a design that fits into the specific centers resources, educational needs and clinical demands is the most important consideration.

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