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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Transcending Competency Testing in Hospital-Based Simulation.

Madeline Lassche1, Barbara Wilson

  • 1Madeline Lassche is Assistant Professor, Executive Director of Simulation, University of Utah, College of Nursing, 10 South 2000 East, Salt Lake City, UT 84112 (madeline.lassche@nurs.utah.edu). Barbara Wilson is Associate Professor, Associate Dean of Academic Programs, University of Utah, College of Nursing, Salt Lake City, Utah.

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Summary

Simulation in healthcare training offers more than skills acquisition. Expanding its use can improve patient outcomes by addressing system and human factors, driving quality improvement initiatives.

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Area of Science:

  • Healthcare Education
  • Patient Safety
  • Quality Improvement

Background:

  • Simulation is widely used for training healthcare professionals and in educational programs and competency testing within acute care settings.
  • Current applications of hospital-based simulation are primarily focused on skills acquisition.
  • There is potential to expand simulation's role beyond traditional training and assessment.

Purpose of the Study:

  • To explore the expansion of simulation's utility in healthcare settings.
  • To advocate for using simulation to address system-wide factors influencing patient outcomes.
  • To highlight simulation's potential for driving quality improvement initiatives.

Main Methods:

  • Utilizing a modified Quality Health Outcomes Model.
  • Analyzing the integration of simulation for environmental and human factors.
  • Considering simulation for interprofessional education.

Main Results:

  • Simulation can be expanded beyond skills acquisition to address complex healthcare system issues.
  • Addressing factors like physical environment and human elements (fatigue, memory, vigilance) through simulation can lead to system-wide improvements.
  • Well-developed simulations can be valuable tools for quality improvement.

Conclusions:

  • Simulation is a valuable resource that should be leveraged for more than just education and competency testing.
  • Expanding simulation use to include environmental and human factors can significantly improve patient outcomes.
  • Simulation holds considerable potential for driving system-wide change and advancing quality improvement in healthcare.