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Simulation training prepared 43 clinicians for a new urban emergency department, enhancing patient safety and team skills. This interprofessional curriculum identified system vulnerabilities before opening.

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Area of Science:

  • Emergency Medicine
  • Healthcare Simulation
  • Systems Integration

Background:

  • New urban freestanding emergency departments require comprehensive clinician orientation.
  • Experienced clinicians need to be integrated into new health systems and teams.
  • Ensuring technical and procedural skills is critical when specialty backup is limited.

Purpose of the Study:

  • To design and implement an interprofessional simulation curriculum for clinicians in a new urban emergency department.
  • To verify and regularize competencies and best practices for all team members.
  • To instill a shared culture of patient safety through systems integration.

Main Methods:

  • A 10-week simulation-based learning strategy was employed.
  • Methods included hands-on skills review, high-fidelity simulation, and standardized patient simulations.
  • In-situ simulation was used to assess system response capabilities, resilience, and flexibility.

Main Results:

  • Simulation revealed latent safety threats, communication lapses, and intake/patient flow issues.
  • Inapplicable mental models in clinical emergency response were identified.
  • The curriculum verified and regularized a wide range of clinician competencies.

Conclusions:

  • Simulation is an effective strategy for orienting experienced clinicians to new environments and teams.
  • Interprofessional simulation fosters a culture of patient safety and identifies system vulnerabilities.
  • Pre-operational simulation is crucial for optimizing emergency department response and patient flow.