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Simulation training prepared a new pediatric unit for increased patient acuity by refining Rapid Response Teams (RRTs) and identifying safety threats before opening.

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Area of Science:

  • Medical Simulation
  • Pediatric Acute Care
  • Healthcare Systems Engineering

Background:

  • Expansion of an acute care inpatient unit in a satellite hospital without on-site ICU/PICU.
  • Anticipated increases in patient volume and acuity necessitated new care models for Rapid Response Teams (RRTs) and Code Blue Teams.

Purpose of the Study:

  • Define optimal roles and responsibilities for RRT and Code Blue team members, including telemedicine support from ICU physicians.
  • Refine staffing models for RRTs and Code Blue Teams.
  • Identify latent safety threats (LSTs) prior to the unit's opening.

Main Methods:

  • Utilized laboratory-based simulation training with 8 anticipated scenarios for the new campus.
  • Incorporated iterative debriefing and safety talks within interprofessional sessions.
  • Conducted in situ simulations after construction and before patient admission.

Main Results:

  • 175 clinicians completed the simulation training across 17 sessions.
  • Identified 11 team-level knowledge deficits, 19 LSTs, and 25 system-level issues.
  • Findings informed care model refinements for bedside and telemedicine consultations.

Conclusions:

  • Simulation-based training effectively developed staffing models, refined RRT/code processes, and identified LSTs for a new pediatric unit.
  • This training model serves as a template for similar expansions in resource-limited facilities.
  • Pre-patient exposure evaluation of teams and environments enhances safety in pediatric acute care settings.