Impact of Clinical Simulation Training in Transplantation

The Hospital El Cruce is a high complexity center that performs transplants, both the procurement and the implant of organs and tissues. To deal with the low availability of organs and tissues from cadaveric donors it has been implemented the training through clinical simulation.

To assess if continuous training through procurement clinical simulation workshops modifies the production and quality indicators of organ and tissue procurement for transplantation in the hospital.

The workshop focuses on the procurement difficulties as detailed: workshops with high fidelity simulators: detection of potential donor; certification of death; treatment and selection of potential donor; workshops with role play actors; communication of the patient's death; and request for the last will of the deceased. A retrospective study was performed to compare between two periods the procurement activity. These periods defined 30-month before and after the opening of the workshop, as periods 1 and 2.

In period 1, 44 patients underwent organ transplantation and 64 patients a tissue transplantation. After training through workshops (period 2), the number of patients increased to 71 for organ transplantation and 116 for tissue transplantation.

Assessment of the two periods indicates that the production and quality indicators of organ and tissue procurement improved in the second period. Continuous training through procurement clinical simulation workshops is highlighted within all tasks carried out in the hospital. Clinical simulation is a motivating factor for the development of this activity in the hospital.