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Fire in operating theatres: DaSH-ing to the rescue
11 Clinical Simulation Lead, Northern Lincolnshire and Goole NHS Foundation Trust, liam.wilson3@nhs.net , 03033 305365.
Journal of Perioperative Practice
|May 5, 2018
Summary
Operating theatre fires are rare but dangerous. In situ simulation training improved staff response, confidence, and identified system errors, enhancing patient safety and workplace preparedness.
Area of Science:
- Healthcare Simulation
- Patient Safety
- Emergency Preparedness
Background:
- Operating theatres demand effective teamwork for safe patient care.
- Theatre fires pose a rare but severe risk to patients and staff.
- A swift, coordinated response is critical during operating theatre emergencies.
Purpose of the Study:
- To evaluate the effectiveness of in situ simulation for operating theatre fire response.
- To identify latent errors and areas for improvement in emergency protocols.
- To enhance staff knowledge, confidence, and team coordination during crises.
Main Methods:
- Needs analysis and learning objectives defined for the training.
- In situ simulation using a medium-fidelity manikin with live monitoring.
- Scenario included surgical emergency and operating theatre fire management.
- Immediate debriefing and feedback provided post-scenario.
Main Results:
- Identified latent errors such as malfunctioning equipment and staff unawareness of evacuation sites.
- Participants showed improved knowledge, behavior, and confidence.
- Training led to the rectification of equipment faults and system improvements.
Conclusions:
- In situ simulation is a valuable tool for improving operating theatre emergency response.
- The training enhanced individual capabilities and improved the overall safety environment.
- Addressing identified latent errors is crucial for robust patient safety protocols.
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