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COVID-19 Outbreak Response for an Emergency Department Using In Situ Simulation
Marcus Jee1, Daniel Khamoudes2, Aoife M Brennan3
1Emergency Department, Galway University Hospital, Galway, IRL.
Cureus
|June 4, 2020
Summary
In situ simulations helped emergency departments identify system errors and safety hazards during the COVID-19 pandemic. This proactive approach enabled rapid improvements for outbreak preparedness, preventing resource waste.
Area of Science:
- Emergency Medicine
- Public Health
- Healthcare Simulation
Background:
- The COVID-19 outbreak necessitated rapid emergency department (ED) preparation.
- Many EDs lacked established contingency plans for large-scale health crises.
- Proactive identification of system vulnerabilities was crucial for effective response.
Purpose of the Study:
- To evaluate the effectiveness of in situ simulation in uncovering system errors and safety hazards.
- To document corrective actions implemented to enhance outbreak response capabilities.
- To provide insights for other departments preparing for similar public health emergencies.
Main Methods:
- Multidisciplinary, in situ simulations were conducted in the ED and anesthesiology departments.
- Simulations involved interdisciplinary teams responding to simulated COVID-19 patient scenarios.
- Identified deficits were used to drive immediate system changes and staff training.
Main Results:
- In situ simulations successfully identified operational errors and latent safety hazards.
- The simulations served as a platform for timely implementation of system improvements.
- Corrective measures were tailored to address specific departmental needs and complexities.
Conclusions:
- Preparation for health outbreaks requires a thorough evaluation of existing systems.
- In situ simulation is a pivotal tool for identifying and mitigating risks.
- A tailored, system-based approach is essential for effective outbreak preparedness, preventing resource and time loss.
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