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Published on: January 15, 2017
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In situ deteriorating patient simulation in general practice.
Joanna Lawrence1, Petronelle Eastwick-Field2, Anne Maloney3
1Brighton and Sussex Medical School.
Summary
Integrated simulation training for general practices improved medical emergency response skills and team behaviors, leading to safer patient care. This approach enhances learning and provides essential life support training in context.
Area of Science:
- Medical Education
- Patient Safety
- Simulation Training
Background:
- General practices face challenges accessing effective medical emergency and basic life support training.
- Current training often occurs as isolated skills-based events, lacking real-world context.
Purpose of the Study:
- To develop and evaluate an integrated, team-based simulation education program.
- To improve learning, foster behavioral changes, and enhance patient safety in medical emergencies.
Main Methods:
- A 3-hour simulation program incorporating basic life support (BLS), automated external defibrillator (AED) skills, and deteriorating patient scenarios.
- Utilized adult simulation patients, child/baby manikins, and trained facilitators employing a 3D debriefing model.
- Phase 2 involved 12 practices with pre/post-course assessments, focusing on team working, communication, and systematic approaches, followed by unannounced emergency drills.
Main Results:
- Emergency drills conducted post-training consistently showed improvements in skills and team behaviors.
- Action plans developed by teams indicated a translation of learning into practice.
Conclusions:
- In-situ simulation within general practices, led by qualified facilitators, significantly enhances patient safety during medical emergencies.
- The integration of whole-team training and action planning is key to providing safer care.
