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An in situ simulation program: a quantitative and qualitative prospective study identifying latent safety threats and
Gunhild Kjaergaard-Andersen1, Pernille Ibsgaard1, Charlotte Paltved2
1Department of Anaesthesiology and Intensive Care, Lillebaelt Hospital, University Hospital of Southern Denmark, Sygehusvej 24, 6000 Kolding, Denmark.
Summary
In situ simulation training identified numerous organizational issues and potential safety threats. Participants found this practice-oriented training highly relevant and beneficial for improving healthcare safety.
Area of Science:
- Healthcare Simulation
- Patient Safety
- Organizational Psychology
Background:
- Traditional simulation training occurs outside the clinical environment.
- This limits the direct applicability and identification of real-world challenges.
- In situ simulation offers a more integrated approach to training.
Purpose of the Study:
- To evaluate the impact of in situ simulation training on identifying latent safety threats.
- To explore participant experiences with in situ simulation.
- To assess the effectiveness of shifting simulation training to the actual clinical setting.
Main Methods:
- Prospective study employing quantitative and qualitative data collection.
- Implementation of in situ simulation training in various hospital departments with regular staff.
- Data gathered through log files and interviews with leaders, instructors, and participants.
Main Results:
- 323 in situ simulations conducted across 35 wards, covering 40 scenarios.
- 35 organizational issues identified, leading to practice adjustments.
- Qualitative analysis revealed themes of practice-orientation, endorsement, sense of security, and additional impact.
Conclusions:
- Transitioning to in situ simulation significantly uncovered organizational vulnerabilities.
- Follow-up actions enhanced awareness of potential latent safety threats.
- In situ simulation was perceived as relevant and profitable by leaders, instructors, and participants.
