Building impactful systems-focused simulations: integrating change and project management frameworks into the...

Area of Science:

• Healthcare Systems Improvement
• Patient Safety
• Simulation-Based Education

Background:

• Healthcare organizations aim for safe, high-quality care but often have unaddressed systemic gaps.
• Unmitigated gaps in healthcare systems can lead to patient and staff harm.
• Systems-focused simulation (SFS) and debriefing (SFD) offer proactive methods to identify and improve these systems.

Purpose of the Study:

• To elucidate the pre-work phase of the Promoting Excellence and Reflective Learning in Simulation (PEARLS) for Systems Integration (PSI) framework.
• To detail how the PSI framework's pre-work integrates project and change management principles.
• To demonstrate how this integration ensures reliable identification and capture of safety and quality issues.

Main Methods:

• Detailed description of the evidence-informed steps within the PSI framework's pre-work phase.
• Explanation of how project and change management principles are integrated into the pre-work.
• Focus on the systematic approach leading up to systems-focused simulation and debriefing.

Main Results:

• The PSI pre-work phase provides a structured approach to preparing for SFS and SFD.
• Integration of project and change management principles enhances the identification of safety and quality gaps.
• The described pre-work facilitates effective change management within healthcare organizations.

Conclusions:

• The PSI framework's pre-work phase is crucial for successful systems-focused simulation and debriefing.
• Effective pre-work, guided by change management, enables healthcare organizations to proactively address safety and quality concerns.
• This detailed approach supports the improvement of healthcare systems before risks are realized.