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Updated: Oct 1, 2025
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Emergency Undocking in Robotic Surgery: A Simulation Curriculum
Published on: May 20, 2018
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Surgery crisis simulation during the COVID-19 pandemic
Alexandra McDonald1, Mehdi Qiabi1, Deb Lewis1
1From the Division of Thoracic Surgery, London Health Science Centre, London, ON (McDonald, Qiabi, Lewis, Inculet, Malthaner); and the Division of General Surgery, London Health Science Centre, London, ON (Leeper).
Summary
Simulation training for healthcare providers during a simulated COVID-19 crisis revealed gaps in personal protective equipment (PPE) adherence but successfully boosted confidence in proper PPE use.
Area of Science:
- Healthcare worker safety
- Infectious disease transmission
- Surgical safety
Background:
- Healthcare providers face significant SARS-CoV-2 infection risk during the COVID-19 pandemic.
- Proper use of personal protective equipment (PPE) is crucial for mitigating viral transmission in clinical settings.
- Assessing adherence and confidence in PPE use is vital for protecting healthcare professionals.
Purpose of the Study:
- To evaluate personal protective equipment (PPE) adherence and user confidence in a simulated intraoperative crisis involving an infectious outbreak.
- To determine the effectiveness of simulation training in improving PPE practices and confidence among surgical teams.
- To identify specific areas for improvement in PPE protocols during high-risk surgical procedures.
Main Methods:
- A simulated intraoperative crisis scenario was designed to mimic an infectious outbreak, specifically involving a patient with COVID-19.
- Direct observation and assessment of healthcare providers' adherence to personal protective equipment (PPE) protocols during the simulation.
- Post-simulation surveys and feedback sessions to measure changes in confidence levels regarding PPE use.
Main Results:
- The simulation identified specific gaps and inconsistencies in personal protective equipment (PPE) adherence among healthcare providers.
- Following the simulation training, there was a statistically significant increase in participants' confidence in correctly using PPE.
- Participant feedback indicated a positive reception to the simulation as a valuable learning tool for managing infectious outbreaks.
Conclusions:
- Simulation-based training is an effective method for enhancing healthcare providers' confidence in personal protective equipment (PPE) use during infectious disease crises.
- Addressing identified gaps in PPE adherence through targeted training and protocol reinforcement is essential for improving patient and provider safety.
- Intraoperative crisis simulations provide a safe environment to practice and refine infection control strategies, ultimately strengthening healthcare system preparedness.
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