Multiperspective simulations for implementing a change in service: stroke telethrombolysis.

Area of Science:

• Medical Simulation
• Healthcare Management
• Stroke Medicine

Background:

• Simulation-based training enhances patient care processes, including hyperacute stroke care.
• Interdepartmental conflicts can arise from service changes impacting different teams.
• Implementing new treatments like telethrombolysis requires effective interdepartmental coordination.

Purpose of the Study:

• To describe the use of multiperspective simulation exercises for implementing telethrombolysis.
• To utilize Kurt Lewin's change model to manage interdepartmental dynamics.
• To foster agreement and facilitate the adoption of a new stroke treatment protocol.

Main Methods:

• Employed multiperspective (bidirectional) simulation exercises involving multiple service providers.
• Applied Kurt Lewin's change management model to structure the implementation process.
• Conducted simulation exercises to allow different services to illustrate key aspects of their roles.

Main Results:

• Simulation exercises facilitated a 'meeting of minds' between different healthcare services.
• Achieved interdepartmental agreement on the implementation of telethrombolysis.
• Successfully conducted a pilot program for telethrombolysis following simulation-based interventions.

Conclusions:

• Multiperspective simulation is an effective tool for managing change and resolving interdepartmental conflict in healthcare.
• This approach supports the successful implementation of innovative treatments like telethrombolysis.
• Ongoing simulation and audit are planned to support further advancements in stroke care, including national thrombectomy services.