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This summary is machine-generated.

In situ simulations identify latent safety threats (LSTs) in new healthcare environments (HCEs) before patient transfer. This simulation-based operations testing is crucial for enhancing safety in evolving neonatal intensive care units (NICUs).

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Area of Science:

  • Healthcare operations
  • Patient safety engineering
  • Clinical simulation

Background:

  • In situ simulations offer high contextual fidelity for testing new healthcare environments (HCEs).
  • Latent safety threats (LSTs) are weaknesses in communication, human factors, systems, and technology integration.
  • Simulation-based operations testing (SBOT) identifies and corrects LSTs before HCE occupancy.

Purpose of the Study:

  • To define Latent Safety Threats (LSTs).
  • To review simulation-based operations testing (SBOT) in neonatal and perinatal HCEs.
  • To discuss challenges in SBOT and pre-construction user-centered design.

Main Methods:

  • Review of simulation-based operations testing in healthcare environments.
  • Focus on application in neonatal intensive care units (NICUs) transitioning to single-family rooms.
  • Examination of challenges and pre-construction design strategies.

Main Results:

  • SBOT effectively identifies LSTs in new HCEs, particularly during NICU redesign.
  • Challenges in SBOT implementation were identified.
  • Pre-construction user-centered design is a valuable complementary approach.

Conclusions:

  • Simulation-based operations testing is vital for ensuring patient, family, and staff safety in new healthcare environments.
  • SBOT is particularly relevant for NICU design changes.
  • Addressing LSTs proactively through simulation and user-centered design improves HCE safety and functionality.