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Ward-based in situ simulation: lessons learnt from a UK District General Hospital
Julian Tristan Schwartze1,2, Souvik Das3, Deborah Suggitt2
1Stroke Medicine, National Hospital for Neurology and Neurosurgery, London, UK.
BMJ Open Quality
|May 15, 2024
Summary
In situ simulation (ISS) training improved healthcare staff confidence and identified critical patient safety threats. Regular ISS interventions are crucial for enhancing teamwork and technical skills in medical emergencies.
Area of Science:
- Medical Education
- Patient Safety
- Healthcare Simulation
Background:
- In situ simulation (ISS) allows multiprofessional teams to train in their actual work environment.
- ISS training identifies latent patient safety threats during simulated medical emergencies.
Purpose of the Study:
- To determine the impact of ISS on teamwork and technical skills.
- To assess healthcare staff perception and latent error identification during simulated emergencies.
Main Methods:
- 14 unannounced ISS sessions conducted with 75 staff members using high-fidelity mannequins.
- Sessions included a 15-minute simulation followed by a 15-minute debrief.
Main Results:
- Overall teamwork performance was low (mean±SEM: 4.3±0.5), with communication, decision-making, and situational awareness as key predictors.
- ISS positively impacted staff confidence and clinical training.
- Identified safety threats included issues with equipment, protocols, and basic life support procedures.
Conclusions:
- Poor technical and non-technical skills necessitate regular ISS interventions for all healthcare professionals.
- ISS enhances staff confidence, training, and identifies latent errors for system improvements.
