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A Qualitative Assessment of Barriers, Facilitators, and Outcomes in a Simulation-Based Collaborative Quality
Michelle J Alletag1, Shruti Kant2, Wendy L Van Ittersum3
1Department of Pediatrics, ChristianaCare Hospital System, Newark, DE.
Successful collaboration in pediatric acute care simulation programs like ImPACTS requires strong buy-in, communication, and support. Understanding these key drivers ensures effective implementation and sustainability of quality improvement initiatives.
Area of Science:
- Healthcare Quality Improvement
- Medical Simulation
- Pediatric Emergency Care
Background:
- The Improving Acute Care Through Simulation (ImPACTS) program partners pediatric specialty centers (hubs) with general emergency departments (GEDs) to enhance pediatric acute care.
- Previous research focused on objective outcomes like Pediatric Readiness Score (PRS) improvements.
- Barriers, facilitators, and downstream effects of ImPACTS program involvement were not previously detailed.
Purpose of the Study:
- To explore barriers and facilitators to ImPACTS program involvement from the perspectives of hub and spoke teams.
- To identify key drivers for successful collaboration in simulation-based pediatric acute care initiatives.
- To understand the downstream effects of program participation on collaborating institutions.
Main Methods:
- Conducted semistructured interviews with hub team members and pediatric emergency care coordinators (PECCs) from community GED 'spokes'.
- Utilized open coding to analyze interview data.
- Identified and explored themes related to barriers, facilitators, and mitigation strategies for successful partnerships.
Main Results:
- Four dominant themes emerged: buy-in, communication, personnel, and logistics.
- Engagement, institutional support, and leadership buy-in were critical for program success.
- Participating hubs and GEDs experienced benefits including improved pediatric readiness, enhanced education, and stronger inter-institutional partnerships.
Conclusions:
- Understanding the key drivers for all collaborators is essential for implementing large-scale educational and quality initiatives like ImPACTS.
- Successful partnerships are built on shared buy-in, effective communication, adequate personnel, and streamlined logistics.
- The ImPACTS program demonstrates the positive downstream effects of collaborative simulation initiatives on pediatric acute care.
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