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IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
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Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
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Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
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Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
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Enhancing Interprofessional Team Performance to Prevent Medication Errors in Emergency Care: Quasi-Experimental Study

Ora-In Chu1, Phanupong Phutrakool2, Khrongwong Musikatavorn3,4

  • 1Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.

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|March 13, 2026
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Summary
This summary is machine-generated.

Emergency Room Virtual Simulation-Based Interprofessional Education (ER-VIPE) improved interprofessional collaboration (IPC) among emergency department (ED) teams. Near-miss reporting increased, indicating enhanced safety culture and situational awareness.

Keywords:
Team Strategies and Tools to Enhance Performance and Patient SafetyTeamSTEPPSco-debriefingcomputer-based simulationemergency medicineinterprofessional collaborationinterprofessional educationmassive open online coursesmedical moviemedication errorvirtual simulation-based interprofessional education

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Area of Science:

  • Medical Education
  • Patient Safety
  • Healthcare Simulation

Background:

  • Interprofessional collaboration (IPC) is critical for patient safety, especially in high-pressure environments like emergency departments (EDs).
  • Poor teamwork and communication in EDs contribute to medication errors.
  • Existing Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS)-based training faces challenges in clinical adaptation.

Purpose of the Study:

  • To evaluate the effectiveness of Emergency Room Virtual Simulation-Based Interprofessional Education (ER-VIPE) in improving IPC.
  • To assess changes in IPC performance in both simulated and real-world ED settings.
  • To examine the impact of ER-VIPE on medication error rates in the ED.

Main Methods:

  • A quasi-experimental study involving 15 interprofessional teams (physicians, nurses, pharmacists) underwent ER-VIPE training.
  • The multimodal intervention included medical films, a TeamSTEPPS online course, and computer-based simulation (SIMBIE) with co-debriefing.
  • Interprofessional collaboration was measured using the Modified TeamSTEPPS and Team Performance Observation Tool (mTPOT); medication errors were compared pre- and post-intervention.

Main Results:

  • Overall mTPOT scores significantly increased post-simulation co-debriefing (P<.001), with notable improvements across all professions.
  • Significant improvements in mTPOT domains were sustained in real-world ED settings two months post-intervention (P<.001).
  • While harmful medication errors did not significantly decrease, reporting of near-miss prescription errors significantly increased (P=.01).

Conclusions:

  • ER-VIPE effectively enhanced IPC among ED healthcare professionals, with lasting effects in clinical practice.
  • The multimodal approach, combining foundational knowledge with simulation-based practice, proved effective.
  • Increased near-miss reporting suggests ER-VIPE fosters improved situational awareness and a stronger safety culture in emergency care.