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Updated: Mar 27, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
[In situ simulation: Multidisciplinary team training in pediatric critical care unit]
A Ogando Martínez1, S M Fernandez-Gonzalez2, O Martínez Azcona1
1Servizo de Pediatría, Unidad de Cuidados Intensivos Pediátricos, Complexo Hospitalario Universitario de A Coruña (CHUAC), Servizo Galego de Saúde (SERGAS), A Coruña, España.
Introduction:
Patient safety is an essential and transversal element in health care, encompassing multiple and varied elements, including the use of simulation as a training tool for professionals.
Objective:
The main objective was to evaluate the feasibility, impact, and satisfaction with an in situ simulation program in a pediatric intensive care unit.
Methods:
Prospective, longitudinal, observational study in a level III PICU was carried out during 5 months. Standardized simulations were realized during the working day in the own unit. Demographic participants data, unit́s workload, assessment of non-technical skills (TEAM scale), latent system errors identified and staff satisfaction were recorded.
Results:
A total 45 healthcare professionals participated in 13 simulation cases, performing between 1 and 4 simulations per person. The average duration of the simulations was 50minutes (SD 10.5). The average of the TEAM scale was 7,8 (1) and the overall satisfaction of the staff was 4,4 (0.5) points on a Likert scale of 1 to 5. A total of 14 latent system errors were identified: organizational deficiencies (3, 21.4%), problems with material or consumables (3, 21.4%) and training gaps (8, 57.2%).
Conclusions:
It́s possible to carry out a in situ simulation program during working hours with good acceptance by the staff. This tool allows identifying latent errors in the system and non-technical skills training.
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