Dataset Information

Detecting latent safety threats in an interprofessional training that combines in situ simulation with task training in an emergency department.

ABSTRACT:

Background

During in situ simulation, interprofessional care teams practice in an area where clinical care occurs. This study aimed to detect latent safety threats (LST) in a training program, which combined in situ simulation scenarios with just-in-time and just-in-place self-directed task training in an emergency department. We hypothesized this simulation-based training in actual care areas allows the detection of at least one LST per simulation scenario.

Methods

This prospective observational study (April 2015-March 2016) involved 135 physicians, nurses, and nurse technicians. Training themes selected were arrhythmia, respiratory insufficiency, shock, and cardiopulmonary resuscitation. Simulation weeks occurred every 3 months, with three 10-min scheduled in situ simulation scenarios alternating for each theme daily. The scenarios were followed by co-debriefing by two facilitators (a physician and a nurse). LST were identified by facilitators using a debriefing checklist. Additionally, a room was set up with task-trainers related to each theme.

Results

The number participants in scenarios was 114 (84% of the population) and in task-training, 101. The number of scenario cancelations was nine, making the final total number to 49 of 58 proposed. Fifty-six LST were observed, with an average of 1.1 per scenario. LST were divided into four categories: equipment (n?=?23, 41.1%), teamwork (n?=?12, 21.4%), medication (n?=?11, 19.6%), and others (n?=?10, 17.9%). There was a higher proportion in equipment-related LST (p?ConclusionsThe training allowed a high rate of detecting LST regardless of theme. Equipment-related LST were more frequently found.

SUBMITTER: Couto TB

PROVIDER: S-EPMC6260660 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature

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Publications

Detecting latent safety threats in an interprofessional training that combines in situ simulation with task training in an emergency department.

Couto Thomaz Bittencourt TB Barreto Joyce Kelly Silva JKS Marcon Francielly Cesco FC Mafra Ana Carolina Cintra Nunes ACCN Accorsi Tarso Augusto Duenhas TAD

Advances in simulation (London, England) 20181123

<h4>Background</h4>During in situ simulation, interprofessional care teams practice in an area where clinical care occurs. This study aimed to detect latent safety threats (LST) in a training program, which combined in situ simulation scenarios with just-in-time and just-in-place self-directed task training in an emergency department. We hypothesized this simulation-based training in actual care areas allows the detection of at least one LST per simulation scenario.<h4>Methods</h4>This prospecti ...[more]

PMID: 30505467

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Dataset Information

Detecting latent safety threats in an interprofessional training that combines in situ simulation with task training in an emergency department.

Background

Methods

Results

Publications

Detecting latent safety threats in an interprofessional training that combines in situ simulation with task training in an emergency department.

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