Adler Mark D, Mobley Bonnie L, Eppich Walter J, Lappe Molly, Green Michaeleen, Mangold Karen
Departments of Nursing and.
Medical Management, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL.
J Patient Saf. 2018 Sep;14(3):143-147. doi: 10.1097/PTS.0000000000000184.
To describe the development and key outcomes arising from the use of simulation as a method to test systems and prepare staff for a transition to a new hospital.
We describe a simulation program developed by key parties with the goal of reducing latent safety threats present at the opening of a new hospital and to train staff in new workflows. Issues identified were collected and reported to leadership. Outcomes included the number of learners reached, issues identified (grouped by theme), and results of a postmove survey of hospital-based staff.
Approximately 258 hours of simulation were conducted, impacting 514 participants. We conducted 64 hours of system testing and 196 hours of training during the main orientation process. Approximately 641 unique issues were identified (175 equipment, 136 code alarm, 174 barriers to care, and 156 incorrect signage). In a hospital-wide survey, 38% reported simulation as part of their training (39% of nurses and 23% of physicians). 43% of survey respondents reported multidisciplinary simulations; 55% of simulation attendees felt that the simulation was helpful and eased their transition to the new hospital.
Systems testing and education using simulation can play a meaningful role in new facility training. Key lessons included early planning, allocation of resources to the effort, flexibility to adapt to changes, and planned integration with other training activities. A formal a priori plan to address issues identified during the process is necessary.
描述将模拟作为一种测试系统并让员工为过渡到新医院做准备的方法所产生的发展情况和关键成果。
我们描述了一个由关键方开发的模拟项目，其目标是减少新医院开业时存在的潜在安全威胁，并对员工进行新工作流程的培训。收集所发现的问题并向领导层汇报。成果包括参与学习者的数量、所发现的问题（按主题分组）以及对医院工作人员进行的搬迁后调查结果。
进行了约258小时的模拟，影响了514名参与者。在主要入职培训过程中，我们进行了64小时的系统测试和196小时的培训。大约发现了641个独特问题（175个设备问题、136个代码警报问题、174个护理障碍问题和156个标识错误问题）。在一项全院范围的调查中，38%的人报告模拟是其培训的一部分（护士中有39%，医生中有23%）。43%的调查受访者报告参加了多学科模拟；55%的模拟参与者认为模拟有帮助并缓解了他们向新医院的过渡。
使用模拟进行系统测试和教育在新设施培训中可以发挥重要作用。关键经验教训包括早期规划、为该工作分配资源、适应变化的灵活性以及与其他培训活动的计划整合。有必要制定一个正式的先验计划来解决过程中发现的问题。
