Ullman Edward, Kennedy Maura, Di Delupis Francesco Dojmi, Pisanelli Paolo, Burbui Andrea Giuliattini, Cussen Meaghan, Galli Laura, Pini Riccardo, Gensini Gian Franco
Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, 1 Deaconess Road, WCC2, Boston, MA, 02215, USA.
Inter-institutional Integrated Department, University of Florence and Careggi University Hospital, Florence, Italy.
Intern Emerg Med. 2016 Sep;11(6):837-41. doi: 10.1007/s11739-016-1401-2. Epub 2016 Feb 9.
Simulation has become a critical aspect of medical education. It allows health care providers the opportunity to focus on safety and high-risk situations in a protected environment. Recently, in situ simulation, which is performed in the actual clinical setting, has been used to recreate a more realistic work environment. This form of simulation allows for better team evaluation as the workers are in their traditional roles, and can reveal latent safety errors that often are not seen in typical simulation scenarios. We discuss the creation and implementation of a mobile in situ simulation program in emergency departments of three hospitals in Tuscany, Italy, including equipment, staffing, and start-up costs for this program. We also describe latent safety threats identified in the pilot in situ simulations. This novel approach has the potential to both reduce the costs of simulation compared to traditional simulation centers, and to expand medical simulation experiences to providers and healthcare organizations that do not have access to a large simulation center.
模拟已成为医学教育的关键要素。它使医疗保健提供者有机会在受保护的环境中专注于安全和高风险情况。最近，在实际临床环境中进行的现场模拟已被用于营造更逼真的工作环境。这种模拟形式能更好地评估团队，因为工作人员处于其传统角色，并且可以揭示在典型模拟场景中通常看不到的潜在安全错误。我们讨论了在意大利托斯卡纳地区三家医院的急诊科创建和实施移动现场模拟项目的情况，包括该项目的设备、人员配备和启动成本。我们还描述了在试点现场模拟中识别出的潜在安全威胁。与传统模拟中心相比，这种新颖的方法有可能降低模拟成本，并将医学模拟体验扩展到无法使用大型模拟中心的提供者和医疗保健组织。
