Paige John T, Terry Fairbanks Rollin J, Gaba David M
From the Department of Surgery (J.T.P.), LSU Health New Orleans School of Medicine, New Orleans, LA; Department of Emergency Medicine (R.J.F.), Georgetown University School of Medicine and MedStar Health, Washington, DC; and Department of Anesthesiology (D.M.G.), Stanford University School of Medicine, Stanford, CA.
Simul Healthc. 2018 Jun;13(3S Suppl 1):S41-S50. doi: 10.1097/SIH.0000000000000295.
Improving healthcare safety is a worthwhile and important endeavor. Simulation-based activities can help with such a goal through research and training. In this manner, it can focus on education and training, assessment and metrics, process improvement, and culture change to help move forward both patient safety and quality of care.This article will address the following three main topics: (1) designing simulation-based activities to promote high reliability in healthcare, (2) developing simulation-based activities to foster resilience in healthcare systems, and (3) evaluating the impact of adverse events in healthcare and how simulation-based activities can be used to determine and potentially to prevent their cause. These topics will be treated sequentially, providing synopses of concepts and giving examples of research currently being undertaken. It will then highlight current priorities for simulation-based research in this domain by drawing from insights obtained and a targeted literature review.
提高医疗安全是一项有价值且重要的工作。基于模拟的活动可以通过研究和培训助力实现这一目标。通过这种方式，它可以专注于教育与培训、评估与指标、流程改进以及文化变革，以推动患者安全和医疗质量的提升。本文将探讨以下三个主要主题：（1）设计基于模拟的活动以促进医疗保健中的高可靠性，（2）开展基于模拟的活动以增强医疗系统的恢复力，（3）评估医疗保健中不良事件的影响以及基于模拟的活动如何用于确定并潜在地预防其成因。这些主题将依次展开论述，提供概念概述并列举当前正在进行的研究实例。然后，通过借鉴所获得的见解和有针对性的文献综述，突出该领域基于模拟研究的当前重点。
