From the Stony Brook Children's Hospital (I.H.G., K.C., S.C., R.P.), Stony Brook, New York.
Simul Healthc. 2019 Jun;14(3):195-200. doi: 10.1097/SIH.0000000000000348.
Unannounced, in situ simulations offer opportunities for interprofessional teams to train for pediatric emergencies and uncover latent safety threats (LST). Simulation fidelity is an important component of in situ simulations. Threats to fidelity include creating a fictional patient vignette, which limits realism and the opportunity for patient handoffs. The "mirror patient" model may enhance in situ simulation fidelity by using actual patient profiles, thereby removing vignettes and allowing for handoffs. This model may also aid in discovering LSTs. The mirror patient was positively received by participants, who reported realistic and useful simulation experience that provided a safe and supportive learning environment. Uncovering, recording, and reviewing LSTs into an institutional safety event reporting system allowed for tracking and accountability, including process improvement, equipment changes, and provider training without risk to any real patient. This model may further improve means to enhance hospital patient safety.
未预先通知的现场模拟为跨专业团队提供了培训儿科急症和发现潜在安全威胁（LST）的机会。模拟真实性是现场模拟的一个重要组成部分。对真实性的威胁包括创建虚构的患者小插曲，这限制了现实性和患者交接的机会。“镜像患者”模型可以通过使用实际患者资料来提高现场模拟的真实性，从而消除小插曲并允许进行交接。该模型还有助于发现潜在安全威胁。参与者对镜像患者持积极态度，他们报告说模拟体验具有现实性和实用性，为他们提供了安全且支持性的学习环境。将潜在安全威胁暴露、记录和审查到机构安全事件报告系统中，可以进行跟踪和问责，包括改进流程、更换设备和培训提供者，而不会对任何真实患者造成风险。这种模式可能会进一步提高增强医院患者安全的手段。
