From the Division of Anesthesiology and Perioperative Medicine, Singapore General Hospital, Singapore, Singapore.
Simul Healthc. 2020 Aug;15(4):225-233. doi: 10.1097/SIH.0000000000000478.
Process-oriented in situ simulation has been gaining widespread acceptance in the evaluation of the safety of new healthcare teams and facilities. In this article, we highlight learning points from our proactive use of in situ simulation as part of plan-do-study-act cycles to ensure operating room facility preparedness for COVID-19 outbreak. We found in situ simulation to be a valuable tool in disease outbreak preparedness, allowing us to ensure proper use of personal protective equipment and protocol adherence, and to identify latent safety threats and novel problems that were not apparent in the initial planning stage. Through this, we could refine our workflow and operating room setup to provide timely surgical interventions for potential COVID-19 patients in our hospital while keeping our staff and patients safe. Running a simulation may be time and resource intensive, but it is a small price to pay if it can help prevent disease spread in an outbreak.
以流程为导向的现场模拟在评估新的医疗保健团队和设施的安全性方面已得到广泛认可。在本文中，我们强调了我们积极主动地将现场模拟用作计划-执行-研究-行动循环的一部分，以确保手术室设施为 COVID-19 爆发做好准备的经验教训。我们发现现场模拟在疾病爆发准备方面是一种有价值的工具，使我们能够确保正确使用个人防护设备和遵守协议，并发现初始规划阶段不明显的潜在安全威胁和新问题。通过这种方式，我们可以改进我们的工作流程和手术室设置，以便在我们的医院为潜在的 COVID-19 患者提供及时的手术干预，同时确保我们的员工和患者的安全。进行模拟可能需要时间和资源，但如果它可以帮助防止疾病在爆发中传播，那么这是一个很小的代价。
