Department of Anaesthesiology and Intensive Care, Lillebaelt Hospital, University Hospital of Southern Denmark, Sygehusvej 24, 6000 Kolding, Denmark.
Corporate HR MidtSim, The Central Region of Denmark, Palle Juul-Jensens Boulevard 82, 8200 Aarhus, Denmark.
Int J Qual Health Care. 2021 Feb 20;33(1). doi: 10.1093/intqhc/mzaa148.
To explore the impact of in situ simulation training in regard to identification of latent safety threats and participant experiences.
A prospective study including quantitative and qualitative measures.
A Danish hospital shifted from simulation training in centers outside the hospital to training where simulation was conducted where the situations normally took place and with the normal working teams.
A total of 58 local instructors were educated and subsequently conducted in situ simulations in own departments. After each simulation, a log file was completed containing information on location, the scenario, who took part, time, learning points and findings. Furthermore, interviews were conducted with leaders, instructors and simulation participants.
Identified latent safety threats and participant experiences.
From June 2017 until December 2018, 323 simulations were conducted representing 35 different wards. They consisted of 40 different scenarios and had both technical and non-technical learning goals. A total of 35 organizational issues were uncovered via the in situ simulation and practice was adjusted accordingly. A total of 11 interviews were conducted. Four themes emerged from the analysis: practice-orientation, endorsement, sense of security and additional impact.
Transferring simulation to in situ training resulted in a substantial number of organizational findings. The subsequent follow-up and changes in practice made awareness of what could be latent safety threats. Leaders, instructors and simulation participants experienced in situ simulation as relevant and profitable.
探讨现场模拟培训对潜在安全威胁识别和参与者体验的影响。
包括定量和定性措施的前瞻性研究。
丹麦的一家医院从医院外的模拟培训转移到在实际发生情况和正常工作团队所在的地方进行模拟培训。
共有 58 名当地指导员接受培训，随后在自己的部门进行现场模拟。每次模拟后，都会填写一份日志文件，其中包含有关地点、场景、参与者、时间、学习要点和发现的信息。此外，还对领导、指导员和模拟参与者进行了访谈。
潜在安全威胁和参与者体验的识别。
从 2017 年 6 月至 2018 年 12 月，共进行了 323 次模拟，涉及 35 个不同的病房。它们由 40 个不同的场景组成，具有技术和非技术学习目标。通过现场模拟发现了 35 个组织问题，并相应地调整了实践。共进行了 11 次访谈。分析得出了 4 个主题：实践导向、认可、安全感和附加影响。
将模拟转移到现场培训导致了大量的组织发现。随后的跟进和实践中的改变使人们意识到潜在的安全威胁。领导、指导员和模拟参与者都认为现场模拟是相关且有益的。
