From the Divisions of Pulmonary and Critical Care Medicine (D.P.) and Pulmonary and Critical Care Medicine (K.R.), New York Presbyterian Hospital/Weill Cornell Medical Center, New York, NY.
Simul Healthc. 2021 Feb 1;16(1):46-51. doi: 10.1097/SIH.0000000000000535.
Simulation played a critical role in our institution's response to the COVID-19 pandemic in New York City. With the rapid influx of critically ill patients, resource limitations, and presented safety concerns, simulation became a vital tool that provided solutions to the many challenges we faced. In this article, we describe how simulation training was deployed at our institution throughout the course of the pandemic, which included the period of our medical surge. Simulation helped refine protocols, facilitate practice changes, uncover safety gaps, and train redeployed healthcare workers in unfamiliar roles. We also discuss the obstacles we encountered with implementing simulations during the pandemic, the measures we took to adapt to our limitations, and the simulation strategies and end products that were derived from these adaptations.
模拟在我们机构应对纽约市 COVID-19 大流行的过程中发挥了关键作用。随着大量重症患者的涌入、资源限制以及存在的安全隐患，模拟成为解决我们所面临的诸多挑战的重要工具。在本文中，我们描述了模拟培训是如何在整个大流行期间，包括我们的医疗高峰期间，在我们机构中部署的。模拟有助于完善方案、促进实践改变、发现安全漏洞，并培训重新部署到不熟悉角色的卫生保健工作者。我们还讨论了在大流行期间实施模拟所遇到的障碍、我们为适应限制而采取的措施，以及从这些适应中得出的模拟策略和最终产品。
