Department of Emergency Medicine, Yale School of Medicine, New Haven, CT Department of Emergency Medicine, Indiana University School of Medicine, Indianapolis, IN Department of Internal Medicine, Central Michigan University College of Medicine, Mount Pleasant, MI Department of Emergency Medicine, Florida Atlantic University College of Medicine, Boca Raton, FL Department of Emergency Medicine, University of California, Irvine, Irvine, CA Department of Pediatrics, Yale School of Medicine, New Haven, CT Department of Emergency Medicine, Yale School of Medicine, New Haven, CT Department of Pediatrics, Wayne State University School of Medicine, Detroit, MI College of Population Health, Thomas Jefferson University, Philadelphia, PA.
Am J Med Qual. 2021;36(2):73-83. doi: 10.1097/01.JMQ.0000735432.16289.d2.
The health care sector has made radical changes to hospital operations and care delivery in response to the coronavirus disease (COVID-19) pandemic. This article examines pragmatic applications of simulation and human factors to support the Quadruple Aim of health system performance during the COVID-19 era. First, patient safety is enhanced through development and testing of new technologies, equipment, and protocols using laboratory-based and in situ simulation. Second, population health is strengthened through virtual platforms that deliver telehealth and remote simulation that ensure readiness for personnel to deploy to new clinical units. Third, prevention of lost revenue occurs through usability testing of equipment and computer-based simulations to predict system performance and resilience. Finally, simulation supports health worker wellness and satisfaction by identifying optimal work conditions that maximize productivity while protecting staff through preparedness training. Leveraging simulation and human factors will support a resilient and sustainable response to the pandemic in a transformed health care landscape.
医疗保健部门针对冠状病毒病（COVID-19）大流行，对医院运营和护理服务进行了彻底改革。本文探讨了仿真和人为因素的实际应用，以支持 COVID-19 时代的医疗系统绩效四重目标。首先，通过使用基于实验室和现场的仿真来开发和测试新技术、设备和规程，提高患者安全性。其次，通过虚拟平台提供远程医疗和远程模拟，确保人员准备好部署到新的临床科室，从而增强人群健康。第三，通过对设备和基于计算机的模拟进行可用性测试，预测系统性能和弹性，防止收入损失。最后，通过准备培训来识别最佳工作条件，在提高生产力的同时保护员工，通过仿真来支持卫生工作者的健康和满意度。利用仿真和人为因素将支持在变革后的医疗保健环境中对大流行做出有弹性和可持续的反应。
