Lateef Fatimah, Stawicki Stanislaw P, Xin Lee Man, Krishnan S Vimal, Sanjan A, Sirur Freston Marc, Balakrishnan Jayaraj Mymbilly, Goncalves Rose V, Galwankar Sagar
Department of Emergency Medicine, Singapore General Hospital, Singapore.
Department of Research and Innovation, St. Luke's University Health Network, Bethlehem, Pennsylvania.
J Emerg Trauma Shock. 2020 Oct-Dec;13(4):239-245. doi: 10.4103/JETS.JETS_119_20. Epub 2020 Dec 7.
Coronavirus disease 2019 (COVID-19) was an impetus for a multitude of transformations - from the ever-changing clinical practice frameworks, to changes in our execution of education and research. It called for our decisiveness, innovativeness, creativity, and adaptability in many circumstances. Even as care for our patients was always top priority, we tried to integrate, where possible, educational and research activities in order to ensure these areas continue to be harnessed and developed. COVID-19 provided a platform that stretched our ingenuity in all these domains. One of the mnemonics we use at SingHealth in responding to crisis is PACERS: P: Preparedness (in responding to any crisis, this is critical) A: Adaptability (needed especially with the ever-changing situation) C: Communications (the cornerstone in handling any crisis) E: Education (must continue, irrespective of what) R: Research (new opportunities to share and learn) S: Support (both physical and psychological). This article shares our experience integrating the concept of simulation-based training, quality improvement, and failure mode analysis.
2019冠状病毒病（COVID-19）推动了众多变革——从不断变化的临床实践框架，到我们开展教育和研究方式的改变。它要求我们在许多情况下都要果断、创新、有创造力且具备适应能力。即便照顾患者始终是首要任务，但我们仍尽可能将教育和研究活动整合起来，以确保这些领域能持续得到利用和发展。COVID-19提供了一个平台，在所有这些领域拓展了我们的创造力。我们新加坡健康集团在应对危机时使用的一个助记符是PACERS：P：准备（应对任何危机时，这至关重要）；A：适应能力（尤其在形势不断变化时不可或缺）；C：沟通（处理任何危机的基石）；E：教育（无论如何都必须持续）；R：研究（分享和学习的新机遇）；S：支持（包括身体和心理方面）。本文分享了我们整合基于模拟的培训、质量改进和失效模式分析概念的经验。
