V Babu Mangayarkarasi, Arumugam Mohan Kumar, Debnath Dhrubajyoti J
Department of Microbiology.
Department of Community and Family Medicine, All India Institute of Medical Sciences, Mangalagiri, Andhra Pradesh, India.
Adv Med Educ Pract. 2021 Jun 1;12:579-585. doi: 10.2147/AMEP.S297536. eCollection 2021.
An in-situ simulation model with a simulated patient environment is a training tool that was implemented for the front-line workers managing COVID-19 respiratory infection outbreak in a hospital of National Importance, situated in southern part of India. The objective of this training tool was to improve the preparedness of health care workers and the control measures to manage any respiratory infection outbreaks. Also, to provide good patient care and patient safety during the sudden outbreak of SARS-CoV-2, the pathogen causing pandemic respiratory infection outbreak worldwide.
Simulated patient environment is a kind of functional mock drill that was applied to assess and improve the readiness of the healthcare workers of the hospital to identify the patient at the screening area, guide the patient for investigation and inform the public health system during an outbreak of an infection. The faculty of the Department of Microbiology, Community and Family Medicine, and General Medicine were the educators and demonstrators. Fifty healthcare workers from All India Institute of Medical Sciences (AIIMS), Mangalagiri, Ministry of Health and Family Welfare (MOHFW), Government of India, such as doctors, epidemiologists, nurses, laboratory technicians, laboratory attendants, members of infection control team and biomedical waste management team participated in this program.
Statistical analysis of the results with pre-intervention and post-intervention assessments and feedback from the participants was done at the end of the program. The difference between the mean of pre-intervention and post-intervention scores in doctors, nurses, and other health care professionals was statistically very highly significant (P-value <0.001).
The training method was the simulation of management of pandemic respiratory infection outbreaks in the most realistic manner possible to test or evaluate the capability of more than one function in the context of an emergency event. An in-situ simulation is an effective method that is close to real-life scenario, to measure the readiness and effectiveness of an emergency response plan. Hence, it is a useful tool to assess disaster preparedness against any type of outbreak.
一个带有模拟患者环境的现场模拟模型是一种培训工具，已在印度南部一家具有国家重要性的医院中为管理新冠病毒呼吸道感染疫情的一线工作人员实施。该培训工具的目的是提高医护人员的准备水平以及管理任何呼吸道感染疫情的控制措施。此外，在导致全球大流行呼吸道感染疫情的病原体严重急性呼吸综合征冠状病毒2（SARS-CoV-2）突然爆发期间，提供良好的患者护理和患者安全保障。
模拟患者环境是一种功能性模拟演练，用于评估和提高医院医护人员在感染爆发期间在筛查区域识别患者、引导患者进行检查并通知公共卫生系统的准备程度。微生物学、社区与家庭医学系以及普通医学系的教员担任教育者和示范者。来自印度政府卫生与家庭福利部（MOHFW）下属的芒伽拉吉里全印度医学科学研究所（AIIMS）的50名医护人员，如医生、流行病学家、护士、实验室技术员、实验室助理、感染控制团队成员和生物医学废物管理团队成员参与了该项目。
在项目结束时，对干预前和干预后的评估结果以及参与者的反馈进行了统计分析。医生、护士和其他医护专业人员干预前和干预后分数的平均值之间的差异在统计学上具有非常高度的显著性（P值<0.001）。
该培训方法是以尽可能逼真的方式模拟大流行呼吸道感染疫情的管理，以在紧急事件背景下测试或评估多种功能的能力。现场模拟是一种接近现实场景的有效方法，用于衡量应急响应计划的准备程度和有效性。因此，它是评估针对任何类型疫情的灾难准备情况的有用工具。
