Moslehi Shandiz, Masoumi Gholamreza, Barghi-Shirazi Fahimeh
Department of Health in Disasters and Emergencies, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Management and Economics Research Center, Health Management Research Institute, Iran University of Medical Sciences, Tehran, Iran.
J Educ Health Promot. 2022 Jan 31;11:40. doi: 10.4103/jehp.jehp_558_21. eCollection 2022.
The emergency department is one of the most important parts of all hospitals. For this reason, many simulation programs are performed in this department to increase the knowledge, skills, and productivity of health-care workers. The purpose of this study was to identify the benefits of simulation in hospital emergency departments.
In the present systematic study, using "AND" and "OR" operators, we searched for the keywords "benefits," "simulation," and "hospital emergency department" in PubMed, Web of Science, Scopus, Google Scholar as well as Persian language databases such SID, Magiran, Irandoc, and Iran Medex. Then, a three-step screening process was used to select studies relevant to simulation and hospital emergency from 2005 to 2021 using the PRISMA checklist, and finally, the obtained data were analyzed.
A total of three main groups, each with several subgroups, were extracted and identified as the benefits of using simulation in hospital emergency departments. They included improving the diagnosis of the disease (rapid prediction of the disease, rapid diagnosis, and patient triage), improving the treatment process (improvement of treatment results, anticipation of admission and discharge of patients, acceleration of interventions, and reduction of medical errors), and improving knowledge and skills (improvement of the speed of decision-making, staff's acquisition of knowledge and skills, simple, convenient, and low-cost training, improvement of staff's preparedness in crisis).
Based on the results of the present study, it is suggested to develop some training programs in order to help staff upgrade their knowledge and performance as well as acquire practical skills and also to improve the diagnosis and treatment process in hospital emergency departments. Virtual methods are also proposed to be applied as potential and cost-effective platforms for learning, teaching, and evaluating the staff of hospital emergency departments.
急诊科是所有医院最重要的部门之一。因此，该部门开展了许多模拟项目，以提高医护人员的知识、技能和工作效率。本研究的目的是确定模拟在医院急诊科中的益处。
在本系统研究中，我们使用“AND”和“OR”运算符，在PubMed、科学网、Scopus、谷歌学术以及波斯语数据库如SID、Magiran、Irandoc和Iran Medex中搜索关键词“益处”“模拟”和“医院急诊科”。然后，采用三步筛选流程，使用PRISMA清单从2005年至2021年选择与模拟和医院急诊科相关的研究，最后对获得的数据进行分析。
共提取并确定了三个主要类别，每个类别又包含几个子类别，作为在医院急诊科使用模拟的益处。它们包括改善疾病诊断（疾病的快速预测、快速诊断和患者分诊）、改善治疗过程（提高治疗效果、预测患者的入院和出院、加快干预措施、减少医疗差错）以及提高知识和技能（提高决策速度、工作人员获取知识和技能、简单、方便且低成本的培训、提高工作人员在危机中的准备程度）。
基于本研究结果，建议制定一些培训项目，以帮助工作人员提升知识和表现，获得实践技能，并改善医院急诊科的诊断和治疗过程。还建议应用虚拟方法作为学习、教学和评估医院急诊科工作人员的潜在且经济高效的平台。
