Montréal, QC.
Ottawa, ON.
J Obstet Gynaecol Can. 2023 Mar;45(3):214-226.e1. doi: 10.1016/j.jogc.2023.02.006.
To provide a comprehensive and current overview of the evidence for the value of simulation for education, team training, patient safety, and quality improvement in obstetrics and gynaecology, to familiarize readers with principles to consider in developing a simulation program, and to provide tools and references for simulation advocates.
Providers working to improve health care for Canadian women and their families; patients and their families.
Simulation has been validated in the literature as contributing to positive outcomes in achieving learning objectives, maintaining individual and team competence, and enhancing patient safety. Simulation is a well-developed modality with established principles to maximize its utility and create a safe environment for simulation participants. Simulation is most effective when it involves interprofessional collaboration, institutional support, and regular repetition.
BENEFITS, HARMS, AND COSTS: This modality improves teamwork skills, patient outcomes, and health care spending. Upholding prescribed principles of psychological safety when implementing a simulation program minimizes harm to participants. However, simulation can be an expensive tool requiring human resources, equipment, and time.
Articles published between 2003 and 2022 were retrieved through searches of Medline and PubMed using the keywords "simulation" and "simulator." The search was limited to articles published in English and French. The articles were reviewed for their quality, relevance, and value by the SOGC Simulation Working Group. Expert opinion from relevant seminal books was also considered.
The authors rated the quality of evidence and strength of recommendations using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. See online Appendix A (Tables A1 for definitions and A2 for interpretations of strong and conditional [weak] recommendations).
All health care professionals working to improve Canadian women's health, and relevant stakeholders, including granting agencies, physician/nursing/midwifery colleges, accreditation bodies, academic centres, hospitals, and training programs.
提供关于模拟在妇产科领域的教育、团队培训、患者安全和质量改进方面的价值的综合和最新证据概述，使读者熟悉在制定模拟计划时需要考虑的原则，并为模拟倡导者提供工具和参考资料。
致力于改善加拿大妇女及其家庭的医疗保健的医疗保健提供者；患者及其家属。
文献已经验证了模拟在实现学习目标、保持个人和团队能力以及增强患者安全方面的积极作用。模拟是一种经过充分发展的模式，具有既定的原则，可以最大限度地发挥其效用，并为模拟参与者创造一个安全的环境。当模拟涉及多专业协作、机构支持和定期重复时，效果最佳。
效益、危害和成本：这种模式可以提高团队合作技能、患者结果和医疗保健支出。在实施模拟计划时坚持规定的心理安全原则，可以最大限度地减少对参与者的伤害。但是，模拟可能是一种昂贵的工具，需要人力资源、设备和时间。
使用“模拟”和“模拟器”这两个关键词，通过对 Medline 和 PubMed 的搜索，检索了 2003 年至 2022 年期间发表的文章。搜索范围仅限于发表在英语和法语的文章。由 SOGC 模拟工作组对这些文章的质量、相关性和价值进行了审查。还考虑了相关重要书籍中的专家意见。
作者使用推荐评估、制定和评估（GRADE）方法来评估证据质量和建议强度。请参见在线附录 A（表 A1 用于定义，表 A2 用于强推荐和条件推荐[弱]的解释）。
所有致力于改善加拿大妇女健康的医疗保健专业人员，以及相关利益相关者，包括资助机构、医师/护士/助产士学院、认证机构、学术中心、医院和培训计划。
