Lababidi Hani M S, Alzoraigi Usamah, Almarshed Abdullah Abdulaziz, AlHarbi Waleed, AlAmar Mohamad, Arab Amer A, Mukahal Mahmoud A, AlAsmari Faisal A, Mzahim Bandar Y, AlHarastani Husam A M, Alammi Salem S, AlAwad Yousef I
Critical Care Administration, King Fahad Medical City, Riyadh, Saudi Arabia.
CRESENT, King Fahad Medical City, Riyadh, Saudi Arabia.
BMJ Simul Technol Enhanc Learn. 2020 May 27;7(3):126-133. doi: 10.1136/bmjstel-2020-000626. eCollection 2021.
COVID-19 pandemic is presenting serious challenges to the world's healthcare systems. The high communicability of the COVID-19 necessitates robust medical preparedness and vigilance.
To report on the simulation-based training and test preparedness activities to prepare healthcare workers (HCWs) for effective and safe handling of patients with COVID-19.
Two activities were conducted: simulation-based training to all HCWs and a full-scale unannounced simulation-based disaster exercise at King Fahad Medical City (KFMC). The online module was designed to enhance the knowledge on COVID-19. This module was available to all KFMC staff. The five hands-on practical part of the course was available to frontliner HCWs. The unannounced undercover simulated patients' full-scale COVID-19 simulation-based disaster exercise took place in the emergency department over 3 hours. Six scenarios were executed to test the existing plan in providing care of suspected COVID-19 cases.
2620 HCWs took the online module, 17 courses were conducted and 337 frontliner HCWs were trained. 94% of learners were satisfied and recommended the activity to others. The overall compliance rate of the full-scale COVID-19 disaster drill with infection control guidelines was 90%. Post-drill debriefing sessions recommended reinforcing PPE training, ensuring availability of different sizes of PPEs and developing an algorithm to transfer patients to designated quarantine areas.
Simulation-based training and preparedness testing activities are vital in identifying gaps to apply corrective actions immediately. In the presence of a highly hazardous contagious disease like COVID-19, such exercises are a necessity to any healthcare institution.
新冠疫情给全球医疗系统带来了严峻挑战。新冠病毒的高传染性要求具备强大的医疗准备和警惕性。
报告基于模拟的培训和测试准备活动，以使医护人员能够有效且安全地处理新冠患者。
开展了两项活动：对所有医护人员进行基于模拟的培训，以及在法赫德国王医疗城（KFMC）进行一次全面的、不预先通知的基于模拟的灾难演习。在线模块旨在增强对新冠病毒的了解。该模块面向KFMC的所有员工开放。课程的五个实践操作部分面向一线医护人员。在急诊科进行了一场持续3小时的、不预先通知的、由卧底模拟患者参与的基于新冠病毒模拟的全面灾难演习。执行了六个场景以测试现有计划在为疑似新冠病例提供护理方面的情况。
2620名医护人员参加了在线模块，举办了17期课程，培训了337名一线医护人员。94%的学习者对该活动感到满意并向他人推荐。全面的新冠灾难演习在感染控制指南方面的总体合规率为90%。演习后的汇报会议建议加强个人防护装备培训，确保提供不同尺寸的个人防护装备，并制定将患者转移至指定隔离区的算法。
基于模拟的培训和准备测试活动对于识别差距以便立即采取纠正措施至关重要。在存在像新冠这样高度危险的传染病的情况下，此类演习对于任何医疗机构来说都是必要的。
