Davies Ellen, Montagu Adam, Brazil Victoria
Adelaide Health Simulation, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, SA, Australia.
Translational Simulation Collaborative, Faculty of Health Sciences and Medicine, Bond University, Gold Coast, QLD, Australia.
Adv Simul (Lond). 2023 Oct 6;8(1):23. doi: 10.1186/s41077-023-00262-3.
Aspirations to achieve quality and safety goals in health services through simulation have led to significant investments in simulation equipment, space and faculty. However, the optimal governance and operational models through which these resources are expertly applied in health services are not known. There is growing evidence supporting 'service' models for simulation. In these models, simulation activities are co-designed and delivered by a team of simulation experts in partnership with health service units, specifically targeting quality and safety goals. Embedded simulation specialist teams working within these programs offer benefits not fully captured by traditional models of health education or by traditional systems for quality and safety.In this article, we explore broad and specific recommendations for establishing a simulation consultancy service within an Australian metropolitan health service. We base these recommendations on a review of current Australian practice and healthcare simulation literature, and on a specific example within a large outer metropolitan health service. The broad domains discussed include (1) governance and leadership; (2) human resources; (3) principles and planning; (4) operationalise and evaluate and (5) look to the future.The recommendations recognise that healthcare simulation is moving beyond solely addressing individual learning outcomes. The value of simulation addressing organisation and system objectives through various simulation modalities is increasingly being explored and demonstrating value. There is a growing demand for translational simulation in these contexts, and a consequent requirement for organisations to consider how simulation services can be successfully operationalised. Recommendations included in this paper are discussed and described with the intent of facilitating a deeper appreciation of the complexities associated with, and opportunities afforded by, a well-integrated simulation service.
通过模拟实现卫生服务质量和安全目标的愿望，已促使在模拟设备、空间和师资方面进行了大量投资。然而，尚不清楚如何以最佳治理和运营模式将这些资源巧妙地应用于卫生服务。越来越多的证据支持模拟的“服务”模式。在这些模式中，模拟活动由模拟专家团队与卫生服务单位合作共同设计和实施，特别针对质量和安全目标。在这些项目中工作的嵌入式模拟专家团队带来的益处，是传统健康教育模式或传统质量与安全系统所无法完全涵盖的。在本文中，我们探讨了在澳大利亚大都市卫生服务机构内建立模拟咨询服务的广泛和具体建议。我们基于对澳大利亚当前实践和医疗模拟文献的回顾，以及一个大都市外大型卫生服务机构内的具体实例，提出了这些建议。所讨论的广泛领域包括：（1）治理与领导；（2）人力资源；（3）原则与规划；（4）实施与评估；以及（5）展望未来。这些建议认识到，医疗模拟正超越单纯关注个体学习成果的范畴。通过各种模拟方式实现组织和系统目标的模拟价值正日益得到探索，并展现出价值。在这些背景下，对转化性模拟的需求不断增长，因此各组织需要考虑如何成功实施模拟服务。本文所包含的建议经过讨论和阐述，旨在促进对与完善整合的模拟服务相关的复杂性以及所带来的机遇有更深入的认识。
