Barker Lisa T, Bond William F, Willemsen-Dunlap Ann M, Cooley Kimberly L, McGarvey Jeremy S, Ruger Rebecca L, Kohlrus Adam, Kremer Michael J, Sergel Michelle, Vozenilek John A
Jt Comm J Qual Patient Saf. 2025 Feb;51(2):144-158. doi: 10.1016/j.jcjq.2024.10.004. Epub 2024 Oct 28.
Simulation-Debriefing Enhanced Needs Assessment (SDENA) is a simulation-based approach to prospective hazard analysis that uses simulation and debriefing as a unit-level diagnostic tool. Scenarios address failure modes for health care improvement targets, and debriefing explores unit-specific barriers and resiliencies. Debriefing guides are structured to explore how six drivers of a behavior engineering framework (data, tools/resources, incentives, knowledge/skills, capacity, motivation) influence clinical behaviors. Illinois Hospital Association members who deployed SDENA to address specific hospital-acquired conditions found motivation to be a more significant barrier than anticipated before deployment. SDENA represents a novel approach to improving safety and may refine intervention targets.
模拟汇报强化需求评估（SDENA）是一种基于模拟的前瞻性危害分析方法，它将模拟和汇报用作单位层面的诊断工具。情景设定针对医疗保健改进目标的失效模式，汇报则探讨单位特有的障碍和恢复力。汇报指南的构建旨在探究行为工程框架的六个驱动因素（数据、工具/资源、激励措施、知识/技能、能力、动机）如何影响临床行为。伊利诺伊医院协会的成员在部署SDENA以解决特定的医院获得性疾病时发现，动机是比部署前预期更为显著的障碍。SDENA是一种提高安全性的新方法，可能会优化干预目标。
