Moussa Ahmed, Larone Juneau Audrey, Chiasson Charles-Olivier, Fazilleau Laura, Giroux Justine, Lapointe Marianne, St-Pierre Émilie, Assaad Michael-Andrew, Bender Jesse, Robin Beverley
Neonatology, University of Montreal, Montreal, CAN.
Centre de Pédagogie Appliquée aux Sciences de la Santé, University of Montreal, Montreal, CAN.
Cureus. 2025 Mar 25;17(3):e81178. doi: 10.7759/cureus.81178. eCollection 2025 Mar.
Background and objective While transitioning to a new healthcare environment (HCE) offers opportunities to enhance patient safety and outcomes, it can also introduce hidden risks. This study aimed to explore how interprofessional collaboration (IPC) and in situ simulations (ISS) can proactively identify and resolve these latent safety threats (LSTs) before transitioning to a new single-patient room neonatal ICU (NICU). Methodology We conducted a prospective, simulation-based intervention study involving healthcare professionals (HPs) and prior NICU parents. Three simulation activities were conducted to identify LSTs before the transition. The Canadian Interprofessional Competency Framework was employed to formulate realistic scenarios. Results A total of 108 HPs participated in six simulation sessions, identifying 89 LSTs across eight themes. The majority (76%) of these threats were resolved before the transition. Survey analysis revealed significant increases in systems readiness and staff preparedness post-simulations (p<0.001). Parental involvement significantly enhanced the focus on patient-centered care, leading to improvements in environmental design and communication systems. Conclusions The study demonstrates the efficacy of IPC and ISS in identifying and mitigating LSTs during HCE transitions, fostering a collaborative and safety-oriented culture. This approach prepares healthcare teams for new environments and emphasizes the value of incorporating family perspectives. Interprofessional ISS is a pivotal strategy to enhance patient safety and system readiness during transitions to new HCEs. The study also highlights the importance of IPC in conducting ISS before transitioning to a new HCE. Coordinating large-scale simulations is worth the time and cost investment necessary to identify LSTs, optimize systems readiness, and promote patient safety. We hope that the shared lessons can help future interprofessional teams in terms of plan testing and transitions to other HCEs.
背景与目的 虽然向新的医疗环境（HCE）过渡提供了提高患者安全和改善治疗效果的机会，但也可能带来潜在风险。本研究旨在探讨跨专业协作（IPC）和现场模拟（ISS）如何在过渡到新的单人病房新生儿重症监护病房（NICU）之前主动识别并解决这些潜在安全威胁（LSTs）。方法 我们开展了一项基于模拟的前瞻性干预研究，涉及医疗保健专业人员（HPs）和之前的NICU患儿家长。在过渡之前进行了三项模拟活动以识别LSTs。采用加拿大跨专业能力框架制定现实场景。结果 共有108名医疗保健专业人员参与了六次模拟会议，识别出八个主题下的89个LSTs。其中大部分（76%）威胁在过渡前得到解决。调查分析显示，模拟后系统准备情况和工作人员准备情况显著提高（p<0.001）。家长的参与显著增强了对以患者为中心的护理的关注，从而改善了环境设计和通信系统。结论 该研究证明了IPC和ISS在HCE过渡期间识别和减轻LSTs方面的有效性，促进了协作和以安全为导向的文化。这种方法使医疗团队为新环境做好准备，并强调纳入家庭观点的价值。跨专业ISS是在向新的HCE过渡期间提高患者安全和系统准备情况的关键策略。该研究还强调了IPC在向新的HCE过渡之前进行ISS的重要性。协调大规模模拟对于识别LSTs、优化系统准备情况和促进患者安全所需的时间和成本投入是值得的。我们希望所分享的经验教训能够在计划测试和向其他HCE过渡方面帮助未来的跨专业团队。
