Focused Simulation

 

  • Built around an identified Patient Case
  • Patient Cases chosen for specific clinical challenges
  • Targeted to be done within 10-15 minutes
  • Typical elements
    • simulated patient (simulator or SP)
    • supporting documentation
      • labs where applicable
      • ultrasound exams where applicable
      • inSitu (must reflect the teams work environment)
    • elements preloaded into the respective simulators
      • ideally integrated into the technology within their environment
      • backups: Paper or confederate 
  •  setup (including training for the case by the unit manager < 15 minutes)
  • teardown (post debrief < 15 minutes)
  • training of confederate(s) < 10 minutes
  • everything downloadable

Localization of the Focused Simulation (by area)

Each simulation needs to be adapted for the teams in their respective system

  • clinical areas
    • ED, ICU, OR, LDR, NICU, PICU, IR, etc
  • administrative areas
    • risk management
    • legal
    • executive suite
    • sanitation
  •  If the hospital has 1000 staff (in their respective hierachy)
    • 1000 people should be running the appropriate simulation (30 minutes weekly)
    • each individual should be training with their respective team members
    • it needs to built in to their weekly routine

Localization of the Focused Simulation (by region)

Each simulation needs to be adapted for the regional constraints

  • country
  • local demographic
    •  population makeup
    • treatment makeup
    • cultural constraints
  • local resources
    • medications
    • equipment
    • staffing
  • adapting for every 

Mitigating "why I cannot run the scenario"

  • there will be excuses … of why they cannot do this
  • we (the simulation community) must find the appropriate responses
  • we (the simulation community) must be adaptable to the operational constraints
  • we (the simulation community) need to think outside the box and work to help our respective healthcare systems

Go Live ... 01/01/2020

  • 52 cases (real patient stories … condensed to a well produced video)
  • each case adapted
    •  by area
    • by region
  •  yr1 … 1% 
  • yr 3 … 50%
  • yr 5 … 100%

see previous:  Clinical Challenges     next: Structured Debrief