AnneMarie Monachino DNP, RN, CPN, CHSE-A, NPD-BC, Senior Simulation Educator at Children’s Hospital of Philadelphia will be presenting a HealthySimulation.com LEARN webinar entitled Using Simulation to Intentionally Probe Systems: What’s it all about? on April 12, 2021 at 4:00 PM in the Pacific Coast Time zone, UTC-7. This healthcare simulation presentation will cover This presentation will explore Systems Focused Simulations to discover latent threats and improve patient safety.. Listed under the learning category of [383] with tagged keyterms systems-focused, process-oriented, patient safety, systems integration, this hosted webinar includes a downloadable certificate of completion.
Using Simulation to Intentionally Probe Systems: What’s it all about? Webinar Abstract
Simulation is a tool that is often used for healthcare training and education. In addition to the clinical application, simulation can serve as a vehicle for the evaluation of system-based processes. System-focused simulation, also referred to as process-oriented simulation, can be accomplished through Simulation-Based Clinical Systems Testing (SbCST), and Simulation-based Hospital Design Testing (SbHDT).
System-focused simulations use systems engineering, human factors, and risk management principles to explore and achieve excellent clinical care, enhanced patient safety, and improved outcome metrics across a healthcare system. SbCST is conducted in situ to evaluate clinical system and care processes prior to occupancy to mitigate risks whereas SbHDT simulations are conducted in the pre-construction phase of design development to evaluate the built environment to improve safety and optimize efficiency.
The goal is to identify, and address discoveries of latent conditions or systems hazards that impede the ability to provide safe and efficient care in a proactive fashion, allowing corrective action before these conditions and/or weaknesses could harm or impact an actual patient care event. These discoveries may be found during intentional probes (SbCST, SbHDT), or serendipitous discovery (the objective of the simulation did not anticipate a system-level gap).
There are many benefits to system-focused simulation such as preventing harm, increasing effectiveness, improving efficiency, supporting safety, streamlining processes, decreasing errors, and controlling costs. In order to integrate systems-focused simulations into a program, it is necessary to overcome barriers and challenges: support from senior executives, buy-in of stakeholders, avoiding a disruption to patient care during in-situ sessions, availability of equipment, and the intensity of resources.
Facilitators need to be trained to design, implement, and assess these system-focused simulations, which generally require modifications to the typical debriefing framework used with a clinically based educational simulations. These debriefings involve facilitating the identification of latent conditions and exploring potential active failures. Developing a structure to report findings and outcomes as well as a communication process so that key stakeholders are informed is the key to sustainment of a robust program.
This presentation will discuss how and why to use system-focused simulations, explore the barriers and facilitators impacting teams interested in this format, and describe a reporting structure used by a Simulation Center that has achieved accreditation in Systems Integration by the Society of Simulation in Healthcare (SSH). In addition, participants will be shown examples of systems-focused simulations and their findings and outcomes, as well as the impact on patients and healthcare providers.
This presentation has been provided at: IMSH.
Suggested Learner Level: Intermediate
Learning Category: [383]
Presentation Tags: systems-focused, process-oriented, patient safety, systems integration
Type of Offering: Online Webinar
Teaching Method: Lecture with Slides
Webinar Learning Objectives:
- 1. Define the intent of systems-focused simulations including Simulation-Based Clinical Systems Testing and Simulation-Based Hospital Design Testing.
- 2. Describe the benefits and challenges to designing and integrating systems-focused simulations into a simulation program.
- 3. Identify an outcome reporting system strategy to share findings with stakeholders.
About the Speaker AnneMarie Monachino
AnneMarie Monachino is a Senior Simulation Educator with the Center for Simulation, Advanced Education, and Innovation at the Children’s Hospital of Philadelphia as well as a Nursing Professional Development Specialist at CHOP. As a pediatric nurse for 29 years, she has 12 years’ experience as a simulation educator and has taught simulation curriculum at an advanced level. She achieved her advanced certification as a CHSE-A in 2017. Dr. Monachino has published nine articles on simulation-based activities as well as 2 chapters on Just-in-Time Training. Her numerous presentations at simulation and nursing conferences include Central Venous Catheter Dress Rehearsals, Medical Emergencies in the Primary Care Setting, Managing Difficult Learners and Disruptive Behaviors, Redesigning Your Simulation Activity Using an Escape Room Format, Human Systems Integration Analysis, and Building a Better Scenario. She is the co-chair of the Society for Simulation in Healthcare Nursing Section Transition to Practice workgroup. AnneMarie is very involved in facilitating system focused simulations at CHOP and the creation of the reporting mechanism for system improvement findings.
Disclosures:
No disclosures
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