CE Webinar

Using Medical Simulation to Intentionally Probe Systems: What’s It All About?

Presented By:
AnneMarie Monachino, DNP, RN, CPN, CHSE-A, NPD-BC
Using-Medical-Simulation-to-Intentionally-Probe-Systems-What’s-It-All-About
April 12th, 2021
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1 Hour(s)

This CE presentation will explore how to use systems-focused medical simulation training programs to discover latent healthcare system threats and improve patient safety.
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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.

Learning Objectives:

  1. Define the intent of systems-focused simulations including Simulation-Based Clinical Systems Testing and Simulation-Based Hospital Design Testing with particular reference to their role in improving clinical practice and patient safety.
  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.

Meet the Presenter(s):

AnneMarie Monachino DNP, RN, CPN, CHSE-A, NPD-BC
Senior Simulation Educator at Children’s Hospital of Philadelphia

 

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 30 years, she has 13 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 eleven 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: None.

Earn a CE, CME, or Certificate of Completion*

*Specific certificate provided for this session listed above. HealthySimulation.com is accredited as a provider of continuing nursing CE education by the State of California Department of Consumer Affairs License #CEP17566. Any CME activities have been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Current Concepts Institute and HealthySimulation.com. The Current Concepts Institute is accredited by the ACCME to provide continuing medical education for physicians.

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CE/CME, Completion Criteria

 

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(Transcripts are only available via electronic download).

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Meet the Host(s):

Lance Baily BA, EMT-B
Founder / CEO at HealthySimulation.com
Lance Baily, BA, EMT-B, is the Founder / CEO of HealthySimulation.com, which he started in 2010 while serving as the Director of the Nevada System of Higher Education’s Clinical Simulation Center of Las Vegas. Lance also founded SimGHOSTS.org, the world’s only non-profit organization dedicated to supporting professionals operating healthcare simulation technologies. His co-edited Book: “Comprehensive Healthcare Simulation: Operations, Technology, and Innovative Practice” is cited as a key source for professional certification in the industry. Lance’s background also includes serving as a Simulation Technology Specialist for the LA Community College District, EMS fire fighting, Hollywood movie production, rescue diving, and global travel. He and his wife live with their two brilliant daughters and one crazy dachshund in Las Vegas, Nevada.
Disclosures: Lance is the Founder /CEO and sole owner of HealthySimulation.com, and is the Founder and Advisor to the Board of SimGHOSTS.org.

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