Safety, quality & education

Pragmatic Approach to In Situ Simulation to Identify Latent Safety Threats Before Moving to a Newly Built ICU

Crit Care MedPublished Descriptive review of a patient safety initiative

Authors' conclusion

In situ simulation effectively identifies latent safety threats surrounding the transition to new ICUs

Study context

Population
Care providers working in a newly built 24-bed neurocritical care unit at a tertiary care academic medical center
Outcome
Latent safety threats identified before the move
Methodological detailsquality improvement project, in situ simulation, single-centre, Orientation manual developed from the simulations, Three-stage in situ simulation program with standardized patients and high-fidelity mannequins, debriefing after each stage and scenario
  • Quality improvement project
  • In situ simulation
  • Single-centre
  • Orientation manual developed from the simulations
  • Three-stage in situ simulation program with standardized patients and high-fidelity mannequins, debriefing after each stage and scenario

Main finding

As reported in the abstract

Latent safety threats identified and addressed (physical environment, infection prevention, patient workflow, informatics)
70

Further findings

Missed latent safety threats · 2 years

Missed latent safety threats at 2-year follow-up
2

Participant feedback (written survey)

All participants agreed or strongly agreed that simulations were beneficial

Original publication

Pragmatic Approach to In Situ Simulation to Identify Latent Safety Threats Before Moving to a Newly Built ICU. Crit Care Med. Published 27 March 2024. doi:10.1097/ccm.0000000000006256

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