Simulation-based clinical systems testing for healthcare spaces: from intake through implementation

Advances in Simulation - Tập 4 - Trang 1-9 - 2019
Nora Colman1, Cara Doughty2, Jennifer Arnold3, Kimberly Stone4, Jennifer Reid4, Ashley Dalpiaz5, Kiran B. Hebbar1
1Department of Pediatrics, Division of Pediatric Critical Care, Children’s Healthcare of Atlanta, Atlanta, USA
2Section of Emergency Medicine, Department of Pediatrics, Baylor College of Medicine, Texas Children’s Hospital, Houston, USA
3Department of Pediatrics, Maternal, Fetal, Neonatal Institute, Johns Hopkins All Children’s Hospital, St. Petersburg, USA
4Department of Pediatrics, Division of Emergency Medicine, Seattle Children’s Hospital and University of Washington School of Medicine, Seattle, USA
5Department of Pediatrics, Children’s Healthcare of Atlanta, Atlanta, USA

Tóm tắt

Healthcare systems are urged to build facilities that support safe and efficient delivery of care. Literature demonstrates that the built environment impacts patient safety. Design decisions made early in the planning process may introduce flaws into the system, known as latent safety threats (LSTs). Simulation-based clinical systems testing (SbCST) has successfully been incorporated in the post-construction evaluation process in order to identify LSTs prior to patient exposure and promote preparedness, easing the transition into newly built facilities. As the application of simulation in healthcare extends into the realm of process and systems testing, there is a need for a standardized approach by which to conduct SbCST in order to effectively evaluate newly built healthcare facilities. This paper describes a systemic approach by which to conduct SbCST and provides documentation and evaluation tools in order to develop, implement, and evaluate a newly built environment to identify LSTs and system inefficiencies prior to patient exposure.

Tài liệu tham khảo

Improve patient safety through simulation research. In: Agency for Healthcare Research and Quality. 2018. http://www.ahrq.gov/research/findings/factsheets/error-safety/simulproj11/index.html. Accessed 26 Apr 2019. Reiling J, Hughes RG, Murphy MR. The impact of facility design on patient safety. In: Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville, MD: Advances in Patient Safety; 2008. Chapter 28. Joseph A, Rashid M. The architecture of safety: hospital design. Curr Opin Crit Care. 2007;13(6):714–9. Joseph A, Quan X, Taylor E, Jelen M. Designing for patient safety: developing methods to integrate patient safety concerns in the design process. Center for Healthcare Design. 2012;Appendix V. 105-116. https://www.healthdesign.org/sites/default/files/chd416_ahrqreport_final.pdf. Health Quality Council of Alberta. Simulation-based mock-up evaluation framework. Calgary Alberta, Canada. 2016. Reason J. Human error: models and management. West J Med. 2000;172(6):393–6. 2019 Hospital Construction Survey: new poll finds conficting regulations and even enforcement create unnecessary burden. In: ASHE Healthc Facilities Management. 2019. https://www.hfmmagazine.com/articles/3590-hospital-construction-survey. Accessed 14 June 2019. Bayramzadeh S, Joseph A, Allison D, Shultz J, Abernathy J, Group ROS. Using an integrative mock-up simulation approach for evidence-based evaluation of operating room design prototypes. Appl Ergon. 2018;70:288–99. Bender J, Shields R, Kennally K. Testing with simulation before a big move at Women & Infants Hospital. Med Health R I. 2010;93(5):145, 9–50. Hollnagel E. In: Braithwaite J, Wears R, Hollnagel, editors. Prologue: Why do our expectations of how work should be done never correspond exactly to how work is done? Boca Raton FL: CRC Press, Taylor & Francis Group; 2017. p. 153–62. Geis GL, Pio B, Pendergrass TL, Moyer MR, Patterson MD. Simulation to assess the safety of new healthcare teams and new facilities. Simul Healthc. 2011;6(3):125–33. Ventre KM, Barry JS, Davis D, Baiamonte VL, Wentworth AC, Pietras M, et al. Using in situ simulation to evaluate operational readiness of a children’s hospital-based obstetrics unit. Simul Healthc. 2014;9(2):102–11. Francoeur C, Shea S, Ruddy M, Fontela P, Bhanji F, Razack S, et al. It takes a village to move a hospital: simulation improves intensive care team preparedness for a move to a new site. Hosp Pediatr. 2018;8(3):148–56. Villamaria FJ, Pliego JF, Wehbe-Janek H, Coker N, Rajab MH, Sibbitt S, et al. Using simulation to orient code blue teams to a new hospital facility. Simul Healthc. 2008;3(4):209–16. Colman N, Stone K, Arnold J, Doughty C, Reid J, Younker S, et al. Prevent safety threats through integration of simulation and FMEA in new construction. Pediatric Quality and Safety. Accepted. 2019. Adler MD, Mobley BL, Eppich WJ, Lappe M, Green M, Mangold K. Use of simulation to test systems and prepare staff for a new hospital transition. J Patient Saf. 2018;14(3):143–7. Dube MM, Reid J, Kaba A, Cheng A, Eppich W, Grant V, et al. PEARLS for systems integration: a modified PEARLS framework for debriefing systems-focused simulations. Simul Healthc. 2019. Patient room design checklist and evaluation tool. In The Center for Health Design. 2015. https://www.healthdesign.org/patient-room-design-checklist-and-evaluation-tool. Accessed 26 Apr 2016. DeSilets LD. SWOT is useful in your tool kit. J Contin Educ Nurs. 2008;39(5):196–7. Hunt E, Duval-Arnould J, Chime NO, et al. Building consensus for the future of paediatric simulation: a novel ‘KJ Reverse-Merlin’ methodology. BMJ Stel. 2017;2:35–41. Antonacci G, Reed JE, Lennox L, Barlow J. The use of process mapping in healthcare quality improvement projects. Health Serv Manage Res. 2018;31(2):74–84. Thornton E, Brook OR, Mendiratta-Lala M, Hallett DT, Kruskal JB. Application of failure mode and effect analysis in a radiology department. Radiographics. 2011;31(1):281–93. Trebble TM, Hansi N, Hydes T, Smith MA, Baker M. Process mapping the patient journey: an introduction. BMJ. 2010;341:c4078. Mullan PC, Kessler DO, Cheng A. Educational opportunities with postevent debriefing. JAMA. 2014;312(22):2333–4. Sawyer T, Eppich W, Brett-Fleegler M, Grant V, Cheng A. More than one way to debrief: a critical review of healthcare simulation debriefing methods. Simul Healthc. 2016;11(3):209–17. Wong AH, Gang M, Szyld D, Mahoney H. Making an “attitude adjustment”: using a simulation-enhanced interprofessional education strategy to improve attitudes toward teamwork and communication. Simul Healthc. 2016;11(2):117–25. Davis S, Riley W, Gurses AP, Miller K, Hansen H. Failure modes and effects analysis based on in situ simulations: a methodology to improve understanding of risks and failures. In: Henriksen K, Battles JB, Keyes MA, Grady ML, editors. Rockville, MD: Advances in Simulation; 2008. Chapter 10.