Practice Makes Perfect : Simulation in Emergency Medicine Risk Management - 24/04/20

Doi : 10.1016/j.emc.2020.02.003

Barbara M. Walsh, MD ^a, Ambrose H. Wong, MD, MSEd ^b, Jessica M. Ray, PhD ^b, Alise Frallicciardi, MD, MBA, MS ^c, Thomas Nowicki, MD ^d, Ron Medzon, MD ^e, Suzanne Bentley, MD, MPH ^f,^g, Stephanie Stapleton, MD ^e,^⁎
^a Division of Pediatric Emergency Medicine, Boston University School of Medicine, Boston Medical Center, 801 Albany St, 4th floor, Boston, MA 02118, USA
^b Department of Emergency Medicine, Yale School of Medicine, 464 Congress Avenue, Suite 260, New Haven, CT 06519, USA
^c Department of Emergency Department, University of Connecticut School of Medicine, University of Connecticut Emergency Department, c/o Lynda Burns, 263 Farmington Avenue, Farmington, CT 06030, USA
^d Department of Emergency Medicine, University of Connecticut School of Medicine, Hartford Hospital, 22 Jefferson Street, Hartford, CT 06106, USA
^e Department of Emergency Medicine, Boston University School of Medicine, Boston Medical Center, One Boston Medical Center Place, BCD Building, 1st Floor, Boston, MA 02118, USA
^f Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, NYC Health + Hospitals/Elmhurst, 79 01 Broadway, Elmhurst, NY 11375, USA
^g Department of Medical Education, Icahn School of Medicine at Mount Sinai, NYC Health + Hospitals/Elmhurst, 79 01 Broadway, Elmhurst, NY 11375, USA

^∗Corresponding author.

Résumé

Simulation has been steadily changing the safety culture in the healthcare industry and allowing individual clinicians and interdisciplinary teams to be proactive in the culture of risk reduction and improved patient safety. Literature has demonstrated improved patient outcomes, improved team based skills, systems testing and mitigation of latent safety threats. Simulation may be incorporated into practice via different modalities. The simulation lab is helpful for individual procedures, in situ simulation (ISS) for system testing and teamwork, community outreach ISS for sharing of best practices and content resource experts. Serious medical gaming is developing into a useful training adjunct for the future.

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Keywords : Simulation, Risk mitigation, Teams training, In situ simulation, Patient safety, Medical procedure