Enhancing Safety of a System-Wide In Situ Simulation Program Using No-Go Considerations

被引：1

作者：

Minors, Anjoinette M. ^{[1
,2
]}

Yusaf, Tricia C. ^{[3
]}

Bentley, Suzanne K. ^{[4
,5
]}

Grueso, Daisy ^{[6
]}

Campbell-Taylor, Kimberly ^{[7
]}

Harford, Marlene ^{[7
]}

Mehri, Sepideh ^{[8
]}

Williams, Lorren J. ^{[9
]}

Bajaj, Komal ^{[1
,2
]}

机构：

[1] NYC Hlth Hosp Jacobi, New York, NY USA

[2] Albert Einstein Coll Med, NYC Hlth Hosp Jacobi, New York, NY USA

[3] NYC Hlth Hosp, Jacobi & Simulat Ctr, New York, NY USA

[4] NYC Hlth Hosp, Elmhurst & Simulat Ctr, New York, NY USA

[5] Icahn Sch Med Mt Sinai, New York, NY USA

[6] NYC Hlth Hosp Kings, New York, NY USA

[7] NYC Hlth Hosp, Simulat Ctr, New York, NY USA

[8] NYC Hlth Hosp Bellevue, New York, NY USA

[9] NYC Hlth Hosp, Cent Off, New York, NY USA

来源：

SIMULATION IN HEALTHCARE-JOURNAL OF THE SOCIETY FOR SIMULATION IN HEALTHCARE | 2023年 / 18卷 / 04期

关键词：

Simulation; in situ simulation; simulation safety; no-go considerations; obstetrics; RESOURCE; OUTCOMES;

D O I：

10.1097/SIH.0000000000000711

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

IntroductionA large-scale in situ simulation initiative on cardiac arrest in pregnancy was implemented across NYC Health + Hospitals. In situ simulation must be safely balanced with clinical conditions such as through application of no-go considerations or standardized reasons to cancel or postpone the simulation. Our objective is to describe our findings on the application of no-go considerations during this simulation initiative.MethodsNYC Health + Hospitals/Simulation Center developed an in situ simulation program focused on cardiac arrest in pregnancy, implemented at 11 acute care facilities. The program's toolkit included no-go considerations for in situ simulation safety: situations prompting a need to cancel, reschedule, or postpone a simulation to ensure patient and/or staff safety.ResultsData were collected from June 2018 through December 2019. The simulation sites reviewed the 13 established no-go considerations before each simulation event to assess if the simulation was safe to "go". After the conclusion of the initiative, all data related to no-go considerations were analyzed.Two hundred seventy-four in situ simulations were scheduled and 223 simulations (81%) were completed. Fifty-one no-go events were reported, with 78% identifying a reason by category. Twenty-two percent did not report a reason or category. Four of the 13 suggested no-go considerations were not reported.ConclusionsThe no-go considerations framework promotes standardized and strategic scheduling of in situ simulation. Analysis of no-go consideration application during this system-wide initiative provides a model for the usage of tracking no-go data to enhance safety and inform future simulation planning.

引用

页码：226 / 231

页数：6