Test run after refurbishment of a pediatric intensive care unit. System check through simulation training

The use of in situ simulation as a method for a system check in new facilities allows the identification and subsequent removal of potential safety threats and may prevent critical incidents with real patients. The use of simulation of the anticipated processes in patient care is an important factor in modern risk management. Prior to the reopening of the refurbished intensive care unit of the Dr. von Hauner Children's Hospital a 3-day in situ simulation was performed in collaboration with the Institute for Emergency Medicine and Management in Medicine (INM). On every day of the training period the new facilities, equipment and workflows were assessed in different scenarios focusing on system improvement and teamwork. The in situ simulation identified potential safety threats which were corrected before opening the facility, thus relevantly contributing to improving patient safety. By carrying out training exercises before reopening of the pediatric intensive care unit, potential threats to patient safety could be uncovered and appropriate measures could be taken even prior to the opening. Furthermore, due to the simulation training participants could be schooled in technical and non-technical skills (e.g. communication, teamwork and decision-making) as well as cooperation in interprofessional teams and the safety aspects of actions performed in the new facilities could be increased. The use of in situ simulation training as an instrument for a system check of new facilities makes an important contribution to increased patient safety.