Guerilla Sim: Anywhere, Anytime, Anyone

Jon GatwardRoyal Prince Alfred Hospital, Sydney

Guerrilla..

noun

..a member of a small, independent mobile force taking part in irregular fighting, using hit-and-run tactics..

guerrilla warfare..referring to actions or activities performed in an impromptu way, often without authorization

EXCLUSIVE: MEDICAL SIMULATON WORKS

HIE rate

Anywhere?

$

$ 2, 0 0 0, 0 0 0

Mobile Simulation

$ $ 1, 5 0 0, 0 0 0

$ $ 8, 0 0 0

$ $ 0

Hit-and-run Sim

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www.sydneyhems.com Photos courtesy of Cliff Reid and Karel Habig

In-situ simulation

$ $ 1 5 0

$ $ 2 0, 0 0 0

Anytime?

q No need for study leave or travel

q Can happen 24/7q Can be impromptu

q Pagersq Before/after

shiftq Shift overlap

Simulation in the workplace

q Taking staff away from patients

Impromptu training?

Anyone?

Anyone?

Oh, just not smart. Even for you.

Signal

Noise

Experience

Mobile Simulation

Why go mobile?

LATEST: IN-SITU SIMULATION WORKS

Experienced, paid Faculty

Well equipped

Out of clinical context

Expensive

Leave from work

Often a one-off

May not reflect local practice

Course fees

Variable Faculty

Usual ward equipment

Normal working environment

Cheap

Intact, interdisciplinary teams

Repetition, patient journeys

Local case-mix and adverse incidents

Reveals system errors / latent threats

What we do at RPA

Tips for success

Tips for successTime

FlexibilityPatients and relativesQI Unit specificBrief and debriefEquipmentData

N = 300

$90 million since 2011

Summary

www.mobilesim.wordpress.com

o Simulation workso Mobile / in situ training has its

advantageso It can be done on the cheap,

buto There is money aroundo Money follows datao Still need experienced Facultyo Take care with debriefing