Simulation for Patient SafetySlideset 1

Rachel Yudkowsky, MD MHPE

UIC CPC

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Objectives

By the end of this week, you should be able to: Describe simulation types and dimensions. Explain how simulation can promote

patient safety. Match different types of simulations to

different learning objectives. Design a simulation-based activity using

Kolb’s cycle of experiential learning

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Outline for the week

Readings

Slide set 1

Assignment 1Independent work

Slide set 2

Assignment 2Group work

Slide set 3 Wrap up

Simulation – an approximation of reality

Allows the elicitation and expression of behaviors of

interest in a controlled setting

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Simulation for patient safety

StandardizedPatients

Task TrainerModels

Responsive Mannequins

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Standardized Patients are persons who have been trained to portray a particular patient presentation in a consistent and reliable way.

At UIC: Professional Actors

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What can be taught and assessed with SPs?

History and Physical exam skills Communication/ Interpersonal

skills Professionalism Ethics Decision making Patient management

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Physical Findings Simulators ensure students can recognize abnormal signs

Lung sound simulator Eye model Ear model Pelvic model Cardiovascular

model (eg Harvey) Human Patient Simulator

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How can we use simulated encounters to enhance patient safety?

Clinical skills: teaching workshops Assessment: single encounter vs

OSCE Feedback: patient/family

perspective Faculty development:

standardized learners Team simulations – standardized

staff

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Example: Resident Communication Tasks

Bad news Informed consent Treatment refusal Domestic violence Advance directives Medical error

Encounters take place in a clinic setting and are video-recorded for feedback and remediation

Available on-line from any computer

Practicing Procedural Skills:Simulator Models

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How many times have you done this on a patient? (M4s, 2006)

 

NeverNever

Insert IV 37 %Lumbar Puncture 86 %

EKG 43 %ABG 32 %Phlebotomy 12 %

Airway – intubated/bagged

52 %

Patient Safety

One solution: practice procedural skills on task trainer models

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Inserting an IV

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Suturing

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Lumbar Puncture

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Arterial Blood Gas

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Phlebotomy

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Responsive patient simulators (Mannequins)

Physiological responses

Decision making

Crisis management

Teamwork

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How might you use simulation to improve patient

safety?