In Situ Simulation to Detect and Prevent Near Misses during Critical Events

现场模拟检测和防止重大事件期间的未遂事件

• 批准号: 7236279
• 负责人: William J. Riley
• 金额: $ 24.87万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-30 至 2008-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7236279
• 关键词: behavior prediction; behavioral /social science research tag; cesarean section; clinical research; communication behavior; computer simulation; cooperative study; health care personnel performance; health care service evaluation; health services research tag; human subject; interdisciplinary collaboration; patient safety /medical error; prenatal care; training; videotape /videodisc

DESCRIPTION (provided by the applicant): The specific aims of this study are to test the effectiveness of an in situ simulation strategy in a perinatal unit to identify the number of "near misses" for emergent C-sections, examine the reliability of in situ simulation assessment to predict performance, examine the effect of in situ simulation training to criterion level on reducing "near misses," and examine the effect of in situ simulation training on culture of safety and selected patient safety measures. We will use our previously tested in situ simulation protocol employing crew resource management (CRM) training techniques to achieve high reliability performance at the micro-system level. We will assess both human performance and organizational processes with the in situ simulation. In situ simulation is a high-fidelity team-based simulation strategy that occurs on a patient care unit rather than in a simulation laboratory. The in situ simulation strategy consists of separate phases on the perinatal units at two different hospitals - Fairview Southdale Hospital (a community hospital with a medical staff) and the University of Minnesota Hospital-Fairview (an academic hospital with a medical school teaching staff). Our in situ simulation program creates obstetrical emergencies based on emergencies abstracted from real sentinel events. Our intervention to improve patient safety is based on an advanced set of event sets and debriefing techniques in use by the Federal Aviation Agency (FAA).

描述（由申请人提供）：本研究的具体目的是测试围产期原位模拟策略的有效性，以确定紧急剖腹产的“未遂事故”数量，检查原位模拟策略的可靠性模拟评估以预测表现，检查现场模拟训练达到标准水平对减少“未遂事故”的效果，并检查现场模拟训练对安全文化和选定的患者安全措施的影响。 我们将使用之前测试的现场模拟协议，采用机组资源管理（CRM）培训技术来实现微系统级别的高可靠性性能。我们将通过现场模拟评估人员绩效和组织流程。 原位模拟是一种基于团队的高保真模拟策略，发生在患者护理单位而不是模拟实验室。现场模拟策略由两个不同医院的围产期病房的不同阶段组成：Fairview Southdal​​e 医院（一家拥有医务人员的社区医院）和明尼苏达大学 Fairview 医院（一家拥有医学院教学人员的学术医院）。我们的现场模拟程序根据从真实哨兵事件中提取的紧急情况创建产科紧急情况。我们改善患者安全的干预措施基于联邦航空局 (FAA) 使用的一套先进的事件集和汇报技术。