Simulation for Patient Safety Slideset 1 Rachel Yudkowsky, MD MHPE UIC CPC.
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Transcript of Simulation for Patient Safety Slideset 1 Rachel Yudkowsky, MD MHPE UIC CPC.
Simulation for Patient SafetySlideset 1
Rachel Yudkowsky, MD MHPE
UIC CPC
2
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
3
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?