Workshop Presentation

Oral

Workshop 14: Utilizing in-situ simulation to identify and mitigate latent threats

Tuesday, May 15
13:30 - 15:00
Location: Universe 2

Course Goal or Outcome: : The Simulated interPRofessional Team Training (SPRinT) programme at Royal Brompton Hospital is an embedded in-situ simulation programme. We will share our experience of identifying & mitigating latent threats, engaging stakeholders & implementing change for improvement through simulation. Workshop participants will be then be supported to problem solve & create ideas to implement system change and involve key stakeholders in mitigation of identified latent threats in their workplace, using collaboration and faculty mentoring.

Learning Objectives: : Learners will be able to implement a robust process to identify latent threats through in-situ simulation in their local area.
Learners will collaborate with participants & faculty to evaluate & develop strategies to engage frontline staff, managers & stakeholders to find solutions & support quality improvement initiatives when they return to local areas.
Learners will develop & share ideas for implementing quality improvement initiatives to mitigate latent threats targeted to participants’ work environment.


Intended Audience: : This course is suitable for all levels of experience and for educators, clinicians, technicians, or administrators. We can accommodate groups from single institutions who wish to develop their take part together as a team.

Relevance to the Conference: : In-situ simulation is an ideal tool to maximize identification and correction of potential threats to patient safety, before a patient is harmed. This session will encourage delegates to consider how service adaptations may be made within a high stakes, complex healthcare system, and to make it easy for clinicians to do the right and safe thing for patients.
Our vision is to share the experience and success of SPRinT programme which aims to improve patient safety by overcoming the limitations of existing quality and safety systems. The collaborative nature of this workshop will align with the vision of IPSS.


Workshop Timeline: : 1. INTRODUCTION (15 min)
a. Welcome: course faculty introduction, verbal disclosure, health and safety, ground rules
b. Introduction of objectives and agenda
c. Participant introductions, expectations, & experience

2. BACKGROUND: CASE STUDY PRESENTATION (10 min)
a. What we do: how we discovered latent threats and how it led to quality improvement initiatives

3. LARGE GROUP BREAKOUT SESSION (15 min)
a. Ideas from participants on how to deal with these errors grouped into themes for participants to discuss at their tables during the small group breakout session.

4. SMALL GROUP BREAKOUT SESSION (40 min)
a. Group discussion on finding solutions (20 min)
b. Group presentations to whole group (each group/table has 4 minutes to present) (20 min)

5. CLOSE (10 min)
a. Summary of course and pearls of experience
b. Final questions






Mary Lane, MB ChB, FRCA, MA Med Ed (ML)

Consultant Paediatric and Congenital Cardiac Anaesthetist, Director SPRinT Programme
Royal Brompton & Harefield NHS Foundation Trust

Dr Mary Lane MBChB, FRCA, MA Med Ed
Consultant Paediatric & Congenital Cardiac Anaesthetist, Royal Brompton Hospital
Director SPRinT Programme

Dr Lane joined the SPRinT programme in 2009, developing and leading the expansion of the Mobile
SPRinT programme. She served as associate director in 2011 before becoming a Director in 2012. As
a director, she has helped lead the development of SPRinT into an internationally recognised and
national award winning programme.
Mary has a keen interest in medical education and human factor training, in particular using simulation with a focus
on adult learning techniques to enhance and consolidate learning. She is a graduate of the Harvard/Children’s Hospital
Boston Simulation Instructor Course (2010/11) and London Deanery Simulation Facilitation Training (2009). In 2015
she completed her Masters in Medical Education, awarded with distinction from the University of Bedfordshire.
Dr Lane is Chair of the Education Committee of the Association of Paediatric Anaesthetists since 2013 and a
council member of the Patient Safety Section of the Royal Society of Medicine since 2016. As Chair of Royal
Brompton’s Experts in Simulation Committee since 2015, she has overseen the implementation of several quality
improvement initiatives to promote safe in-situ simulation simulation.

Presentation(s):

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Lydia Lofton, RN, RSCN, PGCert Clin Ed, FHEA

Lead Nurse for the SPRinT Programme
Royal Brompton Hospital
London, England, United Kingdom

Lydia Lofton, RN, BSN, RSCN, PGCert Clin Ed, FHEA
Health Education England

I am a Pediatric Cardiac Intensive Care nurse and educator, with specialty interest areas in team training, human factors, and parental perceptions of in-situ simulation. I have gained extensive experience in simulation education as Lead Nurse for the SPRinT Programme, an in-situ simulation team training programme based in PICU at the Royal Brompton Hospital in London, United Kingdom. As Multi-Professional Lead for Simulation at UCLPartners, an academic health science partnership, I worked to establish a simulation network to enhance collaboration across a wide geography in an effort to promote excellence and equity of access to simulation based education initiatives across professional groups as well as medical specialties.
I have recently moved into a role at Health Education England as a Workforce Transformation Lead. A goal of any healthcare system which prioritizes patient safety must be to ensure the workforce is educated to a standard that promotes consistent, high level performance. This requires collaboration and interprofessional learning. I am passionate about the role of simulation in promoting a culture which places high value on patient safety. To do this we must prioritize education and the role of human factors on our behaviors as well as continual evaluation of the ergonomics of our systems. I am currently on the Board of Directors for IPSS and am a member of the Society for Simulation in Healthcare (SSH) and the Association for Simulated Practice in Healthcare (ASPiH) where I serve as chair of the Pediatric Special Interest Group.

Presentation(s):

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Lydia Lofton, RN, RSCN, PGCert Clin Ed, FHEA

Lead Nurse for the SPRinT Programme
Royal Brompton Hospital
London, England, United Kingdom

Lydia Lofton, RN, BSN, RSCN, PGCert Clin Ed, FHEA
Health Education England

I am a Pediatric Cardiac Intensive Care nurse and educator, with specialty interest areas in team training, human factors, and parental perceptions of in-situ simulation. I have gained extensive experience in simulation education as Lead Nurse for the SPRinT Programme, an in-situ simulation team training programme based in PICU at the Royal Brompton Hospital in London, United Kingdom. As Multi-Professional Lead for Simulation at UCLPartners, an academic health science partnership, I worked to establish a simulation network to enhance collaboration across a wide geography in an effort to promote excellence and equity of access to simulation based education initiatives across professional groups as well as medical specialties.
I have recently moved into a role at Health Education England as a Workforce Transformation Lead. A goal of any healthcare system which prioritizes patient safety must be to ensure the workforce is educated to a standard that promotes consistent, high level performance. This requires collaboration and interprofessional learning. I am passionate about the role of simulation in promoting a culture which places high value on patient safety. To do this we must prioritize education and the role of human factors on our behaviors as well as continual evaluation of the ergonomics of our systems. I am currently on the Board of Directors for IPSS and am a member of the Society for Simulation in Healthcare (SSH) and the Association for Simulated Practice in Healthcare (ASPiH) where I serve as chair of the Pediatric Special Interest Group.

Presentation(s):

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Helena Sampaio, RSCN

PICU Senior Staff Nurse & Advanced Nurse Practitioner Trainee, SPRinT Faculty
Royal Brompton & Harefield NHS Foundation Trust

Presentation(s):

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Cecilia Korb, MD, MSc

PICU Clinical Fellow, SPRinT Faculty
Royal Brompton & Harefield NHS Foundation Trust

Presentation(s):

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Margarita Burmester, MRCP FRCPCH FFICM MAcadMEd

Lead Consultant Paediatric Intensive Care Unit, Founder & Director SPRinT Programme
Royal Brompton & Harefield NHS Foundation Trust

Presentation(s):

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Sami Collins, RSCN

Deputy Sister, Deputy SPRinT Nurse
Royal Brompton & Harefield NHS Foundation Trust

Presentation(s):

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Kumi DeCosta, RGN, BSc (Hons)

PICU Practice Educator, SPRinT Faculty
Royal Brompton & Harefield NHS Foundation Trust

Presentation(s):

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Craig Knott, MBBS, BA Hons (Oxon), MRCPCH

Clinical Fellow - PICU & SPRinT
Royal Brompton & Harefield NHS Foundation Trust

Dr Knott graduated from his medical degree at Wadham College, University of Oxford, and University College London in 2005. He subsequently completed his training in General Paediatrics in London, England in 2015. He maintained an interest in Intensive Care Medicine during this training, and is now undertaking further training in intensive care including having undertaken a Fellowship at the Hospital for Sick Children in Toronto in 2016.
Dr. Knott joined the Royal Brompton's SPRinT simulation team in 2017, and has undertaken both the SPRinT Introductory Facilitators course and the Advanced Facilitators Course. Dr. Knott is developing his research interests in Simulation with the team including use of the innovative open chest model, team performance improvement through in-situ simulation, and quality CPR.

Presentation(s):

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Julie Combes, RN, PG Dip Clin Ed, FHEA

Deputy Director Hospital to Home, SPRinT Faculty
Royal Brompton & Harefield NHS Foundation Trust

Presentation(s):

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Judy Cotterill, RGN, BSc

Lead Nurse PACU & Cath Labs
Royal Brompton & Harefield NHS Foundation Trust

Presentation(s):

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