Traditional Poster Round
Standards & Feedback: tools to help ensure delivery of a high quality point of care paediatric simulation programme
Tuesday, May 15
09:45 - 10:45
Location: The Gate, Atrium Level
Abstract : Discussion
Medical simulation is increasingly used as an educational tool in healthcare. “Point of care” simulation programmes are a way to incorporate educational activities into the daily practice of healthcare professionals, and can be valuable components of systems testing and inter-professional team training.
Alongside the rapid uptake of simulation for healthcare education there has been much discussion within the medical simulation community on how to ensure quality of delivery of simulation activities, especially during de-briefing1, 2. High quality simulation activities aim to maximise deep learning and ultimately improve quality of patient care.
Setting standards for simulation activities has been a priority and in 2016 the Association for Simulated Practice in Healthcare (ASPiH) in the UK published twenty one standards for simulation activity in healthcare settings. Standards have also been set by the International Nursing Association for Clinical Simulation and Learning (INACSL), and regionally within the UK by Health Education England South West (HEESW).
Background and challenges
The Bristol Royal Hospital for Children is a tertiary level hospital and major trauma centre for the South West of England, and the Bristol Paediatric Simulation Programme has run a point of care simulation programme for over two years. Delivering the programme has involved forming simulation “hubs” and faculty, and encouraging simulation leads to promote regular inter-professional point of care simulation. During this time we have found gaining meaningful feedback challenging. Establishing evidence that point of care simulation leads to improved patient outcomes is inherently difficult and has been highlighted as a problem within the simulation community.
The programme is delivered by a diverse faculty with variable simulation experience, which is another potential challenge in ensuring consistent high quality simulation delivery. As such we are also cognisant of the need to demonstrate quality assurance of our simulation activities.
We plan to implement a simulation guideline in line with national standards, and will pilot a new real time digital tool (using REDCap) for collecting feedback for the point of care simulation programme. The tool incorporates questions regarding quality of simulation delivery as well as feedback on participants’ learning. Faculty will be engaged through educational sessions on the new guideline and tool, and the project will collect feedback data from 12 point of care simulation sessions both pre and post the guideline implementation, with results comparison.
We aim to assess whether introducing a local guideline on simulation education activities helps to ensure we consistently deliver high quality simulation. The project will also emphasise the importance of quality of simulation delivery for our faculty, and enable us to gain more meaningful feedback from participants on simulation activities overall.
No IRB was applicable to this work.
No conflicts of interest declared.
Paediatric Simulation Fellow
Bristol Medical Simulation Centre
Bristol, England, United Kingdom
Children's Emergency Department Consultant & Director of Bristol Paediatric Simulation Programme
Bristol Royal Hospital for Children & Bristol Medical Simulation Centre
Lennox Huang, MD
Chief Medical Officer, VP Medical & Academic Affairs
The Hospital for Sick Children, ON, Canada