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.

Proposed approach

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.

Katherine E L. Pass

Paediatric Simulation Fellow
Bristol Medical Simulation Centre
Bristol, England, United Kingdom

My name is Dr Katie Pass, and I am an anaesthetic trainee, but currently working as a Paediatric Simulation fellow at the Bristol Medical Simulation Centre. I also work clinically on the Paediatric Intensive Care Unit at the Bristol Royal Hospital for Children, part of the University Hospitals Bristol NHS Foundation Trust, in Bristol, U.K


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Daniel Magnus

Children's Emergency Department Consultant & Director of Bristol Paediatric Simulation Programme
Bristol Royal Hospital for Children & Bristol Medical Simulation Centre


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Lennox Huang, MD

Chief Medical Officer, VP Medical & Academic Affairs
The Hospital for Sick Children, ON, Canada

Dr. Lennox Huang is the Chief Medical Officer and Vice President for Medical and Academic Affairs at the Hospital for Sick Children in Toronto, Canada. He is a staff physician in the Pediatric Critical Care Unit at Sick Kids and holds the rank of Associate Professor in the Department of Paediatrics at the University of Toronto and Associate Clinical Professor of Pediatrics at McMaster University.

Dr. Huang’s past leadership roles include Chair of the Department of Pediatrics at McMaster University and the Chief of Pediatrics at Hamilton Health Sciences and St. Joseph's Healthcare Hamilton. Dr. Huang has held leadership roles at the regional, provincial and national level including President of the Regional Medical Associates of Hamilton, and Vice President of the Paediatric Chairs of Canada.

Dr. Huang’s interests are in the areas of simulation, patient safety, and quality improvement. He has led projects using Lean principles and in-situ simulation to guide the design and testing of clinical spaces and has incorporated simulation into hospital-wide safety initiatives.


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Standards & Feedback: tools to help ensure delivery of a high quality point of care paediatric simulation programme

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