Traditional Poster Round

Poster

Improving Paediatric Burn Care through In Situ Simulation

Tuesday, May 15
09:45 - 10:45
Location: The Gate, Atrium Level

Context: : A majority of adverse events in health care result from problems relating 'non-technical' skills such as communication, teamwork, leadership, and decision making rather than lack of medical knowledge. Non-technical skills can be incorporated into medical education by teaching the principles of Crisis Resource Management (CRM) through a High-Fidelity Simulation (HFS) program (1). The aim of the study is to describe our experience in running in situ (in the actual hospital working environment with native teams) simulation courses for paediatric burns.

Description: : Scenarios were designed by a panel of simulation/burn experts from two Hospitals (Children’s Hospitals in England and Italy). Training program objectives were: a) to teach CRM skills, b) to provide clinical and medical management skills in paediatric burns. Each simulation scenario is based on actual patient cases. The courses took place in the shock and operating room within the 2 hospitals. 30-40 minutes is dedicated to debriefing using a ‘CRM Principle Approach’. Using a 10-question survey, quantitative and qualitative data are collected from participants on each course. Quantitative data are collected using a 1- to 5-point Likert scale.

Observation/Evaluation: : 57 participants have attended the courses. The training was well-received and its "Overall Satisfaction" was rated at 4.8/5. Participants felt that the course developed their ability to interact with other team members (4.7/5), further improved their understanding of how to appropriately use resources (4.8/5), emphasized the importance of role clarity (4.5/5), and developed their communication skills (4.9/5). The realistic nature of scenarios was highly appreciated (4.8/5) as well as the non-judgmental nature of the debriefing (5/5).

Discussion: : Simulation training program can effectively improve patient safety and further educate our emergency burn care teams. In situ HFS is a powerful method of making emergency and burns housestaff aware of human errors, logistical problems and allows the team to train in low-frequency burns emergency





Federica D'Asta

Clinical Research Burns Fellow
Birmingham's Children Hospital, Burns Centre
Birmingham, England, United Kingdom

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Lisa Hyde

Research Nurse
Birmingham Children's Hospital

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Tina Newton

ED Consultant
Birmingham Children's Hospital

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David Wilson

Burns Consultant
Birmingham Children's Hospital

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Marco de Luca

ED Consultant
Meyer Children Hospital, Florence Italy

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Peter Weinstock, MD, PhD

Director - Simulator Program
Boston Children's Hospital, MA

PETER WEINSTOCK MD PhD
Chair and Executive Director, Boston Children's Hospital Simulator Program (SIMPeds)
Senior Assoc. Critical Care Medicine
Associate Professor of Anesthesia, Harvard Medical School


A practicing pediatric intensive care unit physician, Dr. Weinstock combines >20 years in surgery, medicine, education and innovation to lead the Boston Children's Simulator Program (SIMPeds) to one of largest most integrated "return on investment" simulator enterprises world-wide. Dr. Weinstock has weaved sustainable medical simulation ecosystems into the fabric of medical centers and regional health care systems on 6 continents and is founding president of the International Pediatric Simulation Society (IPSS). He serves on multiple advisory boards including education, simulation, social robotics and AI, and lectures internationally including "TED" on combining simulation, human factors, 3DP and special effects -- all to prepare world-class clinicians and healthcare systems to perform at their best, as well as to reduce fear and anxiety in patients and families.

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