Patricia Bastero, MD
Assistant Professor in Pediatrics. Department of Critical Care Medicine / Associate Director of Simulation - faculty development / Medical Director of Simulation for CCM
Baylor College of Medicine. Texas Children's Hostpital
State the overall Goal or Outcome : This course will define the applications of simulation for new environments and systems testing, its role on exploring the latent safety threats associated with them, and as a tool for patient safety and provider satisfaction initiatives. They will also learn an effective tool to reporting its outcomes, by learning to use the Failure, Modes and Effects Analysis (FMEA) scoring tool. Attendees will learn the key components to building their own Simulation Based System Testing (SBST) and using the FMEA tool, a step-by-step approach for identifying possible failures modes within a process.
Intended Audience : Simulation facilitators from multiple disciplines with interest in quality and safety initiatives.
This workshop is intended for middle/intermediate to expert level.
Relevance to the Conference : This workshop will help open the horizon of simulation as a tool applied to health care science and advance their knowledge towards implementation of simulation in their institution’s quality improvement and patient safety endeavors. The participants will work on identifying a need for a change in a process, a problem or error, or the need for a new process in their daily practice, create the pathway for a possible solution and how to implement it, identify possible barriers and safety threats related to it, and build the tools to solve it and report it. Therefore, this course applies the need to know, foundation, self-concept, readiness and orientation from adult learning theories by Knowles. The multidisciplinary participant groups will be created with a shared interest approach, so the learners will benefit from learning from their peers, sharing their personal experiences, viewing different ways of approaching and solving problems and, possibly, building future partnerships. This workshop applies, or gives the tools for, the need to know, foundation, self-concept, readiness, orientation and motivation of adult learning theories by Knowles:
1. Need to know: Adults need to know the reason for learning something. Solving a system’s problem or creating a new system to facilitate an improvement.
2. Foundation: Experience (including error) provides the basis for learning activities. Testing their own process and identifying the errors in it using simulation, possibly preventing errors from getting to the patients and/or the health care providers.
3. Self-concept: Adults need to be responsible for their decisions on education; involvement in the planning and evaluation of their instruction. The participants will create their own system and the way to test it.
4. Readiness: Adults are most interested in learning subjects having immediate relevance to their work and/or personal lives. Simulation based system testing can be implemented to evaluate existing processes, test new ones, and the impact can be tracked by reviewing quality and safety reports, job satisfaction questionnaires, and patient outcomes, amongst others.
5. Orientation: Adult learning is problem-centered rather than content-oriented. During this workshop the participants will work on creating a solution to a focused problem in their own institution.
6. Motivation: Adults respond better to internal versus external motivators. Motivation will apply to all those participants who voluntarily signed up for the workshop.