State the overall Goal or Outcome : The quality of care delivered to patients outside of tertiary or quaternary medical centers may be highly variable given lack of adequate training, exposure and optimal preparedness. This workshop will share our experience in using simulation as an investigative methodology to assess systems and processes and as a quality improvement initiative. Attendees will be able to apply the principles and lessons learned from this workshop to improve quality of care using simulation-based approaches.
Intended Audience : educators, administrators, intermediate level
Relevance to the Conference : In situ simulation, a point of care strategy, occurs within the patient care environment involving actual healthcare team members within their own clinical setting. Aside from its use as a training tool, it can be utilized as an investigative methodology to assess system issues and care processes. Subsequently, simulation-based investigations can be used to improve the quality of care. This concept can be applied beyond the simulation lab in any clinical environment including acute and non-acute settings.
ImPACTS (Improving Pediatric Acute Care through Simulation) is a national collaborative that aims to improve care provided to acutely ill and injured children in emergency departments in the United States. There has been a considerable growth in the number of emergency departments (ED) and ED patient visits in the United States over the past two decades. These EDs are disparate in their readiness to provide care to ill and injured children. Academic medical centers with specialized pediatric providers are committed to ensuring optimal health outcomes for all children in the US. The goal of the ImPACTS group is to describe, measure, and improve the gaps in pediatric care between community EDs—where the majority of pediatric cases are seen each year yet where pediatric preparedness is low—and pediatric EDs—where fewer pediatric cases are seen yet where pediatric preparedness is high. The ImPACTS “model for improvement” involves collaboration between academic medical center and community hospital using simulation as a “platform” for assessment, measurement and improvement.
In this course, we will share our experience in using simulation above and beyond the simulation experience to improve the quality of care, using acute care provided in emergency departments as an example. The goal of this workshop is for the audience to apply the principles and lessons learned from the ImPACTS model to improve the quality of care in a rigorous and generalizable manner to other acute and non-acute aspects of care using simulation-based approaches.