A Neonatal Intensive Care Unit's Experience with Implementing an In-Situ Simulation and Debriefing Patient Safety Program in the Setting of a Quality Improvement Collaborative.
A Neonatal Intensive Care Unit's Experience with Implementing an In-Situ Simulation and Debriefing Patient Safety Program in the Setting of a Quality Improvement Collaborative.
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DOI：
10.3390/children7110202
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发表时间：
2020-10-29
期刊：
影响因子：
--
通讯作者：
Quinn J
中科院分区：
文献类型：
--
作者：
Eckels M;Zeilinger T;Lee HC;Bergin J;Halamek LP;Yamada N;Fuerch J;Chitkara R;Quinn J
广泛新生儿复苏是一种高急性、低频率的事件，约占出生人数的1%。新生儿复苏需要一个跨专业的医疗团队在高肾上腺素状态下有效地沟通和执行任务。实施新生儿患者安全模拟和汇报计划可以帮助团队提高降低发病率和死亡率所需的行为，认知和技术技能。在模拟成功，一个为期15个月的质量改进（QI）项目，中心高级儿科和围产期教育（CAPE）和加州围产期质量护理协作（CPQCC）提供了推广和培训新生儿模拟和述职的基本原则，以个别团队，包括社区医院的设置，并协助在每个网站实施可持续的计划。主要目标是每月进行两次模拟，目标是80%的新生儿重症监护室（NICU）工作人员在实施阶段参与两次模拟。虽然主要目标没有实现，但现场模拟导致了潜在安全威胁的识别和系统流程的改进。本文介绍了一个单位的QI协作经验，实施原位新生儿模拟和述职程序。
Extensive neonatal resuscitation is a high acuity, low-frequency event accounting for approximately 1% of births. Neonatal resuscitation requires an interprofessional healthcare team to communicate and carry out tasks efficiently and effectively in a high adrenaline state. Implementing a neonatal patient safety simulation and debriefing program can help teams improve the behavioral, cognitive, and technical skills necessary to reduce morbidity and mortality. In Simulating Success, a 15-month quality improvement (QI) project, the Center for Advanced Pediatric and Perinatal Education (CAPE) and California Perinatal Quality Care Collaborative (CPQCC) provided outreach and training on neonatal simulation and debriefing fundamentals to individual teams, including community hospital settings, and assisted in implementing a sustainable program at each site. The primary Aim was to conduct two simulations a month, with a goal of 80% neonatal intensive care unit (NICU) staff participation in two simulations during the implementation phase. While the primary Aim was not achieved, in-situ simulations led to the identification of latent safety threats and improvement in system processes. This paper describes one unit’s QI collaborative experience implementing an in-situ neonatal simulation and debriefing program.
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