Catalyzing System Change Through Healthcare Simulation: Systems, Competency, and Outcomes

项目摘要 在过去的二十年里，医疗保健模拟科学发展迅速。几项关键研究将 基于模拟的培训，改善患者和系统水平的结果。尽管在医疗保健方面取得了重大进展 模拟研究，关键的知识差距仍然存在，从而限制了我们的能力，充分利用模拟作为一个 提高医疗质量和患者安全的机制。基于模拟的研究人员继续努力， 设计真实的、完全集成的模拟体验，定义有意义的结果测量，并概念化 医疗系统的动态性和复杂性。 急诊医学作为一个专业，在基于模拟的研究和病人安全方面处于领先地位。 急诊医学具有广泛的实践范围，导致医疗知识和程序技能要求， 跨多个学科。从系统的角度来看，急诊科是医疗保健的缩影， 系统，并提供了机会，以评估适用于多个医疗保健交付环境的过程。 这笔赠款旨在为为期一天的会议，学术急诊医学（AEM）共识会议， “通过医疗保健模拟催化系统变革：系统，能力和成果”，将解决 模拟研究中的关键障碍。本次会议的具体目标是（1）制定研究议程 这具体解决了现有的障碍，有效实施基于模拟的干预措施，直接 影响患者安全和医疗保健质量，（2）提供将优化未来模拟的共识建议- 以研究和教育工作为基础，优先考虑研究议程项目，以促进知识的迅速进步， 方法，实施基于模拟的干预措施，以及（3）建立支持 基于模拟的协作急救医学研究网络。学术急诊医学主办了一个 在过去的16年里，协商一致会议。每次会议的结果是制定一个研究议程， 解决了与提供紧急护理有关的及时问题。本次会议将汇集来自 急诊医学、实施科学、人为因素、安全科学、系统工程、计算机科学，以及 教育，从而确保严格的话语侧重于关键知识和模拟方法的差距 research.学术急诊医学杂志将传播会议记录和相关的原始 research.总的来说，这次会议将推进基于模拟的研究，并为医疗保健系统带来新的启示 研究方法和研究过程水平的结果，以提高病人的安全性为目标。

PROJECT SUMMARY The science of health care simulation has advanced rapidly over the last two decades. Several key studies link simulation-based training with improved patient and system-level outcomes. Despite significant progress in healthcare simulation research, critical gaps in knowledge remain, thus limiting our ability to fully leverage simulation as a mechanism to improve healthcare quality and patient safety. Simulation-based researchers continue to struggle with designing realistic, fully integrated simulation experiences, defining meaningful outcome measures, and conceptualizing the dynamic, complex nature of healthcare systems. Emergency medicine as a specialty is well-positioned advance simulation-based research and patient safety. Emergency medicine has a broad scope of practice, resulting in medical knowledge and procedural skill requirements that cross multiple disciplines. From a systems perspective, the emergency department is a microcosm of the healthcare system and provides opportunity to evaluate processes that apply to multiple healthcare delivery environments. This grant seeks funding for a one-day conference, the Academic Emergency Medicine (AEM) Consensus Conference, “Catalyzing System Change Through Healthcare Simulation: Systems, Competency, and Outcomes” that will address critical barriers in simulation-based research. The specific aims of this conference are to (1) develop a research agenda that specifically addresses existing barriers to effective implementation of simulation-based interventions that directly impact patient safety and healthcare quality, (2) provide consensus recommendations that will optimize future simulation– based research and education efforts and prioritize research agenda items to foster rapid advancement of knowledge, methodology, implementation of simulation-based interventions, and (3) establish the foundation needed to support a collaborative emergency medicine simulation-based research network. Academic Emergency Medicine has hosted a consensus conference for the past 16 years. Each conference results in the development of a research agenda that addresses a timely issue pertinent to the delivery of emergency care. This conference will bring together experts from emergency medicine, implementation science, human factors, safety science, systems engineering, computer science, and education, thus ensuring a rigorous discourse focusing on critical knowledge and methodological gaps in simulation research. The journal Academic Emergency Medicine will disseminate conference proceedings and relevant original research. Overall, this conference will advance simulation-based research and shed new light on healthcare systems research methodologies and the study of process-level outcomes with the goal of improving patient safety.