Implementing a simulation-based safety curriculum in pe*

描述（由申请人提供）：项目摘要：1999年医学研究所报告《人皆有错》将急诊科（艾德）确定为不良事件风险最高的医院区域。该项目的总体目标是通过实施多学科，基于模拟的安全课程，强调团队行为，减少和减轻儿科急诊科医疗差错的影响。事实证明，这类培训在改善其他高风险行业的沟通和团队合作方面是有效的。儿科艾德的所有护理提供者，包括住院医生，都将参与这项干预。 知识和态度将在干预前后进行评估。此外，模拟患者情景的录像带将评估团队合作行为的变化。艾德人员将每6个月返回模拟实验室进行重新评估，艾德的实际复苏也将被录像并评估团队合作行为。这个项目是独特的，在其设置，儿科艾德，其包括所有的护理提供者以及居民的培训。该应用程序的具体目标是：1.实施一个多学科的基于仿真的安全课程，包括船员资源管理，团队合作行为和关键的沟通技巧。2.通过评估护理人员在干预前后对患者安全的知识和态度来评估本课程的有效性。3.通过评估干预前后在模拟环境中的团队合作行为来评估该培训的有效性。4.通过评估实际急诊科危重患者的团队合作技能，评估在模拟环境中学到的技能向艾德环境的转移。 相关性：急诊科是医院最危险的区域之一。在一项关于成人急诊医疗索赔的研究中，团队合作失败占了近一半的案例。本项目的目的是提高工作人员和医生之间的团队合作和沟通技巧，在儿科艾德有艾德团队学习和实践这些技能与儿科病人模拟器在模拟ED。通过提高护理人员之间的团队合作和沟通技巧，危重和受伤的儿科病人的护理将得到改善和更安全。

DESCRIPTION (provided by the applicant): Project Summary: The 1999 Institute of Medicine report, To Err is Human, identified the emergency department (ED) as the area of the hospital with the highest risk of adverse events. The overall goal of this project is to decrease and mitigate the effects of medical error in a pediatric emergency department through the implementation of a multidisciplinary, simulation-based safety curriculum that emphasizes team behaviors. This type of training has proven effective in improving communication and teamwork in other high risk industries. All care providers, including residents, in a pediatric ED will participate in this intervention. Knowledge and attitudes will be assessed prior to and following the intervention. In addition videotapes of simulated patient scenarios will be assessed for change in teamwork behaviors. ED personnel will return for reassessment in the simulation lab every 6 months and actual resuscitations in the ED will also be videotaped and assessed for teamwork behaviors. This project is unique in its setting, a pediatric ED, and its inclusion of all care providers as well as residents in training. The specific aims of this application are: 1.To implement a multidisciplinary simulation-based safety curriculum that encompasses crew resource management, teamwork behaviors and critical communication skills. 2. To evaluate the effectiveness of this curriculum by assessing knowledge of and attitudes towards patient safety among caregivers prior to and following this intervention. 3. To evaluate the effectiveness of this training by assessing teamwork behaviors in a simulated setting prior to and following the intervention. 4. To evaluate the transfer of the skills learned in a simulated setting to the ED environment by evaluation of teamwork skills in actual critical emergency department patients. Relevance: The emergency department is one of the most dangerous areas of the hospital. In one study of adult emergency medicine claims, teamwork failures accounted for almost half the cases. The purpose of this project is to improve teamwork and communication skills among staff and physicians in a pediatric ED by having the ED teams learn and practice these skills with a pediatric patient simulator in a simulated ED. By improving teamwork and communication skills among caregivers, the care of critically ill and injured pediatric patients will be improved and safer.