Immersive simulation team training impact on rescue, recovery, and safety culture

描述(由申请人提供)：我们建议研究一种基于模拟的培训和系统分析策略，以提高患者的安全性。我们的计划和目标与AHRQ的使命和长期目标保持一致，以减少医疗服务造成的可预防伤害的高昂人力和经济成本。我们的中心干预是基于沉浸式模拟的团队培训，并为跨学科快速反应(医疗紧急情况)团队和涉及不断变化的非常规患者情况的相关情况提供视频反馈。该项目的具体目标是(1)开始检验基于沉浸式模拟的快速反应团队培训在模拟环境中提高更高水平的个人救援技能、态度和团队有效性的假设。(2)在实际的快速反应团队临床单位进行现场“撞车假人”模拟，以收集技术、人为因素、团队、和组织系统层面的优势和劣势，以支持有效的沉浸式培训模拟的设计并为系统变革提出建议(3)收集和研究沉浸式团队模拟受训者关于实际非常规患者护理事件的详细自我报告，以更好地了解模拟培训的转移(4)将拟议的实验研究和结果与我们其他扩展的基于模拟的培训课程联系起来，以增强影响力和可持续性(5)研究扩展跨学科沉浸式团队模拟计划对组织层面变量的影响，包括安全文化、基础设施、系统变革和领导力(6)扩大我们与接入网格(一种新的先进网络和视听技术)的工作，将演示纳入此协作协议项目(7)与芝加哥大都会医疗保健委员会共同赞助举行三次关于该项目的公开芝加哥会议，以获取反馈，传播经验教训，并继续建设基础设施，以在该地区提供身临其境的团队模拟。该项目的一个关键长期目标是在过去五年AHRQ以及其他联邦和国家基金会资助的基础上，在芝加哥大学创建一个可持续的跨学科患者安全中心。第二个主要目标是致力于在一个学术医学中心实现整个组织范围内基于模拟的有效团队培训的制度化。最后，该项目将使我们能够继续在全国第三大城市领导和实施基于社区的模拟安全网络。

DESCRIPTION (provided by the applicant): We propose to study a simulation-based training and systems analysis strategy to improve patient safety. Our plan and goals are aligned with AHRQ's mission and long-range objectives to reduce the high human and economic costs of preventable harms caused by health services. Our central intervention is immersive simulation-based team training with video feedback for interdisciplinary rapid response (medical emergency) teams and related situations involving the changing, non-routine patient condition. The specific aims of the project are (1) Begin to test the hypothesis that immersive simulation-based rapid response team training improves higher level individual rescue skills, attitudes and team effectiveness in simulation settings (2) Conduct in situ "crash dummy" simulations in actual rapid response team clinical units to gather data on technical, human factor, team, and organizational systems level strengths and weaknesses to support design of effective immersive training simulations and make recommendations for system change (3) collect and study detailed self-reports by immersive team simulation trainees about actual non-routine patient care events to better understand transfer of simulation training (4) link the proposed experimental studies and results to our other expanding simulation-based training courses to strengthen impact and sustainability (5) study the expansion of an interdisciplinary immersive team simulation program on organizational level variables including safety culture, infrastructure, systems changes and leadership (6) expand our work with the access grid - a new advanced networking and audiovisual technology - to include demonstrations within this collaborative agreement project (7) hold three public Chicago meetings about the project in co- sponsorship with the Metropolitan Chicago Healthcare Council to obtain feedback, disseminate lessons learned, and continue to build the infrastructure to deliver immersive team simulation in the region. A key long-term goal of the project is to build on AHRQ, other federal and national foundation funding in the past five years to create a sustainable interdisciplinary patient safety center at the University of Chicago. A second major objective is to work to institutionalize effective simulation-based team training organization- wide in one academic medical center. Finally, this project will enable us to continue to lead and implement a community-based simulation safety network in the third largest city in the country.