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

项目总结 在过去的二十年里，医疗保健模拟科学发展迅速。几个关键研究环节 基于模拟的培训，改善了患者和系统级的结果。尽管在医疗保健方面取得了重大进展 在模拟研究方面，知识中的关键差距仍然存在，从而限制了我们充分利用模拟作为 改善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解决 设计逼真的、完全集成的模拟体验，定义有意义的结果衡量标准，并概念化 医疗保健系统的动态、复杂性质。 急诊医学作为一门专业，定位得当，以模拟为基础的研究和患者的安全。 急诊医学具有广泛的实践范围，导致对医学知识和程序技能的要求 跨多个学科。从系统的角度来看，急诊科是医疗保健的一个缩影 并提供了评估适用于多个医疗保健提供环境的流程的机会。 这笔赠款旨在为为期一天的会议--学术急诊医学共识会议--提供资金， 《通过医疗模拟促进系统变革：系统、能力和结果》将解决 基于模拟的研究中的关键障碍。这次会议的具体目的是：(1)制定研究议程 这具体解决了有效实施直接以模拟为基础的干预措施的现有障碍 影响患者安全和医疗质量，(2)提供共识建议，以优化未来的模拟- 以研究和教育努力为基础，确定研究议程项目的优先顺序，以促进知识的快速发展； 方法论，实施基于模拟的干预措施，以及(3)建立支持 基于协同急救医学仿真的研究网络。学术急诊医学主办了一场 16年来的共识会议。每一次会议都会产生一项研究议程， 解决与提供紧急护理相关的及时问题。这次会议将汇集来自世界各地的专家 急诊医学、实施科学、人为因素、安全科学、系统工程、计算机科学和 教育，从而确保对模拟中的关键知识和方法差距进行严格的讨论 研究。学术急诊医学杂志将发布会议记录和相关原文 研究。总体而言，这次会议将推进基于模拟的研究，并为医疗保健系统提供新的了解 研究方法和过程级结果的研究，目的是提高患者的安全性。

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.