2017 AEM Consensus Conference on 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。几个关键 研究将基于模拟的培训与改善的患者和系统水平结果联系起来。尽管取得了重大 尽管医疗保健模拟研究取得了进展，但知识方面的关键差距仍然存在，从而限制了我们全面了解 利用模拟作为提高医疗质量和患者安全的机制。急诊医学作为 一个专业是定位良好的先进模拟为基础的研究和病人的安全。急诊医学有 广泛的实践范围，导致医学知识和程序技能要求跨越多个 学科从系统的角度来看，急诊科是医疗系统的一个缩影 并且提供了评估应用于多个健康护理交付环境的过程的机会。 这项赠款旨在为为期一天的会议提供资金，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 结果”，这将解决基于模拟的研究中的关键障碍。具体目标是 会议的目的是（1）制定一个研究议程，专门解决现有的障碍，以有效的 实施直接影响患者安全和医疗质量的基于模拟的干预措施，（2） 提供共识建议，优化未来基于模拟的研究和教育工作 并优先考虑研究议程项目，以促进知识，方法，实施 基于模拟的干预措施，以及（3）确定并建立合作应急的基础 医学模拟研究网络。急诊医学学术会议达成共识 在过去的16年里，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 工程和计算机科学，从而确保严格的话语侧重于批判性知识， 模拟研究中的方法论差距。《学术急诊医学》杂志将传播 会议记录和相关原创研究。总的来说，这次会议将推进基于模拟的 研究和阐明新的医疗保健系统的研究方法和研究的过程水平 以提高患者安全为目标。

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. 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) identify and build the foundation for 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, and computer science, 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.