Simulation Saves the Day (and Patient)

Ellen S Deutsch; Mary D Patterson

doi:10.1016/j.otc.2018.08.005

Simulation Saves the Day (and Patient)

Otolaryngol Clin North Am. 2019 Feb;52(1):115-121. doi: 10.1016/j.otc.2018.08.005. Epub 2018 Sep 22.

Authors

Ellen S Deutsch¹, Mary D Patterson²

Affiliations

¹ Pennsylvania Patient Safety Authority, 333 Market Street, Harrisburg, PA 17101, USA; ECRI Institute, 5200 Butler Pike, Plymouth Meeting, PA 19462, USA; Department of Anesthesiology and Critical Care, University of Pennsylvania Perelman School of Medicine, 3400 Spruce Street, Philadelphia, PA 19104, USA. Electronic address: edeutsch@ecri.org.
² Department of Emergency Medicine, Center for Experiential Learning and Simulation, University of Florida, 1104 Newell Drive, Suite 445, Gainesville, FL 32610, USA.

PMID: 30249446
DOI: 10.1016/j.otc.2018.08.005

Abstract

Surgeons can use simulation to improve the safety of the systems they work within, around, because of, and despite. Health care is a complex adaptive system that can never be completely knowable; simulation can expose aspects of patient care delivery that are not necessarily evident prospectively, during planning, or retrospectively, during investigations or audits. The constraints of patient care processes and adaptive capacity of health care providers may become most evident during simulations conducted "in situ" using real teams and real equipment, in actual patient care locations.

Keywords: Health care education; Organizational resilience; Patient safety; Simulation; System engineering; System improvement.

Publication types

Review

MeSH terms

Clinical Competence*
Humans
Patient Care Team / organization & administration*
Patient Safety / standards
Quality Improvement
Simulation Training / methods*