Practice Makes Perfect: Simulation in Emergency Medicine Risk Management

Barbara M Walsh; Ambrose H Wong; Jessica M Ray; Alise Frallicciardi; Thomas Nowicki; Ron Medzon; Suzanne Bentley; Stephanie Stapleton

doi:10.1016/j.emc.2020.02.003

Practice Makes Perfect: Simulation in Emergency Medicine Risk Management

Emerg Med Clin North Am. 2020 May;38(2):363-382. doi: 10.1016/j.emc.2020.02.003.

Authors

Barbara M Walsh¹, Ambrose H Wong², Jessica M Ray², Alise Frallicciardi³, Thomas Nowicki⁴, Ron Medzon⁵, Suzanne Bentley⁶, Stephanie Stapleton⁷

Affiliations

¹ Division of Pediatric Emergency Medicine, Boston University School of Medicine, Boston Medical Center, 801 Albany St, 4th floor, Boston, MA 02118, USA.
² Department of Emergency Medicine, Yale School of Medicine, 464 Congress Avenue, Suite 260, New Haven, CT 06519, USA.
³ Department of Emergency Department, University of Connecticut School of Medicine, University of Connecticut Emergency Department, c/o Lynda Burns, 263 Farmington Avenue, Farmington, CT 06030, USA.
⁴ Department of Emergency Medicine, University of Connecticut School of Medicine, Hartford Hospital, 22 Jefferson Street, Hartford, CT 06106, USA.
⁵ Department of Emergency Medicine, Boston University School of Medicine, Boston Medical Center, One Boston Medical Center Place, BCD Building, 1st Floor, Boston, MA 02118, USA.
⁶ Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, NYC Health + Hospitals/Elmhurst, 79 01 Broadway, Elmhurst, NY 11375, USA; Department of Medical Education, Icahn School of Medicine at Mount Sinai, NYC Health + Hospitals/Elmhurst, 79 01 Broadway, Elmhurst, NY 11375, USA.
⁷ Department of Emergency Medicine, Boston University School of Medicine, Boston Medical Center, One Boston Medical Center Place, BCD Building, 1st Floor, Boston, MA 02118, USA. Electronic address: snstaple@bu.edu.

PMID: 32336331
DOI: 10.1016/j.emc.2020.02.003

Abstract

Simulation has been steadily changing the safety culture in the healthcare industry and allowing individual clinicians and interdisciplinary teams to be proactive in the culture of risk reduction and improved patient safety. Literature has demonstrated improved patient outcomes, improved team based skills, systems testing and mitigation of latent safety threats. Simulation may be incorporated into practice via different modalities. The simulation lab is helpful for individual procedures, in situ simulation (ISS) for system testing and teamwork, community outreach ISS for sharing of best practices and content resource experts. Serious medical gaming is developing into a useful training adjunct for the future.

Keywords: In situ simulation; Medical procedure; Patient safety; Risk mitigation; Simulation; Teams training.

Publication types

Review

MeSH terms

Emergency Medicine* / education
Emergency Medicine* / methods
Emergency Medicine* / organization & administration
Humans
Patient Simulation*
Risk Management* / methods
Risk Management* / organization & administration