Prepare for the unexpected

在面对意想不到的情况时，能够快速准确地行动的能力对于患者护理至关重要。知道如何做出反应的唯一方法是在您的实际环境中练习。在您的工作场所外部发生的模拟无法解决意外问题，例如：

• What do you do when the defibrillator battery is dead?
• 碰撞车是否可访问并充分库存？
• Is the monitor visible to those who need to see it?
• 如果胸管不是它应该是哪里的？

原位模拟培训是使用来自该单位的设备和资源，并涉及医疗保健团队的实际成员在患者护理单位上进行的基于团队的培训技术。

原位模拟在他们的常规工作时间表中的团队中的现实世界环境中发生，其目标是尽可能接近现实的体验。具有原位模拟，可以提高可靠性和安全性，尤其是高风险区域。

已经发现原位模拟积极影响医疗保健提供者的反应，安全态度，组织绩效和团队合作的变化。这种类型的培训允许团队审查和加强其临床问题解决能力，以准备危机或低频/高敏锐事件。结构性汇报简要简明是原位培训的重要组成部分。

Cincinnati Children’s Hospital conducted a study of the impact of in-situ simulation on one of their critical care units. The implementation of in-situ training resulted in the discovery of more than one hundred hidden safety threats that would have otherwise gone unnoticed. Identification of these errors resulted in changes made to reduce the risk of error and improve patient safety.

原位模拟s also provided a method to reinforce teamwork behaviours, such as: the use of assertive statements, role clarity, performance of frequent updating, development of a shared mental model, performance of independent double checks of high-risk medicines, and overcoming authority gradients between team members.

我们知道有挑战来实现in-situ training, but the benefit of improved patient care makes it worth the effort. We are here to help. Portable, robust simulation and debriefing solutions that enable training to take place anywhere can help you create an immersive and engaging learning environment, and improve patient safety.