为意外准备

The ability to act quickly and accurately when faced with unexpected situations is critical to patient care. The only way to know how you will react is to practice in your actual environment. Simulations that occur outside of your workplace are unable to address unanticipated issues such as:

• 除颤器电池死亡时，您该怎么办？
• Is the crash cart accessible and fully stocked?
• 监视器是否可以看到需要看到的人？
• What if the chest tube is not where it´s supposed to be?

现场模拟training is a team-based training technique conducted on the patient care units using equipment and resources from that unit, and involving actual members of the healthcare team.

现场模拟takes place in the real world environment among teams during their regular work schedule with the goal of making the experience as close to reality as possible. With in-situ simulation, reliability and safety can be improved, especially in high-risk areas.

现场模拟has been found to positively impact healthcare providers’ reactions, changes in safety attitudes, organizational performance, and teamwork. This type of training allows teams to review and reinforce their clinical problem-solving abilities in preparation for a crisis or for low frequency/high acuity events. Structured debriefing that is brief and concise is an essential component of in-situ training.

辛辛那提儿童医院对原位模拟对其重症监护病房之一的影响进行了研究。实时培训的实施导致发现了一百多个隐藏的安全威胁，否则本来不会被注意到的。这些错误的识别导致发生了变化，以减少错误的风险并提高患者安全性。

原位模拟还提供了一种加强团队合作行为的方法，例如：使用自信陈述，角色清晰度，频繁更新的表现，共同的心理模型的发展，高风险药物的独立双重检查以及克服的效果团队成员之间的权威梯度。

We know that there are challenges to implementing 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.