CE Webinar:

Using Medical Simulation to Intentionally Probe Healthcare Systems: What’s It All About?

Presented by: AnneMarie Monachino, DNP, RN, CPN, CHSE-A, NPD-BC
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This CE presentation will explore how to use systems-focused medical simulation training programs to discover latent healthcare system threats and improve patient safety.
  • Recorded: Apr. 12th, 2021
  • Access: Unlimited with Subscription
  • Certificate: 1 Contact Hour of RN CE
  • Guarantee: 30-Day Money Back
  • Method: Lecture with Slides
  • Duration: 1 Hour
  • Level: Intermediate

Presentation Abstract:

Simulation is a tool that is often used for healthcare training and education. In addition to the clinical application, simulation can serve as a vehicle for the evaluation of system-based processes. System-focused simulation, also referred to as process-oriented simulation, can be accomplished through Simulation-Based Clinical Systems Testing (SbCST), and Simulation-based Hospital Design Testing (SbHDT).

System-focused simulations use systems engineering, human factors, and risk management principles to explore and achieve excellent clinical care, enhanced patient safety, and improved outcome metrics across a healthcare system. SbCST is conducted in situ to evaluate clinical system and care processes prior to occupancy to mitigate risks whereas SbHDT simulations are conducted in the pre-construction phase of design development to evaluate the built environment to improve safety and optimize efficiency. 

The goal is to identify, and address discoveries of latent conditions or systems hazards that impede the ability to provide safe and efficient care in a proactive fashion, allowing corrective action before these conditions and/or weaknesses could harm or impact an actual patient care event. These discoveries may be found during intentional probes (SbCST, SbHDT), or serendipitous discovery (the objective of the simulation did not anticipate a system-level gap).

There are many benefits to system-focused simulation such as preventing harm, increasing effectiveness, improving efficiency, supporting safety, streamlining processes, decreasing errors, and controlling costs. In order to integrate systems-focused simulations into a program, it is necessary to overcome barriers and challenges: support from senior executives, buy-in of stakeholders, avoiding a disruption to patient care during in-situ sessions, availability of equipment, and the intensity of resources. 

Facilitators need to be trained to design, implement, and assess these system-focused simulations, which generally require modifications to the typical debriefing framework used with a clinically based educational simulations. These debriefings involve facilitating the identification of latent conditions and exploring potential active failures. Developing a structure to report findings and outcomes as well as a communication process so that key stakeholders are informed is the key to sustainment of a robust program.

This presentation will discuss how and why to use system-focused simulations, explore the barriers and facilitators impacting teams interested in this format, and describe a reporting structure used by a Simulation Center that has achieved accreditation in Systems Integration by the Society of Simulation in Healthcare (SSH). In addition, participants will be shown examples of systems-focused simulations and their findings and outcomes, as well as the impact on patients and healthcare providers.

Learning Objectives:

  1. Define the intent of systems-focused simulations including Simulation-Based Clinical Systems Testing and Simulation-Based Hospital Design Testing with particular reference to their role in improving clinical practice and patient safety.
  2. Describe the benefits and challenges to designing and integrating systems-focused simulations into a simulation program.
  3. Identify an outcome reporting system strategy to share findings with stakeholders.

Meet the Presenter:

AnneMarie Monachino, DNP, RN, CPN, CHSE-A, NPD-BC

Senior Simulation Educator, Children's Hospital of Philadelphia
AnneMarie Monachino is a Senior Simulation Educator with the Center for Simulation, Advanced Education, and Innovation at the Children’s Hospital of Philadelphia as well as a Nursing Professional Development Specialist at CHOP. As a pediatric nurse for 30 years, she has 13 years’ experience as a simulation educator and has taught simulation curriculum at an advanced level. She achieved her advanced certification as a CHSE-A in 2017. Dr. Monachino has published eleven articles on simulation-based activities as well as 2 chapters on Just-in-Time Training. Her numerous presentations at simulation and nursing conferences include Central Venous Catheter Dress Rehearsals, Medical Emergencies in the Primary Care Setting, Managing Difficult Learners and Disruptive Behaviors, Redesigning Your Simulation Activity Using an Escape Room Format, Human Systems Integration Analysis, and Building a Better Scenario. She is the co-chair of the Society for Simulation in Healthcare Nursing Section Transition to Practice workgroup. AnneMarie is very involved in facilitating system focused simulations at CHOP and the creation of the reporting mechanism for system improvement findings.
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Disclosures: None.

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Meet the Webinar Host:

Lance Baily, BA, EMT-B

Founder / CEO - HealthySimulation.com
Lance W. Baily, BA, EMT-B is the Founder / CEO of HealthySimulation.com, the world’s leading medical simulation resource website which supports thousands healthcare simulation professionals a month. As an experienced entrepreneur, digital media producer and administrative professional, Lance has the background and the experience necessary to help guide the healthcare simulation industry to greater levels of adoption.

Lance Baily is also the Founder of SimGHOSTS.org, the leading 501(c)3 non-profit organization dedicated to supporting healthcare professionals operating clinical simulation technologies which has organized a multitude of hands-on training conferences around the globe since 2011. His new co-edited Book: *Comprehensive Healthcare Simulation: Operations, Technology, and Innovative Practice provides 400 pages of in-depth articles supporting the technical integration of healthcare simulation in any sized program.*Affiliate link.

Formerly he served as Director of the Nevada System of Higher Education’s Clinical Simulation Center of Las Vegas, Simulation Technician for the LA Community College District, and volunteer Fire-Fighter, after receiving his BA in Film and Digital Media Production and working on Hollywood production sets. He currently lives with his wife in Las Vegas with their two young daughters and two crazy dachshunds.
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Disclosures: Founder/CEO/Owner of HealthySimulation.com, Founder of SimGHOSTS.org

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