Medical simulation: a tool for recognition of and response to risk
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The use of simulation and team training has become an excellent tool to reduce errors in high-risk industry such as the commercial airlines and in the nuclear energy field. The health care industry has begun to use similar tools to improve the outcome of high-risk areas where events are relatively rare but where practice with a tactical team can significantly reduce the chance of bad outcome. There are two parts to this review: first, we review the rationale of why simulation is a key element in improving our error rate, and second, we describe specific tools that have great use at the clinical bedside for improving the care of patients. These cross different (i.e. medical and surgical) specialties and practices within specialties in the health care setting. Tools described will include the pinch, brief/debriefing, read-backs, call-outs, dynamic skepticism, assertive statements, two-challenge rules, checklists and step back (hold points). Examples will assist the clinician in practical daily use to improve their bedside care of children.
KeywordsSimulation Team training Human factors Latent safety errors Situational awareness
- 1.Kohm LT, Corrigan JM, Donaldson MS (eds) (2000) To err is human: building a safer health care system. Institute of Medicine. National Academies Press, Washington, DCGoogle Scholar
- 3.Leach D (2005) Simulation and rehearsal: practice makes perfect. ACGME Bulletin, DecemberGoogle Scholar
- 4.Gawande A (2002) Complications: a surgeon’s notes on an imperfect science. Picador, New York, p 20Google Scholar
- 6.Leonard M, Frankel A, Simmonds T et al (2004) Achieving safe and reliable healthcare. Health Administration PressGoogle Scholar