Zusammenfassung
Die mobile Simulation vor Ort (In-situ-Simulation) ermöglicht neben den allgemeinen positiven Effekten auf das Team, zusätzlich die Strukturen und Prozesse am realen Ort der Patientenbehandlung zu überprüfen und zu optimieren. Damit können Simulationstrainingseffekte potenziert werden. Auch logistisch kann die In-situ-Simulation Vorteile bringen: Die eigenen Mitarbeiter müssen nicht auf Dienstreise, und es ist eher möglich, alle Teammitglieder gemeinsam am Training teilnehmen zu lassen. Der Haupteffekt von In-situ-Simulationen liegt aber in der Möglichkeit, das reale Team, so wie es normal zusammenarbeitet, am realen Arbeitsplatz unter kritischen Bedingungen trainieren zu können und die dabei bemerkten Probleme direkt im Team optimieren zu können. Ebenso, ganz im Sinne von „Safety-2“ (nach Hollnagel), können besonders gute Abläufe bemerkt und fest verankert werden. Jede Abteilung mit potenziell kritischen Patienten sollte mindestens einmal im Jahr ein In-situ-Simulationstraining durchführen. Werden diese Trainings zumindest ab und zu von extern durchgeführt, hat man dazu noch einen Peer-Review-Effekt (Blick über den Tellerrand, Erkennen von blinden Flecken).
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Rall, M. (2018). Mobile In-situ-Simulation – „Train where you work“. In: St.Pierre, M., Breuer, G. (eds) Simulation in der Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-54566-9_19
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