Preventing Harm: Testing and Implementing Health Care Protocols Using Systems Integration and Learner-Focused Simulations: A Case Study of a New Postcardiac Surgery, Cardiac Arrest Protocol.
Systems integration (SIS) simulation and system-focused debriefing is an approach to test new processes with health care teams to inform its design and utility and identify systems issues proactively. Learner-focused simulations support team training with a focus on individual knowledge and skills....
| Published in: | Clinical Simulation in Nursing Vol. 44; pp. 3 - 12 |
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| Main Authors: | , , , , , , , , , |
| Format: | case study research tables/charts Journal Article |
| Published: |
Elsevier B.V.
Jul2020
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=143741249&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 143741249 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18761399 85TC jtl: Clinical Simulation in Nursing issn: 18761399 maglogo: N pubinfo: dt: Jul2020 vid: 44 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 143741249 143741249 143741249 10.1016/j.ecns.2019.10.006 143741249 ppf: 3 ppct: 9 formats: tig: atl: Preventing Harm: Testing and Implementing Health Care Protocols Using Systems Integration and Learner-Focused Simulations: A Case Study of a New Postcardiac Surgery, Cardiac Arrest Protocol. aug: au: Dubé, Mirette Jones, Barb Kaba, Alyshah Cunnington, William France, Kari Lomas, Kate Novick, Richard J. Robertson, Kristin Coltman, Christopher Ferland, Andre affil: Simulation Consultant, Research Coordinator, Alberta Health Services and University of Calgary, Foothills Medical Center, Calgary, Alberta, Canada sug: subj: Cardiac Surgery Postoperative Care Heart Arrest Prevention and Control Protocols Learning Methods Simulations Systems Integration Human Descriptive Statistics Quality Improvement Teamwork Scales Conceptual Framework Program Evaluation Critical Path Registered Nurses Thematic Analysis Physicians Program Implementation Data Analysis Software Qualitative Studies T-Tests Pretest-Posttest Design Implementation Science ab: Systems integration (SIS) simulation and system-focused debriefing is an approach to test new processes with health care teams to inform its design and utility and identify systems issues proactively. Learner-focused simulations support team training with a focus on individual knowledge and skills. These strategies combined provide a highly effective quality improvement approach to test and implement new processes. This article will describe how we used SIS followed by learner-focused simulations and debriefings to introduce, test, refine, and train our team on a new, locally adapted cardiac arrest protocol after cardiac surgery (early chest opening). • We used an effective simulation-based quality improvement approach to test and implement a new protocol. • The use of simulation for systems integration and debriefing to implement new processes informs the design and utility and identifies systems issues proactively. • The adoption of this protocol resulted in paradigm shift in early postoperative management and significant practice changes. • The teamwork constructs evaluated by the MHPTS showed statistically significant higher scores after session. • This approach ensured a safe and reliable implementation of a high-risk, low-frequency protocol. pubtype: Academic Journal doctype: case study research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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