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1 - Introduction To Simulation and Its Components

Simulation in healthcare is an artificial representation of real-world processes aimed at enhancing learning and reducing medical errors. It promotes experiential learning through various methodologies and is essential for training healthcare providers in crisis management. The document highlights the benefits of simulation, including improved patient care, effective training in complex scenarios, and the importance of fidelity in simulation models.

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28 views15 pages

1 - Introduction To Simulation and Its Components

Simulation in healthcare is an artificial representation of real-world processes aimed at enhancing learning and reducing medical errors. It promotes experiential learning through various methodologies and is essential for training healthcare providers in crisis management. The document highlights the benefits of simulation, including improved patient care, effective training in complex scenarios, and the importance of fidelity in simulation models.

Uploaded by

nishadpihu0000
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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Simulation and its components

Changing profiles of hospital patients and societal expectations have led to


increasing medical accountability with minimal margin for medical errors. Medical
accidents also follow the Heinrich’s Model of Accidents.

Modified
Heinrich
ratio for
medical
errors
What is Simulation?
Simulation is the artificial
representation of a complex real-
world process with sufficient fidelity
with the aim to facilitate learning
through immersion, reflection,
feedback, and practice minus the
risks inherent in a similar real-life
experience.

Simulation is a step in the circle of


learning that follows knowledge
acquisition, skills proficiency and
decision making learning

It is a technique, rather than just a


technology that promotes
experiential and reflective learning.
Teaching methodologies

See One, Do One, See One, Practice Many, Do One


Teach One
Simulation-based medical education allows implementation of protocol-based practice into the curriculum of
postgraduate
training. *
Second year medicine residents who had gone through simulator training were found to adhere to the American
Heart
* Woolf Association guidelines
SH, Anton J, Kuzel AJ, Dovey SM, Phillips RL Jr.68% of
A string of the the
mistakes: time, asof compared
importance with 44%
cascade analysis in describing, counting,of
and the time
preventing for
medical traditionally
errors. Ann Fam Med trained third year
residents.
2004;2: 317–326.
**
** Source: Wayne DB, Didwania A, Feinglass J, Fudala MJ, Barsuk JH, McGaghie WC. Simulation-based education improves quality of care during cardiac arrest team responses at an academic teaching hospital: a case-control
study. Chest 2008;133:56–61.
It is now universally recognized that appropriate and timely management of critical events or situations
is the core of clinical competence. This depends upon an integrated and cohesive team of healthcare
providers (HCPs) with a commonality of appropriate orientation towards the event.
Stress is now
laid on repeated
protocol based
training practice
of the
appropriate
management of
a clinical
situation.

This aims at
reducing the
margin of error
for unexpected
emergencies
especially those
at unfamiliar
locations
Simulation in healthcare
offers many benefits:
1. Numerous potential
strategies for
comprehensive and
practical training
2. Safer patient care
3. A key strategy to teach
crisis resource management
skills
4. Simulation can benefit the
individual learner, the
multidisciplinary team, and
the hospital as a whole
5. Allows participants to train
in complex infrequent
clinical scenarios
6. Immediate debriefings
allow for reflection &
improvements in
knowledge, skill and team
performance
7. Frequently identifies
potential patient safety
threats
Fidelity is the common industry
term used in simulation to
describe the degree of realism
and technical complexity of
models.
This is dictated by the needs of
the application; more
complex is the task, more is the
fidelity of the model.
Low fidelity models can be
developed and updated rapidly
while high-fidelity models cost
more to engineer and maintain
but are more flexible when
applied to different uses.
Not everything needs to be
taught in a high-fidelity
simulation.
Classification of simulators as
per type
Structure of a Simulation Scenario
Briefing- Simulation-
why and the real Debrief, reflection with highest potential for
how situation learning

Reaction Analysis Summa


s ry
High Quality Simulation- can substitute upto 50%
clinical hours

High quality simulation


experiences could be substituted
for up to 50% of traditional
clinical hours across the pre-
licensure nursing curriculum
Evidence supports best practices for simulation
based education

Best practice is characterized


by Debriefing = reflective discussion
1. Facilitated Reflective
1. Feedback Feedback = provision of information
Debriefing
2. Repetitive Practice (LDHF)
3. Distributed Practice
4. Curriculum Integration
5. Clinical variation
6. Range of difficulty
7. Individualized learning
8. Multiple learning strategies
9. Defined Outcomes
10.Valid simulator
Innovation must be measured by its impact
Simulation based trainings must be measured by the number of lives saved after training

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