Authors (including presenting author) :
KONG YM (1)
Affiliation :
(1) Accident & Emergency Department, United Christian Hospital
Introduction :
Staffs performing high risk procedures such as blood transfusion and pediatric resuscitation need specific training to maintain the quality of patient care. Simulation training provides opportunity for staffs to review self-performance and identify safety issues. In addition, cross-departmental simulation scenario allows team members from different specialties to share their knowledges, enhance communication and explore potential areas improvement.
Objectives :
(1) To identify safety and staff performance issues when performing ‘low volume, high risk’ procedures
(2) To provide a platform for staffs from different departments to share their opinions based on clinical procedures
(3) To enhance communication across different departments
Methodology :
Two topics were selected [(1) Blood transfusion for trauma case in emergency department, (2) pediatric resuscitation in emergency department]. Half hour simulation scenario and one hour debriefing session were prepared for each topic. Two separate days were selected for each simulation topic. For topic (1), blood bank staffs were invited to join as facilitators in the scenario. For topic (2), pediatric team were invited to join the simulation training as participant and observers.
Result & Outcome :
Loopholes were found and strategies were identified to address performance issues in simulation training.
(1) Instruction guidelines were developed for staffs in emergency department to collect blood products and initiate blood transfusion. Communication was enhanced between staffs in blood bank and emergency department on clear messages of blood product request methods.
(2) Communication was enhanced between two units. Pediatric airway management trolley was modified based on the comments collected in debriefing session.
Overall, it was a great success for the simulation training. Different safety issues and performance issues were addressed with corresponding improvement measures implemented.
