Training and simulation for patient safety

作者:Aggarwal Rajesh*; Mytton Oliver T; Derbrew Milliard; Hananel David; Heydenburg Mark; Issenberg Barry; MacAulay Catherine; Mancini Mary Elizabeth; Morimoto Takeshi; Soper Nathaniel; Ziv Amitai; Reznick Richard
来源:Quality and Safety in Health Care, 2010, 19: i34.
DOI:10.1136/qshc.2009.038562

摘要

Background Simulation-based medical education enables knowledge, skills and attitudes to be acquired for all healthcare professionals in a safe, educationally orientated and efficient manner. Procedure-based skills, communication, leadership and team working can be learnt, be measured and have the potential to be used as a mode of certification to become an independent practitioner.
Results Simulation-based training initially began with life-like manikins and now encompasses an entire range of systems, from synthetic models through to high fidelity simulation suites. These models can also be used for training in new technologies, for the application of existing technologies to new environments and in prototype testing. The level of simulation must be appropriate to the learners' needs and can range from focused tuition to mass trauma scenarios. The development of simulation centres is a global phenomenon which should be encouraged, although the facilities should be used within appropriate curricula that are methodologically sound and cost-effective.
Discussion A review of current techniques reveals that simulation can successfully promote the competencies of medical expert, communicator and collaborator. Further work is required to develop the exact role of simulation as a training mechanism for scholarly skills, professionalism, management and health advocacy.