Practice Makes Perfect: Simulation in Emergency Medicine Risk Management

Barbara M Walsh¹, Ambrose H Wong², Jessica M Ray², Alise Frallicciardi³, Thomas Nowicki⁴, Ron Medzon⁵, Suzanne Bentley⁶, Stephanie Stapleton⁷

Affiliations

¹ Division of Pediatric Emergency Medicine, Boston University School of Medicine, Boston Medical Center, 801 Albany St, 4th floor, Boston, MA 02118, USA.
² Department of Emergency Medicine, Yale School of Medicine, 464 Congress Avenue, Suite 260, New Haven, CT 06519, USA.
³ Department of Emergency Department, University of Connecticut School of Medicine, University of Connecticut Emergency Department, c/o Lynda Burns, 263 Farmington Avenue, Farmington, CT 06030, USA.
⁴ Department of Emergency Medicine, University of Connecticut School of Medicine, Hartford Hospital, 22 Jefferson Street, Hartford, CT 06106, USA.
⁵ Department of Emergency Medicine, Boston University School of Medicine, Boston Medical Center, One Boston Medical Center Place, BCD Building, 1st Floor, Boston, MA 02118, USA.
⁶ Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, NYC Health + Hospitals/Elmhurst, 79 01 Broadway, Elmhurst, NY 11375, USA; Department of Medical Education, Icahn School of Medicine at Mount Sinai, NYC Health + Hospitals/Elmhurst, 79 01 Broadway, Elmhurst, NY 11375, USA.
⁷ Department of Emergency Medicine, Boston University School of Medicine, Boston Medical Center, One Boston Medical Center Place, BCD Building, 1st Floor, Boston, MA 02118, USA. Electronic address: snstaple@bu.edu.

PMID: 32336331
DOI: 10.1016/j.emc.2020.02.003

Review

Practice Makes Perfect: Simulation in Emergency Medicine Risk Management

Barbara M Walsh et al. Emerg Med Clin North Am. 2020 May.

. 2020 May;38(2):363-382.

doi: 10.1016/j.emc.2020.02.003.

Authors

Barbara M Walsh¹, Ambrose H Wong², Jessica M Ray², Alise Frallicciardi³, Thomas Nowicki⁴, Ron Medzon⁵, Suzanne Bentley⁶, Stephanie Stapleton⁷

Affiliations

¹ Division of Pediatric Emergency Medicine, Boston University School of Medicine, Boston Medical Center, 801 Albany St, 4th floor, Boston, MA 02118, USA.
² Department of Emergency Medicine, Yale School of Medicine, 464 Congress Avenue, Suite 260, New Haven, CT 06519, USA.
³ Department of Emergency Department, University of Connecticut School of Medicine, University of Connecticut Emergency Department, c/o Lynda Burns, 263 Farmington Avenue, Farmington, CT 06030, USA.
⁴ Department of Emergency Medicine, University of Connecticut School of Medicine, Hartford Hospital, 22 Jefferson Street, Hartford, CT 06106, USA.
⁵ Department of Emergency Medicine, Boston University School of Medicine, Boston Medical Center, One Boston Medical Center Place, BCD Building, 1st Floor, Boston, MA 02118, USA.
⁶ Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, NYC Health + Hospitals/Elmhurst, 79 01 Broadway, Elmhurst, NY 11375, USA; Department of Medical Education, Icahn School of Medicine at Mount Sinai, NYC Health + Hospitals/Elmhurst, 79 01 Broadway, Elmhurst, NY 11375, USA.
⁷ Department of Emergency Medicine, Boston University School of Medicine, Boston Medical Center, One Boston Medical Center Place, BCD Building, 1st Floor, Boston, MA 02118, USA. Electronic address: snstaple@bu.edu.

PMID: 32336331
DOI: 10.1016/j.emc.2020.02.003

Abstract

Simulation has been steadily changing the safety culture in the healthcare industry and allowing individual clinicians and interdisciplinary teams to be proactive in the culture of risk reduction and improved patient safety. Literature has demonstrated improved patient outcomes, improved team based skills, systems testing and mitigation of latent safety threats. Simulation may be incorporated into practice via different modalities. The simulation lab is helpful for individual procedures, in situ simulation (ISS) for system testing and teamwork, community outreach ISS for sharing of best practices and content resource experts. Serious medical gaming is developing into a useful training adjunct for the future.

Keywords: In situ simulation; Medical procedure; Patient safety; Risk mitigation; Simulation; Teams training.

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Conflict of interest statement

Disclosure Dr. Wong is supported by the Robert E. Leet and Clara Guthrie Patterson Trust Mentored Research Award and the National Institutes of Health (NIH) National Center for Advancing Translational Sciences (grant KL2TR001862). The funders had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication. The other authors have no disclosures.

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Practice Makes Perfect: Simulation in Emergency Medicine Risk Management

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Practice Makes Perfect: Simulation in Emergency Medicine Risk Management

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Conflict of interest statement

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