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. 2020 Aug;105(4):604-607.
doi: 10.1016/j.jhin.2020.06.020. Epub 2020 Jun 13.

Enhancing departmental preparedness for COVID-19 using rapid-cycle in-situ simulation

A Dharamsi  1 , K Hayman  2 , S Yi  3 , R Chow  4 , C Yee  5 , E Gaylord  5 , D Tawadrous  2 , L B Chartier  2 , M Landes  3
Affiliations

Enhancing departmental preparedness for COVID-19 using rapid-cycle in-situ simulation

A Dharamsi et al. J Hosp Infect. 2020 Aug.

Abstract

In response to coronavirus disease 2019 (COVID-19), a rapid-cycle in-situ simulation (ISS) programme was developed to facilitate identification and resolution of systems-based latent safety threats. The simulation involved a possible COVID-19 case in respiratory failure, using a mannequin modified to aerosolize phosphorescent secretions. Thirty-six individuals participated in five ISS sessions over 6 weeks, and a further 20 individuals observed these sessions. Debriefing identified latent safety threats from four domains: personnel, personal protective equipment, supply/environment and communication. These threats were addressed and resolved in later iterations. Ninety-four percent of participants felt more prepared to care for a potential case of COVID-19 after the ISS.

Keywords: COVID-19; Respiratory infections; Simulation.

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Figures

Figure 1
Figure 1
Iterations of solutions addressing latent safety threats following simulation exercises. PPE, personal protective equipment; COVID-19, coronavirus disease 2019; ISS, in-situ simulation.
See this image and copyright information in PMC

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