Building consensus for the future of paediatric simulation: a novel 'KJ Reverse-Merlin' methodology

Abstract

Objectives: This project aims to identify guiding strategic principles to optimise simulation-based educational impact on learning, patient safety and child health.

Methods: Study participants included 39 simulation experts who used a novel 'KJ Reverse-Merlin' consensus process in the systematic identification of barriers to success in simulation, grouped them in themes and subsequently identified solutions for each theme.

Results: 193 unique factors were identified and clustered into 6 affinity groups. 6 key consensus strategies were identified: (1) allocate limited resources by engaging health systems partners to define education and research priorities; (2) conduct and publish rigorous translational and cost-effectiveness research; (3) foster collaborative multidisciplinary research and education networks; (4) design simulation solutions with systems integration and sustainability in mind; (5) leverage partnerships with industry for simulation, medical and educational technology; (6) advocate to engage the education community, research funding agencies and regulatory bodies.

Conclusions: Simulation can be used as a research, quality improvement and or educational tool aimed at improving the quality of care provided to children. However, without organisation, strategy, prioritisation and collaboration, the simulation community runs the risk of wasting resources, duplicating and misdirecting the efforts.

Keywords: Consensus Statement; KJ Merlin; Pediatric Simulation; Simulation in Healthcare.

Figure 1

Flow diagram of KJ Reverse-Merlin consensus process. EXPRESS, Examining Pediatric Resuscitation Education using Simulation and Scripting; IMSH, International Meeting for Simulation in Healthcare; IPSSW, International Pediatric Simulation Symposium and Workshops; POISE, Patient Outcomes In Simulation Education.

Figure 2

Photograph of participants during ‘affinity diagram’ clustering process.

Figure 3

Factors identified during KJ Reverse-Merlin process that might contribute to future failure.

Figure 4

Map of INSPIRE sites. INSPIRE, International Network of Simulation-based Pediatric Innovation, Research and Education.