A novel in situ simulation framework for introduction of a new technology: the 3-Act-3-Debrief model

Advances in Simulation

Emilie S. Powell¹  Andrew L. Vincent²  Jeremy S. McGarvey³  Kimberly L. Cooley³  Lisa T. Barker⁴  John A. Vozenilek⁴  William F. Bond⁴ 

[1] Department of Emergency Medicine, Northwestern Memorial Hospital, Northwestern University Feinberg School of Medicine, Chicago, USA;Department of Emergency Medicine, OSF HealthCare, University of Illinois College of Medicine, Peoria, USA;Jump Simulation (an OSF Healthcare and University of Illinois College of Medicine at Peoria Collaboration), OSF HealthCare and University of Illinois College of Medicine, 1306 N. Berkeley Avenue, Peoria, IL, USA;Jump Simulation (an OSF Healthcare and University of Illinois College of Medicine at Peoria Collaboration), OSF HealthCare and University of Illinois College of Medicine, 1306 N. Berkeley Avenue, Peoria, IL, USA;Department of Emergency Medicine, OSF HealthCare, University of Illinois College of Medicine, Peoria, USA;

关键词: Healthcare simulation, Telehealth, Debriefing, Sepsis, Interprofessional simulations, Health information technology, Implementation research;   

DOI  :  10.1186/s41077-020-00145-x

来源: Springer

【 摘 要 】

BackgroundNew technologies for clinical staff are typically introduced via an “in-service” that focuses on knowledge and technical skill. Successful adoption of new healthcare technologies is influenced by multiple other factors as described by the Consolidated Framework in Implementation Research (CFIR). A simulation-based introduction to new technologies provides opportunity to intentionally address specific factors that influence adoption.MethodsThe new technology proposed for adoption was a telehealth cart that provided direct video communication with electronic intensive care unit (eICU) staff for a rural Emergency Department (ED). A novel 3-Act-3-Debrief in situ simulation structure was created to target predictive constructs from the CFIR and connect debriefing to specific workflows. The structure and content of the simulation in relation to the framework is described. Participants completed surveys pre-simulation/post-simulation to measure change in their readiness to adopt the new technology.ResultsThe scenario was designed and pilot tested before implementation at two rural EDs. There were 60 interprofessional participants across the 2 sites, with 58 pre-simulation and 59 post-simulation surveys completed. The post-simulation mean ratings for each readiness measure (feasibility, quality, resource availability, role clarity, staff receptiveness, and tech usability) increased significantly as a result of the simulation experience.ConclusionsA novel 3-stage simulation-debriefing structure positively targets factors influencing the adoption of new healthcare technologies.

【 授权许可】

CC BY