Virtual tabletop simulations for primary care pandemic preparedness and response.

IF 1.1 Q2 Social Sciences
Marlot Johanna Blaak, Raad Fadaak, Jan M Davies, Nicole Pinto, John Conly, Myles Leslie
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引用次数: 6

Abstract

Introduction: The COVID-19 pandemic prompted widescale use of clinical simulations to improve procedures and practices. We outline our deployment of a virtual tabletop simulation (TTS) method in primary care (PC) clinics across Alberta, Canada. We summarise the quality and safety improvements from this method and report end users' perspectives on key elements.

Methods: Our virtual TTS used teleconferencing software alongside digital whiteboards to walk clinic stakeholders through patient scenarios. Participants reviewed and rehearsed their workflows and care practices. The goal was for staff to take ownership over gaps and codesigned solutions. After simulation sessions, follow-up interviews were conducted to collect feedback.

Results: These sessions helped PC staff identify and codesign solutions for clinical hazards and threats. These included the flow of patients through clinics, communications, redesignation of physical spaces, and adaptation of guidance for cleaning and personal protective equipment use. End users reported sessions provided neutral spaces to discuss practice changes and built confidence in delivering safe care during the pandemic.

Discussion: TTS has not been extensively deployed to improve clinical practice in outpatient environments. We show how virtual TTS can bridge gaps between knowledge and practice by offering a guided space to rehearse clinical changes. We show that virtual TTS can be used in multiple contexts to help identify hazards, improve safety and build confidence in professional teams adapting to rapid changes in both policies and practices. While our sessions were conducted in Alberta, our results suggest this method may be deployed in other contexts, including low-resource settings.

Abstract Image

初级保健大流行防范和应对的虚拟桌面模拟。
导语:COVID-19大流行促使广泛使用临床模拟来改进程序和实践。我们概述了我们在阿尔伯塔省初级保健(PC)诊所部署的虚拟桌面模拟(TTS)方法,加拿大。我们总结了这种方法在质量和安全方面的改进,并报告了最终用户对关键要素的看法。方法:我们的虚拟TTS使用远程会议软件和数字白板来引导诊所利益相关者通过患者场景。参与者回顾并排练了他们的工作流程和护理实践。目标是让员工对差距和共同设计的解决方案承担责任。模拟会议结束后,进行后续访谈以收集反馈。结果:这些会议帮助PC员工识别和共同设计临床危害和威胁的解决方案。这些措施包括患者通过诊所的流动、通信、物理空间的重新指定,以及对清洁和个人防护装备使用的指导进行调整。最终用户报告说,会议为讨论做法变化提供了中立空间,并建立了在大流行期间提供安全护理的信心。讨论:TTS尚未广泛应用于改善门诊环境的临床实践。我们展示了虚拟TTS如何通过提供一个指导空间来排练临床变化,从而弥合知识和实践之间的差距。我们表明,虚拟TTS可以在多种情况下使用,以帮助识别危险、提高安全性并建立专业团队的信心,以适应政策和实践的快速变化。虽然我们的课程是在艾伯塔省进行的,但我们的结果表明,这种方法可以应用于其他环境,包括低资源环境。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BMJ Simulation & Technology Enhanced Learning
BMJ Simulation & Technology Enhanced Learning HEALTH CARE SCIENCES & SERVICES-
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