Navigating the Learning & Simulation Center

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1 Navigating the Learning & Simulation Center Using Simulation to Improve and Enhance Patient Safety Photo courtesy of The Center for Medical Simulation, Cambridge, MA With Support from:

2 Welcome to the NPSF Learning & Simulation Center To illustrate the use of medical simulation as a patient safety tool, the National Patient Safety Foundation has created a series of simulated clinical settings in a fictional context called Sunshine Regional Hospital. As you explore and interact at each station throughout the NPSF Learning & Simulation Center, consider how the experiences at Sunshine Regional Hospital can be applied to your own organization as you strive for safer care. The Learning & Simulation Center includes five core simulation demonstrations, as well as a series of exhibit booth presentations by NPSF partners that highlight their patient safety solution expertise. Use this booklet as a navigation tool to guide you through Sunshine Regional Hospital s simulated clinical settings. Each simulation will provide an opportunity to participate through discussion, demonstration and hands-on interaction to enhance learning, create a standard of care and implement patient safety principles. As you visit the simulation scenarios you will find that our demonstrations are designed to include active participation from all Congress attendees. Your involvement will be an integral part of the learning experience. NPSF extends sincere thanks to the many organizations and individuals who have devoted their time and expertise to the design and development of this innovative simulation program, which would not have been possible without their insight, knowledge and unwavering commitment to patient safety. 2

3 Learning & Simulation Center Hours Monday, May 17 6:00 8:00pm Tuesday, May 18 12:15 1:45pm 5:00 7:00pm Wednesday, May 19 12:15 1:45pm Patient Safety Risks Challenge Reducing the Risk of Central Line Infections and Complications using Guidelines, Checklists and Simulation Simulation for Use Testing of Medical Devices NPSF ENTRANCE Learning & Simulation Center Floor Plan 3

4 Learning & Simulation Center Objectives: Apply effective learning and teaching methods in diverse healthcare settings Develop skills for enhancing communication and teamwork education through the use of simulation scenarios Recognize how simulation and time for debriefing provide important task-training opportunities for clinicians and staff Gain familiarity with the use of simulation for technology use testing Apply techniques to help your organization meet national regulatory standards Patient Safety Solutions As you navigate through Sunshine Regional Hospital you ll notice that all of the simulation scenarios demonstrate real-world patient safety solutions. The practical solutions you will take away will be applicable to the following healthcare areas: Shared Decision Tools Communication Healthcare-Associated Infections National Regulatory Compliance Health Reform Patient and Family Engagement Medication Safety Healthcare Information Technology 4

5 Simulation for Use Testing of Medical Devices Booth 506 Core Simulation 1 The Sunshine Regional Hospital is in the process of purchasing new smart pump technology and is evaluating various pumps for usability. They have decided to use simulation to evaluate and compare the smart pumps in order to determine which best fits their needs. Jeffrey B. Cooper, PhD Executive Director, Center for Medical Simulation Ignacio del Moral, MD, PhD Executive Director, Hospital Virtual Valdecilla Roxane Gardner, MD, MPH Co-Director, Labor and Delivery Program, Center for Medical Simulation Jordan Halasz, ASEE Director of Technology, Center for Medical Simulation Learning Objectives: Gain familiarity with how to use simulation prior to purchase, during design or for comparative analysis of new technology and products Understand decision making around product and device safety Materials and equipment for this simulation have been provided by: 3M Health Care Baxter Healthcare Corporation B-Line Medical Hill-Rom Hospira Laerdal Medical Corporation 5

6 Reducing the Risk of Central Line Infections and Complications Using Guidelines, Checklists and Simulation Booth 517 Core Simulation 2 Sunshine Regional Hospital is providing education and task-training in the ICU around optimal clinical methods to prevent central line infections and encourage the use of shared decision making tools. Haru Okuda, MD, FACEP Assistant Vice President & Director, Institute for Medical Simulation and Advanced Learning, New York City Health and Hospitals Corporation Timothy Clapper, MA Associate Director - Education, Institute for Medical Simulation and Advanced Learning, New York City Health and Hospitals Corporation Learning Objectives: Develop techniques to reduce central line related complications Discuss Pay for Performance and National Patient Safety Goals Develop communication skills between nurse and physician Identify risks associated with central line infections Materials and equipment for this simulation have been provided by: 3M Health Care AmerisourceBergen Arrow, A Teleflex Medical Brand BIOPATCH Products Hill-Rom Posey Company Simulab Corporation Sonosite, Inc. 6

7 Effective Management of Shoulder Dystocia Applying Cognitive, Technical and Teamwork Skills (TeamSTEPPS ) Booth 106 Core Simulation 3 The Labor and Delivery Unit at Sunshine Regional Hospital is providing an all-day workshop using simulation to demonstrate effective learning techniques using a human patient simulator as well as hybrid simulation methods. Robin Wootten, MBA, RN Executive Director, Society for Simulation in Healthcare Marion Constable, RN, MSN, CNM Consultant to The Doctors Company OB Collaborative and Simulation Program Dieter Zimmer, MHA, FAAMA Regional Vice President for Patient Safety, Northwest Region, The Doctors Company Victoria H. Rollins, MHA, RN, CPHRM Regional Patient Safety/Risk Manager, The Doctors Company Learning Objectives: Demonstrate effective maneuvers in the management of shoulder dystocia Demonstrate teamwork principles using the TeamSTEPPS program methodology Illustrate proper patient safety behaviors that meet Joint Commission safety goals Materials and equipment for this simulation have been provided by: 3M Health Care Gaumard Scientific Hill-Rom Laerdal Medical Corporation McKesson Posey Company Stryker Medical 7

8 Handoffs and Critical Communication Booth 218 Core Simulation 4 The Sunshine Regional Hospital Emergency Department s goal is to reduce errors occuring during handoffs and improve communication. With support from executive leadership, the department is going to participate in handoff and communication simulation training led by leaders at the Department of Defense Patient Safety Program. Michael Rosen, PhD Booz Allen Hamilton and Contractor, Department of Defense, Patient Safety Program Lt. Col. Donald W. Robinson, DO Office of the Assistant Secretary of Defense (Health Affairs), Director, Patient Safety Eric Singdahlsen, MFA Booz Allen Hamilton and Contractor, Department of Defense, Patient Safety Program, National Capital Area Simulation Center Learning Objectives: Improve staff communication Discuss the use of structured protocols when authority for patient care changes Apply techniques for use of a standardized patient in simulation exercises Materials and equipment for this simulation have been provided by: 3M Health Care 8

9 Patient Safety Risks Challenge Booth 421 Core Simulation 5 We welcome you to Sunshine Regional Hospital s celebration of National Patient Safety Awareness Week which is celebrated annually the second week of March. As you walk through this scenario, can you identify and address the risks to patients safe care in this area? Use the supplementary response form available at this booth to note your findings. David Birnbach, MD, MPH Professor and Vice Provost, University of Miami, Associate Dean and Director, UM-JMH Center for Patient Safety Ilya Shekhter, MBA Medical Simulation Manager, UM-JMH Center for Patient Safety Ruth Everett-Thomas, RN Research and Training Specialist, UM-JMH Center for Patient Safety Learning Objectives: Gain familiarity of the use of simulation in educating participants about best practices for patient safety Discuss effective communication Identify risks to patient safety Materials and equipment for this simulation have been provided by: 3M Health Care Hill-Rom Laerdal Medical Corporation Posey Company 9

10 Patient Safety Solutions Fair Each year, Sunshine Regional Hospital invites solution providers to their Annual Patient Safety Solutions Fair to provide information and education to hospital staff and community members. Throughout this fair you will find demonstrations focused on highlighting important patient safety solutions. Avoiding Inadvertent Lung Volume Reduction During Endotracheal Suctioning Booth 507 Facilitation provided by: Ohio Medical Corporation This scenario will demonstrate the application of inadvertent oversuctioning to an intubated and ventilated lung model. Participants will discover the importance of appropriately occluding flow while setting vacuum pressure on a vacuum regulating device and how this maneuver prevents lung volume reduction from occurring. David Vines, MHS, RRT, FAARC, Acting Program Chair, Rush University Dennis Cook, BSRT, RRT, Director of Clinical Excellence Glenn Hawkes, MEd, BS, Clinical Simulation Technical Director Optimizing Workflow Efficiency Through Process Transformation Booth 407 Facilitation provided by: AmerisourceBergen This demonstration will use Lean workshops to evaluate medication processes from the pharmacy to the bedside. Participants will learn about necessary multidisciplinary representation, tools used to gather critical information, and the methods by which one can identify and eliminate waste in order to create a safer medication process. 10 Traci Parker, RN, CPHIT, Clinical Consultant, AmerisourceBergen Claire Biermaas, Manager, Market Development, AmerisourceBergen

11 Patient Safety Solutions Fair Association of perioperative Registered Nurse s (AORN) Comprehensive Surgical Checklist Booth 308 Facilitation provided by: AORN This scenario will demonstrate the use of AORN s Comprehensive Surgical Checklist to promote correct site surgery. Additional resources that will be available include the following tool kits: Correct Site Surgery, Fire Safety, Safe Medication Administration and Patient Hand Off. Participants will learn the importance of effective communication tools to promote safety and optimal outcomes for patients undergoing operative and other invasive procedures. Brian Tepp, Director of Membership Charlotte Guglielmi, RN, President, AORN Linda Groah, RN, Executive Director, CEO, AORN Scanning of Individual Sponges for Prevention of RFO: The Best Decision Your Hospital Can Make This Year Booth 213 Facilitation provided by: SurgiCount Medical This scenario will demonstrate the use of simulation to evaluate computer assisted sponge counting in the surgical arena. Participants will learn how the addition of adjunct technology to the manual counting process minimizes the risk of retained foreign objects, thus providing an environment for optimal patient safety. Lori Schneeman, RN, BSN, CNOR, Manager, Surgical Services Ruth Vaiden, RN, CNOR(E), CRNFA(E), Vice President Clinical Development and Education Nicolas Soichet, Vice President Operations 11

12 Patient Safety Solutions Fair A Comprehensive Guide to Patient Safety Booth 321 Facilitation provided by: Posey Company This scenario will demonstrate the utilization of a Least-to-Most Restrictive Product Guide and how it can be incorporated into a facility s policies and procedures. The guide follows Centers for Medicare & Medicaid Services and the Joint Commission regulatory requirements and will focus on disruption in medical treatment, and unassisted bed and chair exit. Gary Platzman, VP of Sales & Marketing Dalia Lomeli, MA, Marketing Communications Manager Best Practice Examples for Care Transitions Booth 220 Facilitation provided by: Sanofi-Aventis Sanofi-Aventis U.S. will demonstrate the tools of the National Transitions of Care Coalition (NTOCC). Mike Osborn, SE, Quality Initiatives Director Sally Hinkle, RN, BSN, MPA, Quality Initiatives Manager Rachel Couchenour, PharmD, BCPS, Director, External Affairs Integrated Solutions that Streamline Medication Management Booth 509 Facilitation provided by: Hospira Hospira will demonstrate the Hospira MedNet Platform with autoprogramming that enables full-pump automated documentation of infusions as well as the VeriScan Rx Medication Administration System that simplifies safety with a clinician-friendly bar code system. Sara Huff, RN, VeriScan Sales Executive Chris Tenley, Manager, Systems Technology Dan Zemaitis, Sales Engineer, System Technology Group NPSF extends sincere thanks to its Corporate Council Members for providing critical resources toward the development of the simulation program. McKesson Hospira AmerisourceBergen 12 SurgiCount Medical Sanofi-Aventis Posey Company 3M Health Care Ohio Medical Corpoation AORN NCSBN BST BOSCH Total Benchmark Solution

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