P23\u2005Evaluation of the impact of in situ simulation on non technical skills of the anaesthetic team in antrim area hospital (AAH)

Abstract

Background Simulation is now an integral part of training of healthcare professionals. Simulation based medical education has traditionally been conducted in off site simulation suites. In situ simulation involves team based training through replication of uncommon high risk clinical scenarios with health care professionals acting in their normal roles, within their usual working environment. It is now emerging that in situ simulation has additional benefits when compared to simulation conducted in designated sim suites. It has been shown to improve non technical skills1, and there is emerging evidence that team based simulation can improve patient outcomes.2 The anaesthetic dept in Antrim hospital has implemented a program of regular in situ simulation. Sessions are conducted throughout the academic year, designed to mirror the seasonal variations in clinical work encountered in a district general hospital. In situ simulation runs quarterly, with sessions focusing on anaesthetic emergencies, paediatric emergencies, adult resuscitation and interhospital transfer of critically ill patients. Aim We aim to assess the impact of in situ simulation on non technical skills and to assess whether this ultimately translates to increased confidence of health care professionals in managing emergencies in clinical practice. Method Surveys were distributed to anaesthetic trainees and nurses assessing their experience of in situ simulation before and after completing the program at AAH. We postulate that team members will perceive an improvement in their non technical skills following the completion of in situ simulation in AAH Summary of results Given that the intervention for this project has run throughout the academic year, data is currently in the collection phase Recommendations/Conclusions Informal feedback from these sessions has been very positive. We anticipate that data may provide evidence to support implementation of similar programs throughout the trust and potentially involvement of other specialties References Weaver SJ, et al. Team-training in healthcare: a narrative synthesis of the literature. BMJ Qual Saf 2014;23:359–372. Goldschtein D, Krensky C, Doshi S et al. In situ simulation and its effect on patient outcomes: a systematic review. BMJ Simulation and Technology Enhanced Learning. 10.1136/bmjstel-2018-00038