Clinical simulation as a tool to facilitate culture change in healthcare: Practical application of advanced learning theory
Keywords:
Colonoscopy, Anesthesia, Systemic, Inflammatory, Response Syndrome, Culture, Patiente
Abstract
Introduction: Healthcare continues to grow in complexity. Numerous publications have confirmed that most adverse events are caused by inherent problems within the processes being used, which implies that reengineering the systems can reduce the incidence of error.
Objective: To understand the value of team education with clinical simulation to promote a systems-oriented, multidisciplinary team-driven, patient-centered approach for optimal patient outcomes.
Methodology: We present several simulation-based strategies as an example on how to cope with changes at the organizational level.
Results: After simulation based training inter-professional teams were able to safely provide sedation for colonoscopy, and to enhance teamwork for early detection and goal-directed treatment of sepsis in the surgical ward.
Conclusion: Clinical simulation provides a safe environment to reorganize care and train professionals to work in teams.
References
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12. Amstrong E, Parsa-Parsi R. How can physicians' learning styles drive educational planning? Acad Med. 2005;80: 680-4.
13. Lachman VD, Smith ME, Donnelly GF. Teaching innovation. Nurs Admin Quart. 2006;33:205-11.
14. Chen YC. Restructuring the organizational culture of Medical Institutions: a study on a Community Hospital in the I-Lan area. J Nurs Res. 2008;16:211-8.
15. Ramírez LJ, Moreno MA, Gardner L, Gómez LM, Calderón M, Sáenz X, et al. Modelo de enseñanza de las habilidades psicomotoras básicas en anestesia para estudiantes de ciencias de la salud: sistematización de una experiencia. Rev Colomb Anestesiol. 2008;36: 85-92.
16. Ruiz-Parra AI, Angel Müller E, Guevara O. La simulación clínica y el aprendizaje en las tecnologías complementarias para la educación médica. Rev Fac Med. 2009;57:67-79.
17. Rincón DA, Navarro JR. Comparación de dos métodos usados para el reconocimiento de arritmias: experimento educativo controlado en estudiantes de medicina. Rev Colomb Anestesiol. 2009;37:41-8.
18. Ospina JM, Manrique-Abril FG, Martinez-Martin AF. La formación de médicos generales según los requerimientos del sistema general de seguridad social en salud en Colombia. Rev Colomb Anestesiol. 2012;40:124-6.
19. Cohen ER, Feinglass J, Barsuk JH, Barnard C, O'Donnell A, McGaghie WC, et al. Cost savings from reduced catheter-related bloodstream infection after simulation-based education for residents in a medical intensive care unit. Simul Healthcare. 2010;5: 98-102.
20. Amornyotin S, Prakanrattana U, Kachintorn U, Chalayonnavin W, Kongphlay S. Propofol based sedation does not increase rate of perforation during colonoscopy. Eur J Anaesthesiol. 2010;27 Suppl. 1:37.
21. Dumonceau JM, Riphaus A, Aparicio JR, Beilenhoff U, Knape JTA, Ortmann M. European Society of Gastrointestinal Endoscopy. European Society of Gastroenterology and Endoscopy Nurses and Associates, and the European Society of Anaesthesiology guideline: non-anesthesiologist administration of propofol for GI endoscopy. Endoscopy. 2010;42:960-74.
22. Sancho R, Terán A, Maestre JM, editors. Highly realistic simulation as a useful learning tool for non-anaesthesiologist sedation skills in gastrointestinal endoscopy. 18th annual conference of the Society in Europe for simulation applied to medicine, SESAM 2012 Safer practices in healthcare. 2012.
23. Zendejas B, Cook DA, Bingener J, Huebner M, Dunn WF, Sarr MG, et al. Simulation-based mastery learning improves patient outcomes in laparoscopic inguinal hernia repair: a randomized controlled trial. Ann Surg. 2011;254:502-11.
24. Paige JT, Kozmenko V, Yang T, Gururaja RP, Hilton CW, Cohn I, et al. High-fidelity, simulation-based, interdisciplinary operating room team training at the point of care. Surgery. 2009;145:138-46.
25. Cagigas C, Manuel-Palazuelos JC, Martínez A, Maestre JM, Ramos E, Gómez-Fleitas M. Sepsis management in the hospital ward after a multidisciplinary simulation training program. In: 17th annual meeting of the Society in Europe for simulation applied to medicine, SESAM 2011. 2011.
26. Maestre JM, Del Moral I. A view at the practical application of simulation in professional education. Trends Anaesth Crit Care. 2013;3:146-51.
2. Inst Med. Crossing the quality chasm: a new health system for the 21st century. Washington, DC: National Academy Press; 2001.
3. Fabri PJ, Zayas-Castro JL. Human error, not communication and systems, underlies surgical complications. Surgery. 2008;144:557-65.
4. Maestre JM, Alonso A. Interdisciplinary human simulation. In: Wilson L, Rockstraw L, editors. Human simulation for nursing and health professions. New York: Springer Publishing Company; 2011.
5. Scott T, Mannion R, Davies HTO, Marshall MN. Implementing culture change in health care: theory and practice. Int J Qual Health Care. 2003;15:111-8.
6. Osorio J, Paredes E. Process re-engineering in public hospitals: re-inventing of the wheel? Rev Esp Salud Publica. 2001;75:193-206.
7. Schein EH. Kurt Lewin's change theory in the field and in the classroom: notes toward a model of managed learning [http://www.document]; 1995. http://www.a2zpsychology.com/articles/kurtlewin'schangetheory.htm [09.09.04].
8. Reason J. Beyond the organisational accident: the need for "error wisdom" on the frontline. Qual Saf Health Care. 2004;c13 Suppl. II:ii28-33.
9. Reid PP, Compton WD, Grossman JH, Fanjiang G, editors. Building a better delivery system: a new engineering/health care partnership. Washington, DC: National Academies Press; 2005.
10. Dunn WF, Murphy JG, Ziv A. Re-engineering healthcare via medical simulation tools. Chest. 2011;140:840-3.
11. Dunn WF. Education theory: does simulation really fit? In: Dunn WF, editor. Simulators in critical care and beyond. Des Plaines, IL: SCCM Press; 2004, 130P.
12. Amstrong E, Parsa-Parsi R. How can physicians' learning styles drive educational planning? Acad Med. 2005;80: 680-4.
13. Lachman VD, Smith ME, Donnelly GF. Teaching innovation. Nurs Admin Quart. 2006;33:205-11.
14. Chen YC. Restructuring the organizational culture of Medical Institutions: a study on a Community Hospital in the I-Lan area. J Nurs Res. 2008;16:211-8.
15. Ramírez LJ, Moreno MA, Gardner L, Gómez LM, Calderón M, Sáenz X, et al. Modelo de enseñanza de las habilidades psicomotoras básicas en anestesia para estudiantes de ciencias de la salud: sistematización de una experiencia. Rev Colomb Anestesiol. 2008;36: 85-92.
16. Ruiz-Parra AI, Angel Müller E, Guevara O. La simulación clínica y el aprendizaje en las tecnologías complementarias para la educación médica. Rev Fac Med. 2009;57:67-79.
17. Rincón DA, Navarro JR. Comparación de dos métodos usados para el reconocimiento de arritmias: experimento educativo controlado en estudiantes de medicina. Rev Colomb Anestesiol. 2009;37:41-8.
18. Ospina JM, Manrique-Abril FG, Martinez-Martin AF. La formación de médicos generales según los requerimientos del sistema general de seguridad social en salud en Colombia. Rev Colomb Anestesiol. 2012;40:124-6.
19. Cohen ER, Feinglass J, Barsuk JH, Barnard C, O'Donnell A, McGaghie WC, et al. Cost savings from reduced catheter-related bloodstream infection after simulation-based education for residents in a medical intensive care unit. Simul Healthcare. 2010;5: 98-102.
20. Amornyotin S, Prakanrattana U, Kachintorn U, Chalayonnavin W, Kongphlay S. Propofol based sedation does not increase rate of perforation during colonoscopy. Eur J Anaesthesiol. 2010;27 Suppl. 1:37.
21. Dumonceau JM, Riphaus A, Aparicio JR, Beilenhoff U, Knape JTA, Ortmann M. European Society of Gastrointestinal Endoscopy. European Society of Gastroenterology and Endoscopy Nurses and Associates, and the European Society of Anaesthesiology guideline: non-anesthesiologist administration of propofol for GI endoscopy. Endoscopy. 2010;42:960-74.
22. Sancho R, Terán A, Maestre JM, editors. Highly realistic simulation as a useful learning tool for non-anaesthesiologist sedation skills in gastrointestinal endoscopy. 18th annual conference of the Society in Europe for simulation applied to medicine, SESAM 2012 Safer practices in healthcare. 2012.
23. Zendejas B, Cook DA, Bingener J, Huebner M, Dunn WF, Sarr MG, et al. Simulation-based mastery learning improves patient outcomes in laparoscopic inguinal hernia repair: a randomized controlled trial. Ann Surg. 2011;254:502-11.
24. Paige JT, Kozmenko V, Yang T, Gururaja RP, Hilton CW, Cohn I, et al. High-fidelity, simulation-based, interdisciplinary operating room team training at the point of care. Surgery. 2009;145:138-46.
25. Cagigas C, Manuel-Palazuelos JC, Martínez A, Maestre JM, Ramos E, Gómez-Fleitas M. Sepsis management in the hospital ward after a multidisciplinary simulation training program. In: 17th annual meeting of the Society in Europe for simulation applied to medicine, SESAM 2011. 2011.
26. Maestre JM, Del Moral I. A view at the practical application of simulation in professional education. Trends Anaesth Crit Care. 2013;3:146-51.
How to Cite
1.
Maestre JM, Manuel-Palazuelos JC, Del Moral I, Simon R. Clinical simulation as a tool to facilitate culture change in healthcare: Practical application of advanced learning theory. Colomb. J. Anesthesiol. [Internet]. 2014 Apr. 1 [cited 2024 Apr. 23];42(2):124-8. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/598
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Published
2014-04-01
How to Cite
1.
Maestre JM, Manuel-Palazuelos JC, Del Moral I, Simon R. Clinical simulation as a tool to facilitate culture change in healthcare: Practical application of advanced learning theory. Colomb. J. Anesthesiol. [Internet]. 2014 Apr. 1 [cited 2024 Apr. 23];42(2):124-8. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/598
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