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• W2802979261 abstract "Background With a successful monthly paediatric simulation teaching already in place in our established simulation suite, the aim was to introduce multidisciplinary in situ sessions on the ward and in paediatric emergency department (ED) to help with team work, identify latent errors and improve patient safety. Methodology Local ‘champions’ of education from each discipline were invited to help tailor to the learning needs for each clinical area, including using common themes from incident reports. The champions informed their departments the planned sessions. Feedback was collected with anonymous written questionnaires immediately following the debrief. A form was designed to capture the latent errors and strengths identified from the scenarios, and any changes made were tracked centrally. Results and Outcomes A total of 5 in situ sessions were successfully delivered on the general ward for paediatric and ED staff between July 2016-May 2017. The feedback was overwhelmingly positive, with scores of 4–5/5 including on learner satisfaction and in improvement on knowledge or performance. We found that by taking simulation to the clinical workplace, we had more participation from doctors and especially nurses than with the previous monthly set-up. The most well-received sessions were the ones paired with part-task workshops including skills and communication. The nurses particularly enjoyed the workshops, helping gain their competencies. 3 in situ sessions were delivered in the ED. These sessions were approached differently as the aim was to have as many of the MDT present in manging acutely unwell children. Again, the feedback scores were overwhelmingly positive with scores of 4.5–5/5. On average, 1 latent error was identified from each in situ session including ‘do we have a paediatric difficult airway trolley in resus?’ and missing guidelines. One week following the bronchiolitis session, 2 staff members reported that the session directly impacted positively on their management of a real patient with bronchiolitis. As many disciplines were involved, there were many obstacles. Preparation and communication were key to enabling the sessions to be delivered on each occasion. Conclusion and Recommendations The journey of running this programme in paediatrics has taught the faculty on how to approach obstacles and how to maximise on the support, which is easily transferrable to any specialty in situ simulation programme and will make any program sustainable. The added bonus of correcting the identified latent errors and the direct effect on patient care further adds to staff engagement." @default.
• W2802979261 created "2018-05-17" @default.
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• W2802979261 date "2017-11-01" @default.
• W2802979261 modified "2023-09-26" @default.
• W2802979261 title "P27 The trials and tribulations of setting up a sustainable paediatric multidisciplinary in situ programme in a district general hospital" @default.
• W2802979261 doi "https://doi.org/10.1136/bmjstel-2017-aspihconf.111" @default.
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