129 Using Simulation to Identify System Issues in the Emergency Department

Abstract

simulation (ISS) has previously been shown to be an effective tool for identifying system issues in healthcare The aim of the present study was to describe how ISS has been used to identify and address system issues in an ED setting.Each week a simulated case is selected to address specific clinical presentations and to bring out a range of clinical and non-clinical learning points. The scenarios are run in the ED using a low-fidelity mannequin and a monitor ‘app’. The scenario is run in real time, participants are required to locate and identify real kit; medications are required to be collected and additional help/senior advice is to be sought in the way that the participants would do in normal practice. After each scenario, there is a debrief, facilitated by the ISS team, in which the participants discuss and identify learning points as well as errors and systemic issues drawing both on the scenario and wider clinical experience. These points are collated and written up in the ‘MYSIM’ (an infographic sharing learning points) and distributed through a range of channels to all ED staff. Where practical solutions are required, the team feeds these back to the relevant senior nursing staff or management team to address these issues. demonstrates the system issues that we have identified and addressed so far through ISS.System issues identified and addressed so far through ISSBy running ISS, we have identified and addressed a number of system issues, which, through shared learning, has seen changes within the ED and ISS continues to be a valuable tool for improving patient safety.