Abstract
Simulation-based methods are regularly used to train inter-professional groups of healthcare providers at academic medical centers (AMC). These techniques are used less frequently in community hospitals. Bringing in-situ simulation (ISS) from AMCs to community sites is an approach that holds promise for addressing this disparity. This type of programming allows academic center faculty to freely share their expertise with community site providers. By creating meaningful partnerships community-based ISS facilitates the communication of best practices, distribution of up to date policies, and education/training. It also provides an opportunity for system testing at the community sites. In this article, we illustrate the process of implementing an outreach ISS program at community sites by presenting four exemplar programs. Using these exemplars as a springboard for discussion, we outline key lessons learned discuss barriers we encountered, and provide a framework that can be used to create similar simulation programs and partnerships. It is our hope that this discussion will serve as a foundation for those wishing to implement community-based, outreach ISS.
Highlights
Gaps in care exist between academic medical centers (AMCs) and community hospitals, especially regarding the quality of care provided to critically ill neonates and children [1, 2] Only 20% of the 5700 hospitals in the USA are AMC’s and the majority of care is provided in community-based hospital settings [3]
This study demonstrated variable adherence to pediatric cardiac arrest guidelines across a spectrum of emergency departments (ED)
Overall adherence was not associated with ED pediatric volume
Summary
Gaps in care exist between academic medical centers (AMCs) and community hospitals, especially regarding the quality of care provided to critically ill neonates and children [1, 2] Only 20% of the 5700 hospitals in the USA are AMC’s and the majority of care is provided in community-based hospital settings [3]. Several more studies in high risk fields of trauma, pediatric cardiac intensive care, and OB/GYN assessed the use of ISS for interdisciplinary team training, improving team readiness, and enhancing provider comfort during critical events [8, 9, 24,25,26]. These studies were able to show improvement in simulated patient care that translated into real patient settings after implementation of ISS programs at AMCs [6, 7, 9, 10]
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