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The Value Of Simulation Training For Healthcare 2015

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The Value Of Simulation Training For Healthcare 2015

  1. 1. The Value Of Simulation Training For Healthcare Professionals Alex Rawlings
  2. 2. Introduction • Why Simulation ? • Benefits of Simulation • Value in other Industries • Simulation in Healthcare • Driving Forces • The Value of Basic and Advanced Simulation • Nurturing The Professional • Into the Future
  3. 3. The Value Of Simulation
  4. 4. Why Simulation ? • Experiential Learning Theory • Intellectual comprehension requires experiential foundation. Kinaesthetic learning. Kolb 1984 • Mezirow, Freire stressed that the heart of all learning lies in the way we process experience, in particular, our critical reflection of experience • “I hear I forget, I see I remember, I do I learn” • Simulations allow the user to observe the impact of their choices without the outcomes having any impact on the real operation. Smith 1999
  5. 5. The Value Of Simulation In Other Fields
  6. 6. • Minimizing Training and Performance Risks • Limited Access to Real-Life Conditions • Need For Effective Training • Individual and Team- based training and assessment • Multiple forms of simulation used side by side • Good Investment
  7. 7. Medical Simulation In The Military MSTC Military Simulation Training Centre
  8. 8. The Department Of Defence is one of the largest fund producers in the USA • Simulation is recognised as an effective training tool Medical Simulation Training includes: • Casualty Assessment • War Trauma Response • Emergency Evacuations • Team Communication Training • After Action Assessment • Scenario Recreation from recorded data
  9. 9. Simulation Training In Healthcare
  10. 10. • Simulation is not new • Wang Weiyi 1027AD • Recognised the needs of students and patients
  11. 11. Used for the training of midwives. A tool for visualisation.
  12. 12. Driving Forces • To Err Is Human: Building A Safer Health System IOM 2000 Kohn, Corrigan and Donaldson Deaths due to preventable medical error estimated at 1.8 – 4% • Safety First DOH 2002 Patient Safety to be core focus of healthcare agenda • Design For Patient Safety DOH 2003 Attempted solutions based on paucity of knowledge of working system and needs of staff. NHS does not appear to see itself as a high risk industry
  13. 13. Basic Simulation
  14. 14. • Safe Learning Environment • Familiarisation • Foundations • Competence and Confidence
  15. 15. Advanced Simulation
  16. 16. Evolution of Simulation Training • Advance in Technology and Funding • Controlled Environments • The Willing Suspension Of Disbelief • Focussed training • Personal Skills and Mixed-Team Skills • Debriefing • Multi-disciplinary teaching teams • Raising Awareness • Human Factors
  17. 17. Advantages • Routine procedures and events can be practised and improved • Complex, unusual or rare situations can be practised • Unifying knowledge into synergistic whole • Making Passive knowledge into Active knowledge • Errors can be allowed to happen without intervention from a supervisor – gaining awareness of cause and effect • A learning environment which is immersive and engrossing
  18. 18. Associated Benefits • Learning what cannot be taught • Holistic awareness • Risk-free not stress-free • Mental and emotional preparation • Reflection as a tool for life • Communication and Decision Making • Analysis of Risk
  19. 19. Nurturing The Professional Core Values Of Professionals: • Safe • Accurate • Effective • Affective – Sensitive to the Psychological Dimension • Developing capabilities beyond competence Dr Ian Curran, Barts and London Medical Simulation Centre
  20. 20. Into The Future • Evolving Safety Culture • Human Factors • Raising Standards • Accreditation and Revalidation
  21. 21. “In the future, however, medical simulators must move beyond representing individual procedures to include environmental conditions, alternative equipment/instrument designs, team dynamics, organizational factors, and cultural issues” “Training systems must be merged with imaging, medical information, telemedicine, the internet and robotic systems to allow physicians to consider alternative diagnoses and treatments and to experiment with different therapies or rehearse procedures before committing to a course of action.” Scerbo “The Future of Medical Simulation And The Need For Human Factors”
  22. 22. Question “What kind of industry would ask people to perform complex, emergency tasks very well, NOT give them state of the art training, and punish them for failure?” Paul Preston MD
  23. 23. Conclusion • Not just valuable but vital • What medical staff deserve (they also enjoy it !) • It’s all about the patients

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