In situ simulation in a time of pandemic
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Published:2021-07-13
Issue:3
Volume:6
Page:95-98
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ISSN:2424-9270
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Container-title:The Asia Pacific Scholar
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language:en
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Short-container-title:TAPS
Author:
Thng Shin Ying1,
Leong Bao Yu Geraldine1,
Goh Guat Keng Yvonne1,
Tan Ching Ching Elaine1,
Goh Jimmy Kock Keng1,
Kuan Kaibin Kelvin1
Affiliation:
1. Emergency Department, Changi General Hospital, Singapore
Abstract
Introduction: Singapore was one of the earliest countries affected by the COVID-19 outbreak, requiring our emergency department to respond urgently to this surge. A designated Fever Area (FA) with a resuscitation room was rapidly set up to manage patients at risk of COVID-19. Our paper describes measures put into this new area to optimise safety outcomes of these patients.
Methods: Plan-Do-Study-Act (PDSA) cycles incorporating in-situ simulation in the FA resuscitation room were conducted. Using varied resuscitation scenarios and facilitated debriefing, we identified safety gaps and took immediate steps to rectify them in a collaborative manner involving various respective stakeholders.
Results: Following reflective debriefing and studying of work processes, latent safety threats were identified resulting in successful improvements and modifications to protocols, equipment, staffing and processes in the FA resuscitation area.
Conclusion: PDSA cycles involving in-situ simulation helped to identify safety threats and refine work processes in a newly set up FA facility. As a result, our healthcare team was more prepared to manage the complexities of COVID-19 patients in a high-risk environment.
Publisher
Yong Loo Lin School of Medicine
Subject
Health Professions (miscellaneous),Education,Reviews and References (medical),Medicine (miscellaneous)