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A Neonatal Intensive Care Unit’s Experience with Implementing an In-Situ Simulation and Debriefing Patient Safety Program in the Setting of a Quality Improvement Collaborative

Extensive neonatal resuscitation is a high acuity, low-frequency event accounting for approximately 1% of births. Neonatal resuscitation requires an interprofessional healthcare team to communicate and carry out tasks efficiently and effectively in a high adrenaline state. Implementing a neonatal pa...

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Autores principales: Eckels, Mary, Zeilinger, Terry, Lee, Henry C., Bergin, Janine, Halamek, Louis P., Yamada, Nicole, Fuerch, Janene, Chitkara, Ritu, Quinn, Jenny
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7693971/
https://www.ncbi.nlm.nih.gov/pubmed/33137897
http://dx.doi.org/10.3390/children7110202
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author Eckels, Mary
Zeilinger, Terry
Lee, Henry C.
Bergin, Janine
Halamek, Louis P.
Yamada, Nicole
Fuerch, Janene
Chitkara, Ritu
Quinn, Jenny
author_facet Eckels, Mary
Zeilinger, Terry
Lee, Henry C.
Bergin, Janine
Halamek, Louis P.
Yamada, Nicole
Fuerch, Janene
Chitkara, Ritu
Quinn, Jenny
author_sort Eckels, Mary
collection PubMed
description Extensive neonatal resuscitation is a high acuity, low-frequency event accounting for approximately 1% of births. Neonatal resuscitation requires an interprofessional healthcare team to communicate and carry out tasks efficiently and effectively in a high adrenaline state. Implementing a neonatal patient safety simulation and debriefing program can help teams improve the behavioral, cognitive, and technical skills necessary to reduce morbidity and mortality. In Simulating Success, a 15-month quality improvement (QI) project, the Center for Advanced Pediatric and Perinatal Education (CAPE) and California Perinatal Quality Care Collaborative (CPQCC) provided outreach and training on neonatal simulation and debriefing fundamentals to individual teams, including community hospital settings, and assisted in implementing a sustainable program at each site. The primary Aim was to conduct two simulations a month, with a goal of 80% neonatal intensive care unit (NICU) staff participation in two simulations during the implementation phase. While the primary Aim was not achieved, in-situ simulations led to the identification of latent safety threats and improvement in system processes. This paper describes one unit’s QI collaborative experience implementing an in-situ neonatal simulation and debriefing program.
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spelling pubmed-76939712020-11-28 A Neonatal Intensive Care Unit’s Experience with Implementing an In-Situ Simulation and Debriefing Patient Safety Program in the Setting of a Quality Improvement Collaborative Eckels, Mary Zeilinger, Terry Lee, Henry C. Bergin, Janine Halamek, Louis P. Yamada, Nicole Fuerch, Janene Chitkara, Ritu Quinn, Jenny Children (Basel) Article Extensive neonatal resuscitation is a high acuity, low-frequency event accounting for approximately 1% of births. Neonatal resuscitation requires an interprofessional healthcare team to communicate and carry out tasks efficiently and effectively in a high adrenaline state. Implementing a neonatal patient safety simulation and debriefing program can help teams improve the behavioral, cognitive, and technical skills necessary to reduce morbidity and mortality. In Simulating Success, a 15-month quality improvement (QI) project, the Center for Advanced Pediatric and Perinatal Education (CAPE) and California Perinatal Quality Care Collaborative (CPQCC) provided outreach and training on neonatal simulation and debriefing fundamentals to individual teams, including community hospital settings, and assisted in implementing a sustainable program at each site. The primary Aim was to conduct two simulations a month, with a goal of 80% neonatal intensive care unit (NICU) staff participation in two simulations during the implementation phase. While the primary Aim was not achieved, in-situ simulations led to the identification of latent safety threats and improvement in system processes. This paper describes one unit’s QI collaborative experience implementing an in-situ neonatal simulation and debriefing program. MDPI 2020-10-29 /pmc/articles/PMC7693971/ /pubmed/33137897 http://dx.doi.org/10.3390/children7110202 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Eckels, Mary
Zeilinger, Terry
Lee, Henry C.
Bergin, Janine
Halamek, Louis P.
Yamada, Nicole
Fuerch, Janene
Chitkara, Ritu
Quinn, Jenny
A Neonatal Intensive Care Unit’s Experience with Implementing an In-Situ Simulation and Debriefing Patient Safety Program in the Setting of a Quality Improvement Collaborative
title A Neonatal Intensive Care Unit’s Experience with Implementing an In-Situ Simulation and Debriefing Patient Safety Program in the Setting of a Quality Improvement Collaborative
title_full A Neonatal Intensive Care Unit’s Experience with Implementing an In-Situ Simulation and Debriefing Patient Safety Program in the Setting of a Quality Improvement Collaborative
title_fullStr A Neonatal Intensive Care Unit’s Experience with Implementing an In-Situ Simulation and Debriefing Patient Safety Program in the Setting of a Quality Improvement Collaborative
title_full_unstemmed A Neonatal Intensive Care Unit’s Experience with Implementing an In-Situ Simulation and Debriefing Patient Safety Program in the Setting of a Quality Improvement Collaborative
title_short A Neonatal Intensive Care Unit’s Experience with Implementing an In-Situ Simulation and Debriefing Patient Safety Program in the Setting of a Quality Improvement Collaborative
title_sort neonatal intensive care unit’s experience with implementing an in-situ simulation and debriefing patient safety program in the setting of a quality improvement collaborative
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7693971/
https://www.ncbi.nlm.nih.gov/pubmed/33137897
http://dx.doi.org/10.3390/children7110202
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