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SafePsych: improving patient safety by delivering high-impact simulation training on rare and complex scenarios in psychiatry

INTRODUCTION: Despite an evidence base demonstrating simulation to be an effective medical education tool, it is not commonly used in postgraduate psychiatry training as it is in other medical specialties. OBJECTIVE: This paper outlines the development and effectiveness of a hybrid-virtual simulatio...

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Autores principales: Tong, Kezanne, McMahon, Eimear, Reid-McDermott, Bronwyn, Byrne, Dara, Doherty, Anne M
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8438936/
https://www.ncbi.nlm.nih.gov/pubmed/34497099
http://dx.doi.org/10.1136/bmjoq-2021-001533
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author Tong, Kezanne
McMahon, Eimear
Reid-McDermott, Bronwyn
Byrne, Dara
Doherty, Anne M
author_facet Tong, Kezanne
McMahon, Eimear
Reid-McDermott, Bronwyn
Byrne, Dara
Doherty, Anne M
author_sort Tong, Kezanne
collection PubMed
description INTRODUCTION: Despite an evidence base demonstrating simulation to be an effective medical education tool, it is not commonly used in postgraduate psychiatry training as it is in other medical specialties. OBJECTIVE: This paper outlines the development and effectiveness of a hybrid-virtual simulation-based workshop designed to improve patient care by improving clinical skills of non-consultant hospital doctors (NCHDs) in detecting and managing rare and complex psychiatric emergencies. METHODS: Three clinical vignettes based on near-miss psychiatric cases were developed by a multidisciplinary team of physicians and nurses in psychiatry and experts in simulation-based medical education. The workshop, ‘SafePsych’ was delivered in a simulation laboratory while and broadcast via Zoom video-conferencing platform to observers. Debriefing followed each clinical scenario. Participants completed preworkshop and postworkshop questionnaires to evaluate clinical knowledge. RESULTS: The workshop was attended by consultants (n=12) and NCHDs in psychiatry and emergency medicine (n=19), and psychiatric nurses (n=5). In the psychiatry NCHD group, test scores significantly improved following the workshop (p<0.001). There were significant improvements in the test scores with a mean difference of 2.56 (SD 1.58, p<0.001). Feedback from participants and observers was positive, with constructive appraisals to improve the virtual element of the workshop. CONCLUSION: Simulation-based training is effective in teaching high risk, rare complex psychiatric cases to psychiatry NCHDs. Further exploration of the learning needs of nursing staff is required. Future workshop delivery is feasible in the COVID-19 environment and beyond, using a virtual element to meet social distancing requirements while enhancing the reach of the training.
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spelling pubmed-84389362021-09-24 SafePsych: improving patient safety by delivering high-impact simulation training on rare and complex scenarios in psychiatry Tong, Kezanne McMahon, Eimear Reid-McDermott, Bronwyn Byrne, Dara Doherty, Anne M BMJ Open Qual Quality Education Report INTRODUCTION: Despite an evidence base demonstrating simulation to be an effective medical education tool, it is not commonly used in postgraduate psychiatry training as it is in other medical specialties. OBJECTIVE: This paper outlines the development and effectiveness of a hybrid-virtual simulation-based workshop designed to improve patient care by improving clinical skills of non-consultant hospital doctors (NCHDs) in detecting and managing rare and complex psychiatric emergencies. METHODS: Three clinical vignettes based on near-miss psychiatric cases were developed by a multidisciplinary team of physicians and nurses in psychiatry and experts in simulation-based medical education. The workshop, ‘SafePsych’ was delivered in a simulation laboratory while and broadcast via Zoom video-conferencing platform to observers. Debriefing followed each clinical scenario. Participants completed preworkshop and postworkshop questionnaires to evaluate clinical knowledge. RESULTS: The workshop was attended by consultants (n=12) and NCHDs in psychiatry and emergency medicine (n=19), and psychiatric nurses (n=5). In the psychiatry NCHD group, test scores significantly improved following the workshop (p<0.001). There were significant improvements in the test scores with a mean difference of 2.56 (SD 1.58, p<0.001). Feedback from participants and observers was positive, with constructive appraisals to improve the virtual element of the workshop. CONCLUSION: Simulation-based training is effective in teaching high risk, rare complex psychiatric cases to psychiatry NCHDs. Further exploration of the learning needs of nursing staff is required. Future workshop delivery is feasible in the COVID-19 environment and beyond, using a virtual element to meet social distancing requirements while enhancing the reach of the training. BMJ Publishing Group 2021-09-08 /pmc/articles/PMC8438936/ /pubmed/34497099 http://dx.doi.org/10.1136/bmjoq-2021-001533 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Quality Education Report
Tong, Kezanne
McMahon, Eimear
Reid-McDermott, Bronwyn
Byrne, Dara
Doherty, Anne M
SafePsych: improving patient safety by delivering high-impact simulation training on rare and complex scenarios in psychiatry
title SafePsych: improving patient safety by delivering high-impact simulation training on rare and complex scenarios in psychiatry
title_full SafePsych: improving patient safety by delivering high-impact simulation training on rare and complex scenarios in psychiatry
title_fullStr SafePsych: improving patient safety by delivering high-impact simulation training on rare and complex scenarios in psychiatry
title_full_unstemmed SafePsych: improving patient safety by delivering high-impact simulation training on rare and complex scenarios in psychiatry
title_short SafePsych: improving patient safety by delivering high-impact simulation training on rare and complex scenarios in psychiatry
title_sort safepsych: improving patient safety by delivering high-impact simulation training on rare and complex scenarios in psychiatry
topic Quality Education Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8438936/
https://www.ncbi.nlm.nih.gov/pubmed/34497099
http://dx.doi.org/10.1136/bmjoq-2021-001533
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