Simulation-Based Training Methods in Improving Patient Safety

  • Fina Natalia Universitas Diponegoro
  • Luky Dwiantoro Universitas Diponegoro
  • Agus Santoso Universitas Diponegoro
Keywords: patient safety and nursing, simulation, training

Abstract

Patient safety is one area that is interacted into all fields of health. The patient safety program at the hospital as one of the conditions that must be evaluated through the accreditation process, to encourage specific improvements in patient safety. The growing movement to reduce medical errors through innovative methods for teaching skills by shifting to the use of simulation through interventions in maintaining basic procedural skills. The training method is carried out using a simulation approach, a situation that must be displayed as closely as possible to the actual situation but only an imitation. Objective: To discuss simulation-based training methods in improving patient safety. A systematic review through a literature review sourced from Science Direct, EBSCO, ProQuest, ClinicalKey and Pubmed was taken from 2015-2020, with keywords for search training, simulation, patient safety and nursing. From 7 reviewed journals found simulation-based training methods can improve the application of patient safety: (i) increase the knowledge and skills developed and have a positive impact on patient safety, (ii) improve team performance by interactive learning and changing individual behaviour, (iii) improve team communication through the development of knowledge, skills and attitudes. Simulation-based training can be input for hospitals and education to be used as a method of patient safety learning that is ongoing, consistent and continuously evaluates the results.

References

Andersen, P., Downer, T., Spencer, A., & Willcocks, K. (2019). Using Observational Simulation Teaching Methods in Professional Development to Address Patient Safety. Collegian, 1–6. https://doi.org/10.1016/j.colegn.2019.07.005
Boling, B., Hardin-Pierce, M., Jensen, L., & Hassan, Z. U. (2016). Evaluation of a High-Fidelity Simulation Training Program for New Cardiothoracic Intensive Care Unit Nurses. Seminars in Thoracic and Cardiovascular Surgery, 1(1), 1–6. https://doi.org/10.1053/j.semtcvs.2016.11.001
Cresswell, K. M., Panesar, S. S., Salvilla, S. A., Carson-Stevens, A., Larizgoitia, I., Donaldson, L. J., … Kieny, M. P. (2013). Global Research Priorities to Better Understand the Burden of Iatrogenic Harm in Primary Care: An International Delphi Exercise. PLOS Medicine, 10(11), 1–7. https://doi.org/10.1371/journal.pmed.1001554
Dedy, N. J., Bonrath, E. M., Ahmed, N., & Grantcharov, T. P. (2016). Structured Training to Improve Nontechnical Performance of Junior Surgical Residents in The Operating Room: A Randomized Controlled Trial. Annals of Surgery, 263(1), 43–49. https://doi.org/10.1097/SLA.0000000000001186
Depkes. (2008). Paduan Nasional Keselamatan Pasien Rumah Sakit. 1–82.
Gardner, A. K., Abdelfattah, K., Wiersch, J., Ahmed, R. A., & Willis, R. E. (2015). Embracing Errors in Simulation-Based Training: The Effect of Error Training on Retention and Transfer of Central Venous Catheter Skills. Journal of Surgical Education, 72(6), e158–e162. https://doi.org/10.1016/j.jsurg.2015.08.002
Gjeraa, K., MØller, T. P., & Østergaard, D. (2014). Efficacy of Simulation-Based Trauma Team Training of Non-Technical Skills A Systematic Review. Acta Anaesthesiologica Scandinavica, 58(7), 775–787. https://doi.org/10.1111/aas.12336
Hobgood, C., Sherwood, G., Frush, K., Hollar, D., Maynard, L., Foster, B., … Taekman, J. (2010). Teamwork Training With Nursing and Medical Students: Does The Method Matter? Results of An Interinstitutional, Interdisciplinary Collaboration. Quality and Safety in Health Care, 19(6), 1–7. https://doi.org/10.1136/qshc.2008.031732
Hwang, J. I., Yoon, T. Y., Jin, H. J., Park, Y., Park, J. Y., & Lee, B. J. (2016). Patient Safety Competence for Final-Year Health Professional Students: Perceptions of Effectiveness of An Interprofessional Education Course. Journal of Interprofessional Care, 30(6), 732–738. https://doi.org/10.1080/13561820.2016.1218446
Joseph, S., Diack, L., Garton, F., & Haxton, J. (2012). Interprofessional Education in Practice. The Clinical Teacher, 9(1), 27–31. https://doi.org/10.1111/j.1743-498X.2011.00486.x
Kendall-Gallagher, D., & Blegen, M. A. (2009). Competence and erCtification of Registered Nurses and Safety of Patients in Intensive Care Units. American Journal of Critical Care, 18(2), 106–113. https://doi.org/10.4037/ajcc2009487
Kim, Y. M., Yoon, Y. S., Hong, H. C., & Min, A. (2019). Effects of A Patient Safety Course Using A Flipped Classroom Approach Among Undergraduate Nursing Students: A Quasi-Experimental Study. Nurse Education Today, 79, 180–187. https://doi.org/10.1016/j.nedt.2019.05.033
Kneebone, R. (2003). Simulation in surgical training: Educational issues and practical implications. Medical Education, 37, 267–277. https://doi.org/10.1046/j.1365-2923.2003.01440.x
Komite Keselamatan Pasien Rumah Sakit. (2015). Pedoman Pelaporan Insiden Keselamatan Pasien (IKP). 25.
Lagoo, J., Singal, R., Berry, W., Gawande, A., Lim, C., Paibulsirijit, S., & Havens, J. (2018). Development and Feasibility Testing of a Device Briefing Tool and Training to Improve Patient Safety During Introduction of New Devices in Operating Rooms: Best Practices and Lessons Learned. Journal of Surgical Research, 1–8. https://doi.org/10.1016/j.jss.2019.05.056
Lee, M. Y., & Kim, S. S. (2018). A Safety Simulation Program for Operating Room Nurses. Clinical Simulation in Nursing, 18, 6–13. https://doi.org/10.1016/j.ecns.2017.12.005
Lucena-Amaro, S. (2018). Creating a sustainable simulation programme for enhancing patient safety in a critical care setting. BMJ Simulation and Technology Enhanced Learning, bmjstel-2018-000405. https://doi.org/10.1136/bmjstel-2018-000405
Mangkunegara, P. (2008). Manajemen Sumberdaya Manusia. In Perusahaan Remaja Rosdakarya. Elsevier B.V.
McGaghie, W. C., Issenberg, S. B., Petrusa, E. R., & Scalese, R. J. (2010). A Critical Review of Simulation-based Medical Education Research: 2003-2009. Medical Education, 44(1), 50–63. https://doi.org/10.1111/j.1365-2923.2009.03547.x
Mullen, L., & Byrd, D. (2013). Using Simulation Training to Improve Perioperative Patient Safety. AORN Journal, 97(4), 419–427. https://doi.org/10.1016/j.aorn.2013.02.001
Neily, J., Young-xu, Y., Carney, B. T., West, P., Berger, D. H., Mazzia, L. M., … Bagian, J. P. (2010). Associatioin Between Implemation of a Medical Team Training Program. American Medical Association, 304(15), 1693–1700.
O’Leary, J. D., Wijeysundera, D., N., M., & Crawford, M. W. (2016). Effect of Surgical Safety Checklists on Pediatric Surgical Complications in Ontario. Canadian Medical Association Journal, 1–9. https://doi.org/10.1503/cmaj.151333
Oh, P. J., Jeon, K. D., & Koh, M. S. (2015). The Effects of Simulation-Based Learning Using Standardized Patients in Nursing Students: A Meta-analysis. Nurse Education Today, 35(5), e6–e15. https://doi.org/10.1016/j.nedt.2015.01.019
Philibert, I., Friedmann, P., & Williams, W. T. (2002). New requirements for resident duty hours. Journal of the American Medical Association, 288(9), 1112–1114. https://doi.org/10.1001/jama.288.9.1112
Pitts, S. I., Maruthur, N. M., Luu, N. P., Curreri, K., Grimes, R., Nigrin, C., … Peairs, K. S. (2017). Implementing The Comprehensive Unit-Based Safety Program (CUSP) to Improve Patient Safety in an Academic Primary Care Practice. Joint Commission Journal on Quality and Patient Safety, 1–7. https://doi.org/10.1016/j.jcjq.2017.06.006
Reime, M. H., Johnsgaard, T., Kvam, F. I., Aarflot, M., Breivik, M., Engeberg, J. M., & Brattebø, G. (2016). Simulated Settings; Powerful Arenas for Learning Patient Safety Practices and Facilitating Transference to Clinical Practice. A Mixed Method Study. Nurse Education in Practice, 21, 75–82. https://doi.org/10.1016/j.nepr.2016.10.003
Rogers, D. A., Boehler, M. L., Schwind, C. J., Meier, A. H., Wall, J. C. H., & Brenner, M. J. (2012). Engaging Medical Students in The Feedback Process. American Journal of Surgery, 203(1), 21–25. https://doi.org/10.1016/j.amjsurg.2011.07.009
Sheen, J. J., & Goffman, D. (2019). Emerging Role of Drills and Simulations in Patient Safety. Obstetrics and Gynecology Clinics of North America, 46(2), 305–315. https://doi.org/10.1016/j.ogc.2019.01.009
Sherwood, G. (2011). Integrating Quality and Safety Science in Nursing Education and Practice. Journal of Research in Nursing, 16(3), 226–240. https://doi.org/10.1177/1744987111400960
Sherwood, G., & Barnsteiner, J. (2012). Quality and Safety in Nursing: A Competency Approach to Improving Outcomes. Journal of Nursing Regulation, 3(4), 64. https://doi.org/10.1016/s2155-8256(15)30190-3
Sutoto. (2011). Standar Akreditasi Rumah Sakit: Edisi 1.
The Australian Commission on Safety and Quality in Health Care. (2012). National Safety and Quality Health Service Standards. Retrieved from http://www.safetyandquality.gov.au/wp-content/uploads/2011/09/NSQHS-Standards-Sept-2012.pdf.
Westli, H. K., Johnsen, B. H., Eid, J., Rasten, I., & Brattebø, G. (2010). Teamwork Skills, Shared Mental Models, and Performance In Simulated Trauma Teams: An Independent Group Design. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 18(1), 1–8. https://doi.org/10.1186/1757-7241-18-47
Published
2020-06-27
How to Cite
Natalia, F., Dwiantoro, L., & Santoso, A. (2020). Simulation-Based Training Methods in Improving Patient Safety. Jurnal Keperawatan, 12(3), 481-492. https://doi.org/https://doi.org/10.32583/keperawatan.v12i3.803
Section
Articles

Most read articles by the same author(s)