Jessica C. Schoen, M.D., M.S.

Open

• Is in situ simulation in Emergency Medicine safe? A prospective analysis of in situ simulation on patient safety and experience in community and rural Emergency Departments Albert Lea, Minn., Rochester, Minn.

  The purpose of this study is to evaluate whether in situ simulation (ISS) adversely effects patient safety by evaluating quantitative surrogate markers including patient wait times, irregular departure rates, and reported patient safety events.  We will also evaluate ED staff/patient perceptions of the impact of ISS on workflow and experience.  Our findings may improve ISS design or refine existing best-practices.

  During in situ simulation (ISS), participants manage simulated patients within their typical clinical environments and multidisciplinary teams.  This approach improves realism and engagement, enhances learning, and makes the simulations more effective.  While ISS is known to improve patient safety through the detection of latent safety threats (LSTs) – previously unrecognized systems-based issues, the potential to disrupt or negative impact patient care actively occurring alongside the simulation is an underexplored area of risk.