Background The use of simulation in teaching and assessment has been extensively studied.1 Simulation’s utility in improving the work environment is less extensively described.2 Our hospital is redeveloping its Emergency Department. As part of this, we are building a new resuscitation suite consisting of 10 single-patient resuscitation rooms. We aim to assess the use of simulation in ensuring that the design of these resuscitation rooms is fit for purpose.
Methodology A scale sized mock-up of a resuscitation room has been constructed. It has been fitted out with pendants, monitors, resuscitation equipment, IT systems and storage areas in order to ensure that it is representative of the new rooms. The design will be tested using simulation. A trauma scenario has been chosen in order ensure the maximum number of participants are in the room. The simulation will be video -recorded. Following the simulation, participants will undergo a debrief session which will focus on the lay out and ergonomics of the room.
Attention will focus on the size of the room, the ease of access of the patient into and out of the room and the ease of access of medical and nursing staff to the patient. We will also examine the location of patient monitors, pendants, storage areas, IT systems and work areas.
The mock-up suite will be modified as a result of information garnered from the first simulation and the exercise then repeated. Again the simulation will be video-recorded and participants debriefed.
Results The first simulation session has been completed. It showed the size of the room was adequate, with good ease of access. Modifications have been made as a result of feedback and a second simulation will test these.
Potential impact We anticipate that simulation will help ensure that infrastructure redevelopments in healthcare are fit for purpose.
Ross AJ, et al. Review of simulation studies in anaesthesia journals, 2001-2010: mapping and content analysis. Br J Anaesth 2012;109(1):99–109
Gray et al. Using clinical simulation centres to test design interventions: a pilot study of lighting and colour modifications. HERD 2012 Spring; 5(3):46–65
- Category: Course or curriculum evaluation/innovation/integration
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