Background The Royal United Hospital Bath NHS Foundation Trust has successfully gained funding for a 12 month project from Health Education England South West’s Development Grant, to support simulation, human factors and patient safety education: demonstrating commitment to the concordat.1 The appointment of 2 Simulation and Human Factors Fellows, with a background of nursing in Resuscitation and Critical Care, and a Physiotherapy Lead for ITU is an example of joint inter-professional working at its best.
The project aims to utilise simulation based education methods to develop technical and non-technical skills for allied healthcare professionals, working in multi-disciplinary teams, to improve competence and confidence in responding to deteriorating patients.2
One sub-project has been the introduction of suction training to therapists working on a Stroke Ward within the RUH. The aim is to teach the technical skill of suction and explore the non-technical skills associated with managing an acutely unwell patient.
Methodology Staff received theory and practical skills training in the simulation suite. Simulation is utilised to test the acquisition of the skill and explore the associated clinical human factors.
Outcomes Staff completed pre and post questionnaires to measure the levels of staff’s confidence in their ability to suction appropriately. Staff have been asked to keep a log of every time they suction, which includes details of the indication for use, any escalation of calls for assistance and the patient outcome.3
Potential impact The expectation is that more therapists are competent to suction and patient care improves as a result of timely intervention.4
This small project is an example of addressing clinical need, collaboration between professionals, putting the patient at the heart of simulation based education.
National Quality Board. Human factors in healthcare a concordat from national quality board [Online]. Available at: http://www.england.nhs.uk/wp-content/uploads/2013/11/nqb-hum-fact-concord.pdf, 2013
Salas, et alet al. Creating new realities in healthcare: the status of simulation-based training as a patient safety improvement strategy. BMJ Qual Saf 2013;22:449–425
Mardon J. Sepsis 6 bundle delivery in the emergency department. Simulation and video feedback enables real quality improvement. BMJ Simulat Technol Enhanced Learn, ASPiH 11-13 November 2014: A4
Draycott, et alet al. Does training in obstetric emergencies improve neonatal outcome? BJOG 2006;113:177–182
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