Background/context The WHO (World Health Organisation) theatre checklist has been widely recognised in reducing clinical risk and improving patient safety in hospital theatres across the world. We are not aware of any other attempts to implement this approach in the Emergency Department setting.
Description of innovation An educational framework for teaching team Leadership was developed in the simulation environment and later modified to reflect the core components of the ‘WHO’ safety checklist. The framework was based on the acronym SPORT. Staffing, Patient factors, Organise the team, Resuscitation/Reception plan, Treatment, Tests, Thoughts.
This framework or checklist is now part of a standard operational framework for the Emergency Care pathway in Worthing as part of a project to standardise patient care through the Emergency Care pathway.
Methodology 85 Doctors, nurses and paramedics were interviewed and then practiced the handover of seriously ill patients without and with the use of the leadership framework. The framework was validated to see whether it was user friendly and reproducible in the simulation environment.
Results/outcomes The framework was almost unanimously acknowledged to be helpful in the preparation phase of emergency scenarios (83/85). It was also found to be reproducible without the need for a paper checklist.
Anecdotal feedback from staff within the department is that team leadership is felt to be stronger with the use of the framework. Educational supervisors have found the use of a standard helpful in teaching leadership to trainees who have had leadership issues reported.
Conclusions This project is an example of innovation as a consequence of simulation based medical education. The simulation environment can be used as a factory for developing, validating and stress testing frameworks or checklists prior to use in clinical operation.
Gawande A. The checklist manifesto – How to get things right. Profile Books, 2010
Scottish intercollegiate Guidelines network. SIGN 50 A guideline developers handbook: www.sign.ac.uk/pdf/sign50.pdf, October 2014
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