- 1 Institute of Education in Medical and Dental Sciences, University of Aberdeen, Aberdeen, UK
- 2 Emergency Department, NHS Grampian, Aberdeen, UK
- 3 Acute Stroke Unit, NHS Grampian, Aberdeen, UK
- Correspondence to Dr Craig William Brown, Institute of Education in Medical and Dental Sciences, University of Aberdeen, Aberdeen AB25 2ZD, UK;
Simulation-based training has been used in a variety of ways to demonstrate and improve process elements of patient care. One example of this is in improving door-to-needle times in hyperacute stroke care. Changes in service by one team which affect another bring difference of opinions between service providers involved and can lead to interdepartmental conflict. In this report, we use Kurt Lewin’s model for change to describe how a series of multiperspective simulation-based exercises were used in implementing a change in practice with the introduction of telethrombolysis within a large tertiary stroke referral hospital. The use of multiperspective or bidirectional simulation allowed a ‘meeting of minds’ with each service able to illustrate key themes to the other service. This was demonstrated through a series of simulation-based exercises. Following successful simulation-based exercises and subsequent interdepartmental agreement, a telethrombolysis pilot has been conducted within our centre. Ongoing audit of practice continues as this method of treatment delivery is continued. Further simulation work is planned as a national thrombectomy service is instigated.
Data availability statement
Data sharing not applicable as no datasets generated and/or analysed for this study.
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Contributors CWB conducted the ED-led simulations, drafted the initial manuscript and approved the final version. PE conducted the stroke-led simulations, made significant contributions to the manuscript, conducted the survey and approved the final version.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.
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