gatward: guerilla sim: anywhere, anytime, anyone
DESCRIPTION
Gatward details the application of mobile and in-situ simulation training for medical teams.TRANSCRIPT
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Guerilla Sim: Anywhere, Anytime, Anyone
Jon GatwardRoyal Prince Alfred Hospital, Sydney
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Guerrilla..
noun
..a member of a small, independent mobile force taking part in irregular fighting, using hit-and-run tactics..
guerrilla warfare..referring to actions or activities performed in an impromptu way, often without authorization
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EXCLUSIVE: MEDICAL SIMULATON WORKS
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HIE rate
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Anywhere?
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$
$ 2, 0 0 0, 0 0 0
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Mobile Simulation
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$ $ 1, 5 0 0, 0 0 0
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$ $ 8, 0 0 0
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$ $ 0
Hit-and-run Sim
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www.sydneyhems.com
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www.sydneyhems.com
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www.sydneyhems.com
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www.sydneyhems.com
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www.sydneyhems.com
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www.sydneyhems.com Photos courtesy of Cliff Reid and Karel Habig
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In-situ simulation
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$ $ 1 5 0
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$ $ 2 0, 0 0 0
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Anytime?
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q No need for study leave or travel
q Can happen 24/7q Can be impromptu
q Pagersq Before/after
shiftq Shift overlap
Simulation in the workplace
q Taking staff away from patients
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Impromptu training?
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Anyone?
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Anyone?
Oh, just not smart. Even for you.
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Signal
Noise
Experience
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Mobile Simulation
Why go mobile?
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LATEST: IN-SITU SIMULATION WORKS
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Experienced, paid Faculty
Well equipped
Out of clinical context
Expensive
Leave from work
Often a one-off
May not reflect local practice
Course fees
Variable Faculty
Usual ward equipment
Normal working environment
Cheap
Intact, interdisciplinary teams
Repetition, patient journeys
Local case-mix and adverse incidents
Reveals system errors / latent threats
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What we do at RPA
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Tips for success
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Tips for successTime
FlexibilityPatients and relativesQI Unit specificBrief and debriefEquipmentData
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N = 300
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$90 million since 2011
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Summary
www.mobilesim.wordpress.com
o Simulation workso Mobile / in situ training has its
advantageso It can be done on the cheap,
buto There is money aroundo Money follows datao Still need experienced Facultyo Take care with debriefing