A Neonatal Intensive Care Unit’s Experience with Implementing an In-Situ Simulation and Debriefing Patient Safety Program in the Setting of a Quality Improvement Collaborative
Extensive neonatal resuscitation is a high acuity, low-frequency event accounting for approximately 1% of births. Neonatal resuscitation requires an interprofessional healthcare team to communicate and carry out tasks efficiently and effectively in a high adrenaline state. Implementing a neonatal pa...
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MDPI AG
2020-10-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/7/11/202 |
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doaj-0ceb4ede0a8c46998ff91ab161652b002021-04-02T11:24:20ZengMDPI AGChildren2227-90672020-10-01720220210.3390/children7110202A Neonatal Intensive Care Unit’s Experience with Implementing an In-Situ Simulation and Debriefing Patient Safety Program in the Setting of a Quality Improvement CollaborativeMary Eckels0Terry Zeilinger1Henry C. Lee2Janine Bergin3Louis P. Halamek4Nicole Yamada5Janene Fuerch6Ritu Chitkara7Jenny Quinn8Maternal Newborn Services, St. Jude Medical Center, Fullerton, CA 92835, USAMaternal Newborn Services, St. Jude Medical Center, Fullerton, CA 92835, USANeonatal Intensive Care Unit, Lucile Packard Children’s Hospital, Stanford, CA 94305, USACalifornia Perinatal Quality Care Collaborative (CPQCC), Stanford, CA 94305, USANeonatal Intensive Care Unit, Lucile Packard Children’s Hospital, Stanford, CA 94305, USANeonatal Intensive Care Unit, Lucile Packard Children’s Hospital, Stanford, CA 94305, USANeonatal Intensive Care Unit, Lucile Packard Children’s Hospital, Stanford, CA 94305, USANeonatal Intensive Care Unit, Lucile Packard Children’s Hospital, Stanford, CA 94305, USACalifornia Perinatal Quality Care Collaborative (CPQCC), Stanford, CA 94305, USAExtensive neonatal resuscitation is a high acuity, low-frequency event accounting for approximately 1% of births. Neonatal resuscitation requires an interprofessional healthcare team to communicate and carry out tasks efficiently and effectively in a high adrenaline state. Implementing a neonatal patient safety simulation and debriefing program can help teams improve the behavioral, cognitive, and technical skills necessary to reduce morbidity and mortality. In <i>Simulating Success</i>, a 15-month quality improvement (QI) project, the Center for Advanced Pediatric and Perinatal Education (CAPE) and California Perinatal Quality Care Collaborative (CPQCC) provided outreach and training on neonatal simulation and debriefing fundamentals to individual teams, including community hospital settings, and assisted in implementing a sustainable program at each site. The primary Aim was to conduct two simulations a month, with a goal of 80% neonatal intensive care unit (NICU) staff participation in two simulations during the implementation phase. While the primary Aim was not achieved, in-situ simulations led to the identification of latent safety threats and improvement in system processes. This paper describes one unit’s QI collaborative experience implementing an in-situ neonatal simulation and debriefing program.https://www.mdpi.com/2227-9067/7/11/202neonatal simulationsimulationdebriefingquality improvementcollaborativeneonatal intensive care unit |
| collection |
DOAJ |
| language |
English |
| format |
Article |
| sources |
DOAJ |
| author |
Mary Eckels Terry Zeilinger Henry C. Lee Janine Bergin Louis P. Halamek Nicole Yamada Janene Fuerch Ritu Chitkara Jenny Quinn |
| spellingShingle |
Mary Eckels Terry Zeilinger Henry C. Lee Janine Bergin Louis P. Halamek Nicole Yamada Janene Fuerch Ritu Chitkara Jenny Quinn A Neonatal Intensive Care Unit’s Experience with Implementing an In-Situ Simulation and Debriefing Patient Safety Program in the Setting of a Quality Improvement Collaborative Children neonatal simulation simulation debriefing quality improvement collaborative neonatal intensive care unit |
| author_facet |
Mary Eckels Terry Zeilinger Henry C. Lee Janine Bergin Louis P. Halamek Nicole Yamada Janene Fuerch Ritu Chitkara Jenny Quinn |
| author_sort |
Mary Eckels |
| title |
A Neonatal Intensive Care Unit’s Experience with Implementing an In-Situ Simulation and Debriefing Patient Safety Program in the Setting of a Quality Improvement Collaborative |
| title_short |
A Neonatal Intensive Care Unit’s Experience with Implementing an In-Situ Simulation and Debriefing Patient Safety Program in the Setting of a Quality Improvement Collaborative |
| title_full |
A Neonatal Intensive Care Unit’s Experience with Implementing an In-Situ Simulation and Debriefing Patient Safety Program in the Setting of a Quality Improvement Collaborative |
| title_fullStr |
A Neonatal Intensive Care Unit’s Experience with Implementing an In-Situ Simulation and Debriefing Patient Safety Program in the Setting of a Quality Improvement Collaborative |
| title_full_unstemmed |
A Neonatal Intensive Care Unit’s Experience with Implementing an In-Situ Simulation and Debriefing Patient Safety Program in the Setting of a Quality Improvement Collaborative |
| title_sort |
neonatal intensive care unit’s experience with implementing an in-situ simulation and debriefing patient safety program in the setting of a quality improvement collaborative |
| publisher |
MDPI AG |
| series |
Children |
| issn |
2227-9067 |
| publishDate |
2020-10-01 |
| description |
Extensive neonatal resuscitation is a high acuity, low-frequency event accounting for approximately 1% of births. Neonatal resuscitation requires an interprofessional healthcare team to communicate and carry out tasks efficiently and effectively in a high adrenaline state. Implementing a neonatal patient safety simulation and debriefing program can help teams improve the behavioral, cognitive, and technical skills necessary to reduce morbidity and mortality. In <i>Simulating Success</i>, a 15-month quality improvement (QI) project, the Center for Advanced Pediatric and Perinatal Education (CAPE) and California Perinatal Quality Care Collaborative (CPQCC) provided outreach and training on neonatal simulation and debriefing fundamentals to individual teams, including community hospital settings, and assisted in implementing a sustainable program at each site. The primary Aim was to conduct two simulations a month, with a goal of 80% neonatal intensive care unit (NICU) staff participation in two simulations during the implementation phase. While the primary Aim was not achieved, in-situ simulations led to the identification of latent safety threats and improvement in system processes. This paper describes one unit’s QI collaborative experience implementing an in-situ neonatal simulation and debriefing program. |
| topic |
neonatal simulation simulation debriefing quality improvement collaborative neonatal intensive care unit |
| url |
https://www.mdpi.com/2227-9067/7/11/202 |
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