Perceptions of a trauma team regarding in situ simulation

• Published in: Canadian Journal of Surgery Vol. 64; p. S38
• Main Authors: Bednarek, Olga, Jessula, Sam, Minor, Samuel
• Format: Journal Article
• Language: English
• Published: Ottawa CMA Impact, Inc 01-10-2021
• Subjects: Perceptions; Polls & surveys; Simulation
• ISSN: 0008-428X; 1488-2310

Background: In situ simulation shows promise as an effective training tool for trauma; however, its disruptive nature is a major downside. Although the benefits of in situ simulation in trauma have been described, the potential perceived harms of running an unscheduled simulation using working staff are unknown. The aim of this study is to assess trauma team members' perceptions regarding the value of in situ simulation relative to its perceived impact on patient care. Methods: We conducted a longitudinal survey study including all members of the multidisciplinary trauma team at the Halifax Infirmary, a level 1 trauma centre in Nova Scotia. Following an in situ simulation, participants were given a 10-question survey with answers on a 5-point Likert scale. Results: A total of 61 surveys were collected. Survey respondents were grouped into allied health (nurses, paramedics, respiratory therapists; 44%), learners (residents and medical students; 44%) and other (staff physicians, those who did not specify their role; 12%). Respondents felt that participating in the in situ simulation delayed (28%) or compromised patient care (5%) infrequently. No respondents felt that patients were harmed. In situ simulation was felt to identify important safety issues (70%), improve trauma team communication (89%) and improve trauma patient care (89%). The in situ simulation was considered enjoyable (92%) and was identified as a good educational experience (95%). It was felt by participants that simulations should continue to be done in situ in the trauma bay rather than in a sim laboratory (54%). Conclusion: The trauma in situ simulation program at the Halifax Infirmary is not felt to cause delays or compromise patient care. The program is considered to be a good learning opportunity that identifies safety issues and improves patient care.