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首页> 外文期刊>The joint commission journal on quality and patient safety >Development of a Novel and Scalable Simulation-Based Teamwork Training Model Using Within-Group Debriefing of Observed Video Simulation
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Development of a Novel and Scalable Simulation-Based Teamwork Training Model Using Within-Group Debriefing of Observed Video Simulation

机译：在观察到的视频模拟中，使用内部汇报的小组汇率开发了一种新颖和可扩展的模拟的配合培训模型

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摘要

The Challenge: Effective teamwork and communication skills are essential for safe and reliable health care. These skillsrequire training and practice. Experiential learning is optimal for training adults, and the industry has recognized simulationtraining as an exemplar of this approach. Yet despite decades of investment, this training is inaccessible and underutilizedfor most of the more than 12 million health care professionals in the United States.Designing a Solution: This report describes the design process of an adapted simulation training created to overcomethe key barriers to scaling simulation-based teamwork training: access to technology, time away from clinical work, andavailability of trained simulation educators. The prototype training is designed for delivery in one-hour segments and relieson observation of video simulation scenarios and within-group debriefing, which are promising variations on traditionalsimulation training. To our knowledge, these two simulation approaches have not been previously combined. The resultingprototype minimizes the need for an on-site trained simulation educator. This report details the development of a trainingmodel, its subsequent modification based on pilot testing, and the evaluation of the resulting redesigned prototype.Preliminary Evaluation: Participant evaluations of the redesigned prototype were highly positive, with 92% reportingthat they would like to participate in additional, similar training sessions. Positive results were also found in assessment offeasibility, acceptability, psychological safety, and behavioral intention (reported intention to alter behavior).
机译：挑战：有效的团队合作和沟通技巧对于安全可靠的医疗保健至关重要。这些技能需要培训和练习。经验学习是培训成年人的最佳选择，该行业已认识到模拟作为这种方法的示例培训。然而，尽管投资数十年，但这种培训无法进入和未充分利用对于美国大多数超过1200万的医疗保健专业人员。设计解决方案：本报告介绍了创建的适应性仿真培训的设计过程扩展仿真的团队培训的关键障碍：访问技术，远离临床工作的时间，培训的模拟教育者的可用性。原型培训专为在一个小时的段中提供交付并依赖于关于观察视频仿真情景与集团内汇报，对传统有前途的变化仿真培训。据我们所知，这两种模拟方法尚未结合。所结果的原型最小化了对现场培训的模拟教育器的需求。本报告详细了解培训模型，其后续修改基于导频测试，以及所得重新设计的原型的评估。初步评估：重新设计原型的参与者评估高度阳性，报告92％他们希望参加额外的类似培训课程。在评估中也发现了阳性结果可行性，可接受性，心理安全和行为意图（报告的意图改变行为）。

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