Proceedings of the Saudi Health Simulation Conference 2018

Advances in Simulation 2018, 3(Suppl 1):6 https://doi.org/10.1186/s41077-018-0065-6 MEETING ABSTRACTS Open Access Proceedings of the Saudi Health Simulation Conference 2018 Published: 23 April 2018 A1 The impact of simulation-based training on teamwork and communication in the Emergency Department: a pre-test post-test evaluation Aida Darweish1, Ali Alshareef1, Shayma Millibary2, Shahad Bafakeer3, Malak BinShihon3, Leen Othman3 1 Emergency Department, Jeddah, Saudi Arabia; 2Quality Department, National Guard Health Affairs Hospital (NGHA), Jeddah, Saudi Arabia; 3 College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia Advances in Simulation 2018, 3(Suppl 1):A1 Background: Poor communication and teamwork in the Emergency Department (ED) carries high safety risk for patients. A strategy to prevent or minimize medical errors is by simulation-based teamwork and communication training. This study provided simulation-based training to the ED staff in the National Guard Health Affairs hospital (NGHA), Jeddah, Saudi Arabia. The TeamSTEPPS curriculum was used to improve teamwork, communication, and reduce medical errors. Methods: This is a single-subject experimental design research with the intervention incorporating simulation-based training in ED cases. The study focused on 3 domains. 1) Patient safety in the ED, 2) Interprofessional and multidisciplinary simulation team training, 3) Team dynamic enhancement by using TeamSTEPPS principles. There were three phases: 1) A pre-intervention perception survey using T-TPQ (TeamSTEPPS - Teamwork Perceptions Questionnaire), 2) 18 multidisciplinary full-day sessions through simulation that were followed by focused brief on site sessions (FBOS) in the ED on a weekly basis, 3) Post-intervention staff perception assessment using T-TPQ (Fig. 1). Results: The survey covered five different aspect of teamwork including: Team Function, Leadership, Situation Monitoring, Mutual Support and Communication. Overall staff perceptions of teamwork in the ED: the response in pre-test was 69% (n = 1850) “Agree”, 27% (n = 724) “Neutral” and 4% (n = 121) “Disagree”. The overall response improved significantly post-test with the p-value <0.0001. “Agree” increased by 15% to be 80% (n = 3058), “Neutral” decreased by 36% to be 17% (n = 653), and “Disagree” response decreased by 39% to be 3% (n = 104) (Fig. 2). Conclusion: The results showed improvement in perceptions of improved teamwork and communication behaviour among ED staff. This is likely to have led to avoidance of medical errors. A feature of the training was follow up in the clinical environment. A further phase of utilizing TEAM assessment tools in the real ER environment will be conducted to further confirm the effectiveness of simulatedbased training that is integrated with clinical practice. References 1. Graban, M. (2016). Lean hospitals: improving quality, patient safety, and employee engagement: CRC Press. 2. King, H. B., Battles, J., Baker, D. P., Alonso, A., Salas, E., Webster, J., Toomey, L., Salisbury, M. (2008). TeamSTEPPSTM: team strategies and tools to enhance performance and patient safety. In: Henriksen, K., Battles. J.B., Keyes, M.A., Grady, M.L., editors. Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 3: Performance and Tools). Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Aug. 3. Cooper, S., Cant, R., Porter, J., Sellick, K., Somers, G., Kinsman, L., & Nestel, D. (2010). Rating medical emergency teamwork performance: development of the Team Emergency Assessment Measure (TEAM). Resuscitation, 81(4), 446-452. Fig. 1 (abstract A1). See text for description Fig. 2 (abstract A1). Respondents’ ratings in Perceptions of Teamwork Questionnaire (n = 1850). * The research IRB approval has been taken from the KAIMARC (King Abdullah International Medical Research Centre) A2 Healthcare simulation in Jordan: current situation and future vision Fadwa N. Alhalaiqa Faculty of Nursing, Philadelphia University, Amman, Jordan Advances in Simulation 2018, 3(Suppl 1):A2 Objective: To review published literature on issues related to the use of healthcare simulation in Jordan. Methods: Although simulation is increasingly being developed and deployed worldwide to train healthcare personnel (Ahmed, et al., 2010), in Jordan it is still not fully developed and faces many challenges. This paper reviews published literature on any issues with regards to use of simulation among health care providers in Jordan in order to identify the current situation and future vision. MEDLINE, CINAHL, ERIC, EBSCO, Scopus, Psychinfo and PubMed databases were searched for research papers published up to December 2017 that © The Author(s). 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. Advances in Simulation 2018, 3(Suppl 1):6 identified simulation use among healthcare providers in Jordan. Reference lists of related articles were also searched for descriptive quantitative and qualitative studies. Results: Ten studies were identified, of which nine met inclusion criteria. Eight studies used experimental designs to determine the effect of simulation (Akhu-Zaheya, Gharaibeh, & Alostaz, 2013; AlRefaie, Fouad, Li, & Shurrab, 2014; Aqel & Ahmad, 2014; Basheti, 2014; Tawalbeh, 2016; Tawalbeh & Tubaishat, 2014; Toubasi, Alosta, Darawad, & Demeh, 2015; Tubaishat & Tawalbeh, 2015). Six studies were conducted by researchers with a nursing background and two by pharmacists. One study investigated attitudes and perceptions of students toward simulations. All experimental studies reported significant results and improvement in skills, knowledge acquisition, knowledge retention, and self-efficacy and confidence among simulation users (Akhu-Zaheya, et al., 2013; Al-Refaie, et al., 2014; Aqel & Ahmad, 2014; Basheti, 2014; Tawalbeh, 2016; Tawalbeh & Tubaishat, 2014; Toubasi, et al., 2015; Tubaishat & Tawalbeh, 2015). Jordanian nursing students’ attitudes and perceptions were generally in favor of simulation. Conclusion: Use of simulation among healthcare providers (particularly nursing) increased their knowledge and skills and very likely resulted in increased quality of care. Although there are promising results of simulation use in Jordan, it is not well developed. This may be associated with many challenges (e.g. high cost, lack of teamwork approach, lack of policy maker support, curriculum reform chall (...truncated)