+ Site Statistics
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Simulation at the point of care: reduced-cost, in situ training via a mobile cart

Simulation at the point of care: reduced-cost, in situ training via a mobile cart

Pediatric Critical Care Medicine 10(2): 176-181

The rapid growth of simulation in health care has challenged traditional paradigms of hospital-based education and training. Simulation addresses patient safety through deliberative practice of high-risk low-frequency events within a safe, structured environment. Despite its inherent appeal, widespread adoption of simulation is prohibited by high cost, limited space, interruptions to clinical duties, and the inability to replicate important nuances of clinical environments. We therefore sought to develop a reduced-cost low-space mobile cart to provide realistic simulation experiences to a range of providers within the clinical environment and to serve as a model for transportable, cost-effective, widespread simulation-based training of bona-fide workplace teams. Descriptive study. A tertiary care pediatric teaching hospital. A self-contained mobile simulation cart was constructed at a cost of $8054 (mannequin not included). The cart is compatible with any mannequin and contains all equipment needed to produce a high quality simulation experience equivalent to that of our on-site center--including didactics and debriefing with videotaped recordings complete with vital sign overlay. Over a 3-year period the cart delivered 57 courses to 425 participants from five pediatric departments. All individuals were trained among their native teams and within their own clinical environment. By bringing all pedagogical elements to the actual clinical environment, a mobile cart can provide simulation to hospital teams that might not otherwise benefit from the educational tool. By reducing the setup cost and the need for dedicated space, the mobile approach provides a mechanism to increase the number of institutions capable of harnessing the power of simulation-based education internationally.

(PDF emailed within 0-6 h: $19.90)

Accession: 055783962

Download citation: RISBibTeXText

PMID: 19188878

DOI: 10.1097/PCC.0b013e3181956c6f

Related references

The Tuscan Mobile Simulation Program: a description of a program for the delivery of in situ simulation training. Internal and Emergency Medicine 11(6): 837-841, 2016

Mobile in situ obstetric emergency simulation and teamwork training to improve maternal-fetal safety in hospitals. Joint Commission Journal on Quality and Patient Safety 36(10): 443-453, 2011

The ScanTrainer obstetrics and gynaecology ultrasound virtual reality training simulator: A cost model to determine the cost viability of replacing clinical training with simulation training. Ultrasound 23(2): 110-115, 2015

Innovative Varied-Fidelity Simulation Mobile Teaching Cart and Education Project. Journal of Emergency Nursing: Jen 41(5): 423-427, 2015

Interprofessional team training in pediatric resuscitation: a low-cost, in situ simulation program that enhances self-efficacy among participants. Clinical Pediatrics 50(9): 807-815, 2012

A surgical endoscopic training program supplemented by a mobile videoendoscopy cart design and implementation. Surgical Endoscopy 4(1): 61, 1990

An integrative review of in situ simulation training: Implications for critical care nurses. Canadian Journal of Critical Care Nursing 27(1): 22-31, 2016

In situ, multidisciplinary, simulation-based teamwork training improves early trauma care. Journal of Surgical Education 68(6): 472-477, 2012

High-fidelity, simulation-based, interdisciplinary operating room team training at the point of care. Surgery 145(2): 138-146, 2009

Attitudinal changes resulting from repetitive training of operating room personnel using of high-fidelity simulation at the point of care. American Surgeon 75(7): 584-90; Discussion 590-1, 2009

Interactive internet-based clinical education: an efficient and cost-savings approach to point-of-care test training. Telemedicine Journal and E-Health 17(5): 335-340, 2011

Cost savings from reduced catheter-related bloodstream infection after simulation-based education for residents in a medical intensive care unit. Simulation in Healthcare 5(2): 98-102, 2010

In situ simulation-based team training for post-cardiac surgical emergency chest reopen in the intensive care unit. Anaesthesia and Intensive Care 37(1): 74-78, 2009

A study to assess the influence of interprofessional point of care simulation training on safety culture in the operating theatre environment of a university teaching hospital. Journal of Interprofessional Care 30(2): 251-253, 2016

Comparing the utility of a novel neonatal resuscitation cart with a generic code cart using simulation: a randomised, controlled, crossover trial. Bmj Quality & Safety 22(2): 124-129, 2015