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Enhancing departmental preparedness for COVID-19 using rapid-cycle in-situ simulation.
Dharamsi, A; Hayman, K; Yi, S; Chow, R; Yee, C; Gaylord, E; Tawadrous, D; Chartier, L B; Landes, M.
  • Dharamsi A; Emergency Department, University Health Network, Toronto, Canada; Department of Medicine, Division of Emergency Medicine, University of Toronto, Toronto, Canada. Electronic address: alia.dharamsi@gmail.com.
  • Hayman K; Emergency Department, University Health Network, Toronto, Canada; Department of Medicine, Division of Emergency Medicine, University of Toronto, Toronto, Canada.
  • Yi S; Emergency Department, University Health Network, Toronto, Canada; Department of Family and Community Medicine, University of Toronto, Toronto, Canada.
  • Chow R; The Michener Institute of Education at University Health Network, Toronto, Canada.
  • Yee C; Emergency Department, University Health Network, Toronto, Canada.
  • Gaylord E; Emergency Department, University Health Network, Toronto, Canada.
  • Tawadrous D; Emergency Department, University Health Network, Toronto, Canada; Department of Medicine, Division of Emergency Medicine, University of Toronto, Toronto, Canada.
  • Chartier LB; Emergency Department, University Health Network, Toronto, Canada; Department of Medicine, Division of Emergency Medicine, University of Toronto, Toronto, Canada.
  • Landes M; Emergency Department, University Health Network, Toronto, Canada; Department of Family and Community Medicine, University of Toronto, Toronto, Canada.
J Hosp Infect ; 105(4): 604-607, 2020 Aug.
Article in English | MEDLINE | ID: covidwho-597579
ABSTRACT
In response to coronavirus disease 2019 (COVID-19), a rapid-cycle in-situ simulation (ISS) programme was developed to facilitate identification and resolution of systems-based latent safety threats. The simulation involved a possible COVID-19 case in respiratory failure, using a mannequin modified to aerosolize phosphorescent secretions. Thirty-six individuals participated in five ISS sessions over 6 weeks, and a further 20 individuals observed these sessions. Debriefing identified latent safety threats from four domains personnel, personal protective equipment, supply/environment and communication. These threats were addressed and resolved in later iterations. Ninety-four percent of participants felt more prepared to care for a potential case of COVID-19 after the ISS.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Health Personnel / Coronavirus Infections / Disaster Planning / Epidemics / Pandemics / Patient Safety / Personal Protective Equipment / Simulation Training Type of study: Observational study Limits: Adult / Female / Humans / Male / Middle aged / Pregnancy Language: English Journal: J Hosp Infect Year: 2020 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Health Personnel / Coronavirus Infections / Disaster Planning / Epidemics / Pandemics / Patient Safety / Personal Protective Equipment / Simulation Training Type of study: Observational study Limits: Adult / Female / Humans / Male / Middle aged / Pregnancy Language: English Journal: J Hosp Infect Year: 2020 Document Type: Article