ABSTRACT
Background COVID-19 has created major challenges for academic education and clinical training, as well as on routine, emergency, and elective patients who have been impacted by the health service's response to COVID-19. Simulation helps recognize and correct both active and latent threats in health institutions. Objectives This study aimed to describe the implementation steps, challenges, and solutions for simulations to make a difference in hospital operational readiness in the response to COVID-19. Methods We conducted a series of in situ simulations in different areas of the hospital to deal with COVID-19 patients. We designed seven scenarios to include different clinical situations of pediatric COVID-19 cases, such as emergency room triage and respiratory support. Results In total, seven simulation-based drills were conducted during March 1-30, 2020, and 89 healthcare professionals participated in these sessions. Many of the revealed latent threats were regarding teamwork, workflows, and adherence to infection control measures. Conclusion We found that in situ simulations helped to identify multiple latent hazard issues. Simulations have a great positive impact on hospital preparedness for the COVID-19 crisis in the pediatric field. Video-recorded simulations method is a good alternative to maintain medical supplies during the COVID-19 crisis.
