Improving Safety Recommendations Before Implementation: A Simulation-Based Event Analysis to Optimize Interventions Designed to Prevent Recurrence of Adverse Events.

ABSTRACT:

Introduction

Pediatric inpatients are at high risk of adverse events (AE). Traditionally, root cause analysis was used to analyze AEs and identify recommendations for change. Simulation-based event analysis (SBEA) is a protocol that systematically reviews AEs by recreating them using in situ simulated patients, to understand clinician decision making, improve error discovery, and, through guided sequential debriefing, recommend interventions for error prevention. Studies suggest that these interventions are rarely tested before dissemination. This study investigates the use of simulation to optimize recommendations generated from SBEA before implementation.

Methods

Recommendations and interventions developed through SBEA of 2 hospital-based AEs (event A: error of commission;

SUBMITTER: Langevin M 

PROVIDER: S-EPMC8812408 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature