干旱区生态环境知识资源中心(Arid): Rapid cycle system improvement for COVID-19 readiness: integrating deliberate practice, psychological safety and vicarious learning

Arid

DOI	10.1136/bmjstel-2020-000635
	Rapid cycle system improvement for COVID-19 readiness: integrating deliberate practice, psychological safety and vicarious learning
	Chan, Albert Kam Ming; Rudolph, Jenny W.; Lau, Vivian Nga Man; Wong, Henry Man Kin; Wong, Rosinni Si Ling; Lo, Thomas S. F.; Choi, Gordon Y. S.; Joynt, Gavin Matthew
通讯作者	Chan, AKM (corresponding author), Prince Wales Hosp, Anaesthesia & Intens Care, 30-32 Ngan Shing St, Hong Kong 021142696, Peoples R China.
来源期刊	BMJ SIMULATION & TECHNOLOGY ENHANCED LEARNING
ISSN	2056-6697
出版年	2021
卷号	7 期号:4 页码:199-206
英文摘要	Introduction In the face of a rapidly advancing pandemic with uncertain pathophysiology, pop-up healthcare units, ad hoc teams and unpredictable personal protective equipment supply, it is difficult for healthcare institutions and front-line teams to invent and test robust and safe clinical care pathways for patients and clinicians. Conventional simulation-based education was not designed for the time-pressured and emergent needs of readiness in a pandemic. We used 'rapid cycle system improvement' to create a psychologically safe learning oasis in the midst of a pandemic. This oasis provided a context to build staff technical and teamwork capacity and improve clinical workflows simultaneously. Methods At the Department of Anaesthesia and Intensive Care in Prince of Wales Hospital, a tertiary institution, in situ simulations were carried out in the operating theatres and intensive care unit (ICU). The translational simulation design leveraged principles of psychological safety, rapid cycle deliberate practice, direct and vicarious learning to ready over 200 staff with 51 sessions and achieve iterative system improvement all within 7 days. Staff evaluations and system improvements were documented postsimulation. Results/Findings Staff in both operating theatres and ICU were significantly more comfortable and confident in managing patients with COVID-19 postsimulation. Teamwork, communication and collective ability to manage infectious cases were enhanced. Key system issues were also identified and improved. Discussion To develop readiness in the rapidly progressing COVID-19 pandemic, we demonstrated that 'rapid cycle system improvement' can efficiently help achieve three intertwined goals: (1) ready staff for new clinical processes, (2) build team competence and confidence and (3) improve workflows and procedures.
类型	Article
语种	英语
开放获取类型	Bronze, Green Published
收录类别	ESCI
WOS记录号	WOS:000667717200005
WOS关键词	ACUTE RESPIRATORY SYNDROME ; HEALTH-CARE ; SIMULATION ; SARS ; INTUBATION ; INFECTION ; SKILLS ; RISK
WOS类目	Health Care Sciences & Services
WOS研究方向	Health Care Sciences & Services
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/352755
作者单位	[Chan, Albert Kam Ming; Lau, Vivian Nga Man; Wong, Henry Man Kin; Wong, Rosinni Si Ling; Choi, Gordon Y. S.] Prince Wales Hosp, Dept Anaesthesia & Intens Care, Hong Kong, Peoples R China; [Rudolph, Jenny W.] Ctr Med Simulat, Cambridge, MA USA; [Lo, Thomas S. F.; Joynt, Gavin Matthew] Chinese Univ Hong Kong, Dept Anaesthesia & Intens Care, Fac Med, Hong Kong, Peoples R China
推荐引用方式 GB/T 7714	Chan, Albert Kam Ming,Rudolph, Jenny W.,Lau, Vivian Nga Man,et al. Rapid cycle system improvement for COVID-19 readiness: integrating deliberate practice, psychological safety and vicarious learning[J],2021,7(4):199-206.
APA	Chan, Albert Kam Ming.,Rudolph, Jenny W..,Lau, Vivian Nga Man.,Wong, Henry Man Kin.,Wong, Rosinni Si Ling.,...&Joynt, Gavin Matthew.(2021).Rapid cycle system improvement for COVID-19 readiness: integrating deliberate practice, psychological safety and vicarious learning.BMJ SIMULATION & TECHNOLOGY ENHANCED LEARNING,7(4),199-206.
MLA	Chan, Albert Kam Ming,et al."Rapid cycle system improvement for COVID-19 readiness: integrating deliberate practice, psychological safety and vicarious learning".BMJ SIMULATION & TECHNOLOGY ENHANCED LEARNING 7.4(2021):199-206.