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System Integration:Connecting Simulation Practice to Enterprise Outcomes

Introductions

Widely Accepted Value for Simulation

Teaching/Learning Assessment/Competency New skills/procedure Training On-boarding

System Level Value of Simulation

Program outcome improvement Patient Safety Performance Improvement Communication Teamwork Cost Reduction Design

Society for Simulation in Healthcare Sim Center Accreditation

Systems  Integration Criterion 1B Simulation activities are clearly driven by the strategic

needs of the involved clinical facility

Systems  Integration Criterion 1C The Program has a demonstrated history of

participation in organizational process improvement

Systems Integration Standard 2  The Program has an established and committed role in

Institutional Quality Assessment and Safety processes

Why is it important?

Measurement of outcomes Importance to system Value added

ACADEMIA

Commission on Collegiate Nursing Education (CCNE) Standards Threaded curriculum concepts Analysis of clinical site deficits/resolution of issues ATI/NCLEX pass rates

Oxygenation

First semester Respiratory assessment, including oxygen saturation

Second semester Respiratory assessment + oxygen titration + use of oxygen devices

Third semester Respiratory assessment + oxygen titration + emergency airway

management Fourth semester

Respiratory assessment + age related differences + community application

Fifth semester Multiple patient management

Clinical Site Issues

Not enough clinical experiences Standardization of clinical experiences

HOSPITAL/CLINICAL PRACTICE

Root Cause Analysis Failure Mode Effects Analysis Human Factor Analysis Clinical Improvement

Can simulation be utilized for cost reduction activities?

HCAHPS Readmission Reduction Program

30-day readmission rates Hospital Acquired Condition Reduction

CLABSI – central line infection rates CAUTI – indwelling catheter infection rates Falls Decubitus

Long Term Care Quality Reporting Program

HCAPS

Communication Standards Deliberate practice

FMEA for a specific question

30-day Readmission Rates

Local partnership with SNF programs that have a high readmission rate to the hospitals

Combined simulation/didactic education program with licensed and unlicensed staff Data collection from different perspectives about

patient care Agreement on shared goals and outcome

measurements

Turnkey Solutions