Impact of the Simulation in the Safety Day of the Surgical Process in an Ambulatory Surgery Center (1090-004321) (Research Abstract Professor Rounds: Group 4)
Start time: Thursday, January 28, 2021, 1:00 PM End time: Thursday, January 28, 2021, 2:00 PM Session Type: Research Abstracts (Completed Studies)
The safest hospitals have the highest notification rate of security incident. Incidents are reported in notifications and these are opportunities to improve the system. The objective of the study is to determine whether an intervention simulating the surgical process with debriefing improves the culture of safety, measured by increasing the notifications rate and generates improvement actions.
Intervention study. A Safety Journey with 114 participants took place on July 5th, 2019, in the Outpatient Surgery Unit of the Health Complex Pere Virgili, Barcelona, Spain from the Campus Barcelona Vall d’Hebron. Administrative, nursing assistants, nurses, anaesthesiologists and surgical professionals from diverse specialities participated in the study. Three activities were carried out with the simulation methodology: (1) Two clinical cases of a cataract intervention with the ambulatory surgical process. (2) Gammification and security. Notification and incident management using the pedagogical methodology “escape room” and experimental learning. (3) Non-technical skills workshop focused on communication. These three teaching activities were led by members of the hospital simulation commission and security related members. Pre and post intervention notifications were quantified.
Significant differences have been observed. From January to July 5th, 2019, 85 incidents in this unit had been reported. From July 6th to December 31st, 126 incidents were reported. The intervention created the need to implement improvement groups, the participants requested training in safety and 9 referee professionals were trained.
The intervention with diverse multidisciplinary simulation techniques impacts directly in the safety culture: Increase the number of notifications, generates new organizational processes and joint strategies in order to improve the quality of care of the surgical process.