Rearranging the Wheel for Improved Mobility: A Hybrid Approach to Systems Integration Through Hi Fidelity Tele-simulation (1090-004357) (Research Abstract Professor Rounds: Group 7)
Start time: Friday, January 29, 2021, 1:00 PM End time: Friday, January 29, 2021, 2:00 PM Session Type: Research Abstracts (Completed Studies)
An implicit benefit of in situ simulation is the ability to assess preparedness from a systems integration perspective. Many centers have offered their processes to utilize hard wired AV systems and simulators to support telesimulation planning only involving the simulation team staff on site (1-4). Smaller programs without dedicated simulation space or hardwired AV infrastructure might encounter barriers to applying the approaches offered. Additionally, there remained a need to evaluate newly developed processes and procedures from a systems integration perspective in the actual clinical setting. To meet institutional needs for continued systems integration simulations, while respecting social distancing recommendations, we utilized a PDSA (Plan, Do, Study, Act) approach to optimizing participant engagement during telesimulation sessions for systems integration.
Social distancing requirements were met in the first cycle, but one AV source limited evaluation of the interface of on-site participants with the work system beyond the exam room. The webinar format used in the second cycle improved remote viewing of the clinical setting without the distraction of multiple participant screens in the standard meeting format. Real-time verbal interaction between remote and on-site participants was limited, though the question and answer feature could be utilized for this purpose. In the third iteration, tablet camera resolution was suboptimal compared with USB webcams, though the two could be combined through the video integration software. Audio quality during the transport process requires optimization to prevent pauses and feedback in the audio output.
We present the adaptation of free software platforms to meet the needs of performing systems integration simulations through a telesimulation format. The change from in-person simulation sessions to remote sessions via video platform initially required additional facilitators, equipment, software, and set-up considerations. However, finding the appropriate video integration software and video-conferencing platform as a webinar platform allowed us to optimize the audio-visual experience for participants. Re-evaluating the functionality of existing equipment may help programs balance available human and physical resources to optimize telesimulation.