Pragmatic Approach to In Situ Simulation to Identify Latent … : Critical Care Medicine
y built adult ICU. Design: Descriptive review of a patient safety initiative. Setting: A newly built 24-bed neurocritical care unit at a tertiary care academic medical center. Subjects: Care providers working in neurocritical care unit. Interventions: We implemented a pragmatic three-stage in situ simulation program to learn a new patient care environment, transitioning patients from an open bay unit to a newly built private room-based ICU. The project tested the safety and efficiency of new workflows created by new patient- and family-centric features of the unit. We used standardized patients and high-fidelity mannequins to simulate patient scenarios, with “test” patients created through all electronic databases. Relevant personnel from clinical and nonclinical services participated in simulations and/or observed scenarios. We held a debriefing after each stage and scenario to identify safety threats and other concerns. Additional feedback was obtained via a written survey sent to al