Larry Goodyer, Derek Evans, Amanda Wilson, Piali Palit, Christopher Ma, Helen R Lister, Tiziano Poletti
Experiences of community pharmacists in the United Kingdom on the provision of travel health services and associated educational requirements
The International journal of pharmacy practice
situ simulation iss enables multiprofessional healthcare teams train real emergencies working environment identify latent patient safety threats study aimed determine iss impact teamwork technical skill performance healthcare staff perception latent error identification simulated medical emergencies unannounced iss sessions n14 n75 staff members using highfidelity mannequin conducted medical paediatric rehabilitation wards stepping hill hospital stockport national health service foundation trust uk session encompassed 15 min simulation followed 15 min facultyled debrief clinical team score revealed low overall teamwork performances simulated medical emergencies meansem 4305 linear regression analysis revealed overall communication r09 p0001 decisionmaking r077 p0001 overall situational awareness r073 p0003 strongest statistically significant predictors overall teamwork performance neither number attending healthcare professionals professional background age gender degree clinical experience level resuscitation training previous simulation experience statistically significantly impacted overall teamwork performance iss positively impacted healthcare staff confidence clinical training identified safety threats included unknown location intraosseous kits poorabsent airway management incomplete ae assessments inability activate major haemorrhage protocol unknown locationdose epinephrine anaphylaxis management delayed administration epinephrine delayedabsence attachment pads defibrillator well absence accessing als algorithms poor chest compressions passive behaviour simulated cardiac arrests poor demonstration technicalnontechnical skills mandate regular iss interventions healthcare professionals levels iss positively impacts staff confidence training drives identification latent errors enabling improvements workplace systems resources