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Healthcare quality improvement

The challenge

Improvement by change at scale

Healthcare systems are facing major challenges. With a backdrop of shortage of staff, changing expectations, and emerging healthcare needs, healthcare systems need to improve at significant scale and pace in the face of considerable financial pressures.

Healthcare operates as complex adaptive systems, with rich interdependencies between providers, structural elements and social systems. Performance depends not only on the knowledge and skills of individuals or teams, but also on contextual factors such as organizational structures, processes, behaviors, practices, and values. Contextual factors require attention and need to inform both development and spread of change.

the opportunity

Simulation for quality improvement

There is a growing momentum and number of documented cases for the use of simulation to critically examine current healthcare practices and to innovate and drive healthcare quality improvement.

Many simulation practitioners are now adapting their practices to realize the potential of simulation as an improvement method. Simulation has potential to fuel the expertise and lived experience of care providers and patients into improvement processes, through carefully designed, inclusive and engaging experiences and reflections.

one million lives podcast

What is the new frontier for patient simulation?

"We've reached key milestones in patient simulation, and now it's time to leverage these advancements to enhance patient care in a tangible way."

- Dr. Barry Isenberg, President-elect of the Society for Simulation in Healthcare (SSH)

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Partnering to help scale simulation as QI method

Sim to Improve

Laerdal and Bond University, Australia, are working together on the “Sim to Improve” program. The goal is to help people use simulation to improve quality and safety goals within their healthcare system. Participants will learn how to apply translational simulation to diverse healthcare challenges, such as testing new processes, building teams and shaping culture to deliver safer care, system probing for identifying latent safety threats and more.

one million lives podcast

Can patient simulation be used for continuous improvement?

"The training of individuals and teams is necessary for improved patient safety and outcomes, but not sufficient."

- Dr. Victoria Brazil

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The Accelerate program

Laerdal's Accelerate program helps hospitals implement simulation-based education and quality improvement. Through in-situ scenarios, facilitators work with clinical educators to identify safety threats and enhance team performance. Over 3,000 clinicians have been trained, improving critical care responses across North America.

Case examples

Testing clinical processes
Through iterative testing of changes in protocols and routines, with simulation as a key activity, door-to-needle-time in Stavanger was reduced from 30 to 13 minutes. Recurring simulation sessions have helped sustain the change over time.
Designing physical infrastructure
In Queensland, Australia, simulation practitioners used PDSA methodology to identify system issues and improve critical care pathways before opening a new hospital.
Build teams, shape culture and relationships
The translational simulation group at Gold Coast Hospital improved relational factors in trauma care, enhancing teamwork and collaboration with a positive impact on systems and processes.

No patient should ever be the first test case of a clinical space.

- Dr. Andrew Petrosoniak (Emergency Physician | Trauma Team Leader, St Michaels hospital, Toronto CA