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Clinical simulation in nursing v.13 no.2, 2017년, pp.53 - 63  

Using Checklists and Repetitive Simulation to Improve Patient Safety: A Pilot Project with the Impella? Left Ventricular Assist Device

Turkelson, C. ; Keiser, M. ;
  • 초록  

    Background: Low-frequency, high-risk patients in a cardiac intensive care unit have a greater risk for medical errors with serious clinical consequences. Patients with an Impella ? left-ventricular assist device were chosen as representative of this population. Methods: This project involved the development and implementation of two specialized crisis checklists with repetitive simulation sessions for patients with an Impella ? left ventricular assist device. Participants included 26 cardiac intensive care unit nurses who were identified as Impella ? superusers. Evaluation measures included nursing performance, patient and manikin outcomes, self-confidence, and self-efficacy. Results: The participants were found to have improved adherence to critical processes of care and reduced errors in management of patients with an Impella ? left ventricular assist device in simulated as well as actual patient events. Conclusion: The results while limited due to small sample size do provide support for the use of safety checklists in combination with repetitive simulations to improve adherence to critical safety practices as well as self-confidence for low-frequency high-risk patients.


  • 주제어

    Repetitive simulation .   Simulation based learning experiences .   Deliberate practice .   Ericsson .   Crisis checklists .   Left-ventricular assist device .   Patient safety .   Low frequency .   High-risk .   Nursing education.  

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