Using Checklists and Repetitive Simulation to Improve Patient Safety: A Pilot Project with the Impella? Left Ventricular Assist Device
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.
Repetitive simulation . Simulation based learning experiences . Deliberate practice . Ericsson . Crisis checklists . Left-ventricular assist device . Patient safety . Low frequency . High-risk . Nursing education.
유료 다운로드의 경우 해당 사이트의 정책에 따라 신규 회원가입, 로그인, 유료 구매 등이 필요할 수 있습니다. 해당 사이트에서 발생하는 귀하의 모든 정보활동은 NDSL의 서비스 정책과 무관합니다.
원문복사신청을 하시면, 일부 해외 인쇄학술지의 경우 외국학술지지원센터(FRIC)에서
무료 원문복사 서비스를 제공합니다.
NDSL에서는 해당 원문을 복사서비스하고 있습니다. 위의 원문복사신청 또는 장바구니 담기를 통하여 원문복사서비스 이용이 가능합니다.
- 이 논문과 함께 출판된 논문 + 더보기