About: Rapid cycle system improvement for COVID-19 readiness: integrating deliberate practice, psychological safety and vicarious learning

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An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Rapid cycle system improvement for COVID-19 readiness: integrating deliberate practice, psychological safety and vicarious learning
Creator	Chan, Ming Kam, Albert
Source	PMC
abstract	INTRODUCTION: In the face of a rapidly advancing pandemic with uncertain pathophysiology, pop-up healthcare units, ad hoc teams and unpredictable personal protective equipment supply, it is difficult for healthcare institutions and front-line teams to invent and test robust and safe clinical care pathways for patients and clinicians. Conventional simulation-based education was not designed for the time-pressured and emergent needs of readiness in a pandemic. We used ‘rapid cycle system improvement’ to create a psychologically safe learning oasis in the midst of a pandemic. This oasis provided a context to build staff technical and teamwork capacity and improve clinical workflows simultaneously. METHODS: At the Department of Anaesthesia and Intensive Care in Prince of Wales Hospital, a tertiary institution, in situ simulations were carried out in the operating theatres and intensive care unit (ICU). The translational simulation design leveraged principles of psychological safety, rapid cycle deliberate practice, direct and vicarious learning to ready over 200 staff with 51 sessions and achieve iterative system improvement all within 7 days. Staff evaluations and system improvements were documented postsimulation. RESULTS/FINDINGS: Staff in both operating theatres and ICU were significantly more comfortable and confident in managing patients with COVID-19 postsimulation. Teamwork, communication and collective ability to manage infectious cases were enhanced. Key system issues were also identified and improved. DISCUSSION: To develop readiness in the rapidly progressing COVID-19 pandemic, we demonstrated that ‘rapid cycle system improvement’ can efficiently help achieve three intertwined goals: (1) ready staff for new clinical processes, (2) build team competence and confidence and (3) improve workflows and procedures.
has issue date	2020-08-21(xsd:dateTime)
bibo:doi	10.1136/bmjstel-2020-000635
has license	no-cc
sha1sum (hex)	8fbe62eb5ce6217d600568a302802278235271a4
schema:url	https://doi.org/10.1136/bmjstel-2020-000635
resource representing a document's title	Rapid cycle system improvement for COVID-19 readiness: integrating deliberate practice, psychological safety and vicarious learning
has PubMed Central identifier	PMC7441440
schema:publication	BMJ Simul Technol Enhanc Learn
resource representing a document's body	covid:8fbe62eb5ce6217d600568a302802278235271a4#body_text
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