What is the In Situ Simulation Program?

In situ (on site) simulation is a simulation-based learning experience that is integrated into actual clinical environment and involves participants that are on-duty clinical providers during their actual workday. This type of simulation provides a way to test the hospital system as well as discover opportunities for improving important metrics. In situ simulation also offers an opportunity of identifying strengths, weaknesses, opportunities, and threats in clinical systems, the environment, or among teams.

The Office of Interprofessional Simulation for Innovative Clinical Practice (OIPS) offers various types of in situ simulations including code stroke scenarios with standardized patients, malignant hyperthermia simulations, new construction spatial scenarios, and procedural simulations. Resuscitation simulations are the most commonly performed.
OIPS continues to partner with hospital leadership, patient safety, and quality departments to identify areas for in situ simulation. Because of upper level executive and managerial support across professions, UAB has an expectation of participation in simulation.
OIPS has been consistently performing various in situ (on site) simulations throughout inpatient and outpatient areas at UAB Main and UAB Highlands, and continues to provide these services throughout the entire health system. In an effort to encourage emergency preparedness and reinforce strong teamwork and communication principles, OIPS continues to host various interprofessional in situ simulations.

International Simulation Data Registry

The Office of Interprofessional Simulation for Innovative Clinical Practice (OIPS) participates in the International Simulation Data Registry (ISDR). The goal of this registry is to capture and compare simulation data across institutions. The American Heart Association (AHA)’s Get With The Guidelines®-Resuscitation program is the only national registry for in-hospital resuscitation events. This registry provides data that has resulted in practice changes and publications in peer-reviewed journals. Similarly, the ISDR aims to improve the quality of resuscitations and outcomes by collecting and comparing simulated resuscitation data.
Our goal is to contribute data to the ISDR for the sake of improving our simulation community. We also hope to contribute to the forward trajectory of improving resuscitation outcomes by using simulation as a technique within our institution. Engaging in this registry supports the mission of OIPS which is, “To embed simulation-based techniques and tools in education and training for the UAB community to improve patient care outcomes, education, research, and health system efficiency.”

Please be encouraged to participate in these simulations when they come to your area! In situ simulations are for us to practice and improve our teamwork, communication, and clinical skills for the benefit of our patients.

Expectations
Please participate in the role you normally would to manage the care of a patient.

• If you would call a code, please push the button or follow your procedures for initiating the Code Team
• If you would do chest compressions, please do quality chest compressions-- the manikin measures the quality of chest compressions.
• If you would give assistance with ventilations, please give adequate ventilations – the manikin can be intubated and records the quality of assisted ventilations.
• If you would give medications, please ask for them and push them-- we use simulated medications to avoid wastage.
• Are unannounced and may occur 24/7/365
• Occur entity wide in in-patient, out-patient and non-patient care areas
• Goals are to improve our teamwork and communication regarding the care of our patients and identify latent safety threats or system issues that can effect patient safety
• Last < 30 min including the debrief and written evaluations
• Are recorded and quality metrics are shared with UAB Patient Safety
• May include a manikin patient- the manikin blinks, breathes, has pulses and can have most medical procedures performed on him, including defibrillation
• May include a human actor as a simulated patient
• May include an embedded simulation participant (ESP) who is present to ensure the safety of the team and the patient.

Benefits

•Enable learners to improve familiarity with work environment and processes
•Identify strengths, weaknesses, opportunities, and threats in clinical systems, the environment, and among teams.
•Improve interprofessional teamwork and communication between actual working teams
•Learning environment is identical to reality
•Instills confidence in patients’ family and friends when staff are seen practicing simulations

How do I get involved?
Collaborating to create an in situ simulation in your area


Interest FormIn Situ Prebrief