Issn Print: 1559-2332

Publication Date: 2006/10/01


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How simulation can contribute to make health care an High Reliability Organisation undertaking.

M Rall; P Dieckmann

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Excerpt

Patient Safety and its systems perspective have become one of the top issues in health care in the last years. No diagnosis has ever been so much neglected as the diagnosis “error in healthcare”. Systematic approaches to patient safety and the introduction of simulators went parallel, at least in anesthesia, were the concept of CRM-oriented, video-assisted team training started.
In the beginning the assumption was, that simulation would increase the performance of individuals and teams. Now there are possibilities where simulation could have a much wider influence on the health care system and contribute to transform the health care industry into a High Reliability Organisation. There are 7 levels, where simulation can and should have an influence on patient safety: 1) Simulation and the Personal perspective 2) Simulation and the Team perspective 3) Simulation and the Department perspective 4) Simulation and the Organisational perspective 5) Simulation and the Safety Culture perspective 6) Simulation and the Ergonomics and Equipment perspective 7) Simulation and the Research and Development perspective.
A special focus could be a) simulation and its bilateral connection with modern incident reporting systems, b) the use of the debriefing/facilitation techniques for learning from everyday cases in the real world (every case is a learning case) and c) the use of simulation for retrospective and prospective error analysis and counter measure development.
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