全球医疗保健模拟实践共识声明。

IF 2.8 Q2 HEALTH CARE SCIENCES & SERVICES Advances in simulation (London, England) Pub Date : 2024-05-21 DOI:10.1186/s41077-024-00288-1
Cristina Diaz-Navarro, Robert Armstrong, Matthew Charnetski, Kirsty J Freeman, Sabrina Koh, Gabriel Reedy, Jayne Smitten, Pier Luigi Ingrassia, Francisco Maio Matos, Barry Issenberg
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引用次数: 0

摘要

模拟在应对全民医疗保健挑战、减少教育不公平现象、提高死亡率、发病率和改善患者体验方面发挥着举足轻重的作用。它加强了医疗保健流程和系统,极大地促进了组织内安全文化的发展。通过国际合作,我们与六大洲 67 个国家的 50 个学会开展了反复磋商。这一过程揭示了全球共同面临的医疗挑战和模拟实践。本声明的目标受众包括政策制定者、医疗机构领导、健康教育机构和模拟从业人员。主要建议 宣传模拟为患者、员工和医疗机构带来的益处,以及在整个医疗保健领域推广模拟并将其融入日常学习和实践至关重要。应利用成本低、影响大的模拟方法扩大全球普及范围,并将其纳入系统改进流程以及本科生和研究生课程。机构和政府层面的支持至关重要,需要在政治、战略和财政承诺方面采取统一协调的方法。当务之急是合理使用模拟方法,采用循证质量保证方法,遵守公认的最佳实践标准。这些标准包括师资队伍建设、评估、认证、资质认定和证书颁发。我们必须努力提供公平和可持续的机会,让人们获得高质量的、与实际情况相关的模拟学习机会,坚定地坚持公平、多样性和包容性原则。我们敦促政策制定者和领导者正式承认并接受模拟在医疗实践和教育中的益处。这包括承诺持续支持并授权在教育、培训和临床环境中应用模拟技术。我们倡导医疗保健系统和教育机构致力于实现高质量医疗保健和改善患者疗效的目标。这一承诺应包括根据最佳实践标准,在护理人员职业生涯的各个阶段和层次,为个人和跨专业团队提供模拟学习机会,并为其提供资源支持。我们呼吁模拟医疗从业人员将模拟医疗作为一种不可或缺的学习工具加以推广,遵守最佳实践标准,坚持终身学习的承诺,并坚持对患者安全的热切关注。本声明是一项国际合作努力的成果,旨在就广泛采用模范模拟实践的关键优先事项达成共识,从而造福全球患者和医疗工作者。
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Global consensus statement on simulation-based practice in healthcare.

Simulation plays a pivotal role in addressing universal healthcare challenges, reducing education inequities, and improving mortality, morbidity and patient experiences. It enhances healthcare processes and systems, contributing significantly to the development of a safety culture within organizations. It has proven to be cost-effective and successful in enhancing team performance, fostering workforce resilience and improving patient outcomes.Through an international collaborative effort, an iterative consultation process was conducted with 50 societies operating across 67 countries within six continents. This process revealed common healthcare challenges and simulation practices worldwide. The intended audience for this statement includes policymakers, healthcare organization leaders, health education institutions, and simulation practitioners. It aims to establish a consensus on the key priorities for the broad adoption of exemplary simulation practice that benefits patients and healthcare workforces globally.Key recommendations Advocating for the benefits that simulation provides to patients, staff and organizations is crucial, as well as promoting its adoption and integration into daily learning and practice throughout the healthcare spectrum. Low-cost, high-impact simulation methods should be leveraged to expand global accessibility and integrate into system improvement processes as well as undergraduate and postgraduate curricula. Support at institutional and governmental level is essential, necessitating a unified and concerted approach in terms of political, strategic and financial commitment.It is imperative that simulation is used appropriately, employing evidence-based quality assurance approaches that adhere to recognized standards of best practice. These standards include faculty development, evaluation, accrediting, credentialing, and certification.We must endeavor to provide equitable and sustainable access to high-quality, contextually relevant simulation-based learning opportunities, firmly upholding the principles of equity, diversity and inclusion. This should be complemented with a renewed emphasis on research and scholarship in this field.Call for action We urge policymakers and leaders to formally acknowledge and embrace the benefits of simulation in healthcare practice and education. This includes a commitment to sustained support and a mandate for the application of simulation within education, training, and clinical environments.We advocate for healthcare systems and education institutions to commit themselves to the goal of high-quality healthcare and improved patient outcomes. This commitment should encompass the promotion and resource support of simulation-based learning opportunities for individuals and interprofessional teams throughout all stages and levels of a caregiver's career, in alignment with best practice standards.We call upon simulation practitioners to champion healthcare simulation as an indispensable learning tool, adhere to best practice standards, maintain a commitment to lifelong learning, and persist in their fervent advocacy for patient safety.This statement, the result of an international collaborative effort, aims to establish a consensus on the key priorities for the broad adoption of exemplary simulation practice that benefits patients and healthcare workforces globally.

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期刊最新文献
Massive open online course: a new strategy for faculty development needs in healthcare simulation. Changing the conversation: impact of guidelines designed to optimize interprofessional facilitation of simulation-based team training. Speech recognition technology for assessing team debriefing communication and interaction patterns: An algorithmic toolkit for healthcare simulation educators. Effectiveness of hybrid simulation training on medical student performance in whole-task consultation of cardiac patients: The ASSIMILATE EXCELLENCE randomized waitlist-controlled trial. Using simulation scenarios and a debriefing structure to promote feedback skills among interprofessional team members in clinical practice.
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