April 9, 2013 8:00 – 9:30am
Bonnie Mobley, BSN
Ann & Robert H. Lurie Children's Hospital of Chicago
Opening a new tertiary-care childrens hospital presents substantial challenges: How to test planned processes and procedures before the facility is open, particularly when one is faced new and unfamiliar constraints? How to prepare a full cohort of faculty and staff to work on opening day? Our institution integrated simulation into the orientation and systems testing in order to augment orientation and correct issues identified prior to opening. We developed complementary simulation-based methods to achieve two goals. First, we conducted simulations in high-risk clinical areas with unit leaders and staff. Identified problems were collected and reported back to leadership for possible remediation. Second, we provided clinicians opportunities to work in their clinical setting by caring for simulated patients. In addition, simulation-based code team training was conducted. In every case possible, both methods sought to involve inter-professional teams to obtain different viewpoints. Over five months 15 clinical educators and kidSTAR faculty delivered 258 hours of simulation-based activities. 641 unique issues were identified prior to opening and were categorized. After opening, 4489 problems were reported to the Move Center of which 1724 issues were related to clinical care areas that were the subject of the simulations. Thus, this process was effective in the early identification of many potential issues prior to opening.