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Article

A Neonatal Intensive Care Unit’s Experience with Implementing an In-Situ Simulation and Debriefing Patient Safety Program in the Setting of a Quality Improvement Collaborative

by
Mary Eckels
1,
Terry Zeilinger
1,
Henry C. Lee
2,3,
Janine Bergin
3,
Louis P. Halamek
2,4,
Nicole Yamada
2,4,
Janene Fuerch
2,4,
Ritu Chitkara
2,4 and
Jenny Quinn
3,5,*
1
Maternal Newborn Services, St. Jude Medical Center, Fullerton, CA 92835, USA
2
Neonatal Intensive Care Unit, Lucile Packard Children’s Hospital, Stanford, CA 94305, USA
3
California Perinatal Quality Care Collaborative (CPQCC), Stanford, CA 94305, USA
4
Center for Advanced Pediatric and Perinatal Education (CAPE), Stanford, CA 94305, USA
5
NeoQIP (Neonatal Quality Improvement Performance) LLC, Martinez, CA 94553, USA
*
Author to whom correspondence should be addressed.
Children 2020, 7(11), 202; https://doi.org/10.3390/children7110202
Submission received: 1 October 2020 / Revised: 27 October 2020 / Accepted: 28 October 2020 / Published: 29 October 2020
(This article belongs to the Special Issue Neonatal Health Care)
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Abstract

Extensive neonatal resuscitation is a high acuity, low-frequency event accounting for approximately 1% of births. Neonatal resuscitation requires an interprofessional healthcare team to communicate and carry out tasks efficiently and effectively in a high adrenaline state. Implementing a neonatal patient safety simulation and debriefing program can help teams improve the behavioral, cognitive, and technical skills necessary to reduce morbidity and mortality. In Simulating Success, a 15-month quality improvement (QI) project, the Center for Advanced Pediatric and Perinatal Education (CAPE) and California Perinatal Quality Care Collaborative (CPQCC) provided outreach and training on neonatal simulation and debriefing fundamentals to individual teams, including community hospital settings, and assisted in implementing a sustainable program at each site. The primary Aim was to conduct two simulations a month, with a goal of 80% neonatal intensive care unit (NICU) staff participation in two simulations during the implementation phase. While the primary Aim was not achieved, in-situ simulations led to the identification of latent safety threats and improvement in system processes. This paper describes one unit’s QI collaborative experience implementing an in-situ neonatal simulation and debriefing program.
Keywords: neonatal simulation; simulation; debriefing; quality improvement; collaborative; neonatal intensive care unit; in-situ simulation; patient safety neonatal simulation; simulation; debriefing; quality improvement; collaborative; neonatal intensive care unit; in-situ simulation; patient safety

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MDPI and ACS Style

Eckels, M.; Zeilinger, T.; Lee, H.C.; Bergin, J.; Halamek, L.P.; Yamada, N.; Fuerch, J.; Chitkara, R.; Quinn, J. A Neonatal Intensive Care Unit’s Experience with Implementing an In-Situ Simulation and Debriefing Patient Safety Program in the Setting of a Quality Improvement Collaborative. Children 2020, 7, 202. https://doi.org/10.3390/children7110202

AMA Style

Eckels M, Zeilinger T, Lee HC, Bergin J, Halamek LP, Yamada N, Fuerch J, Chitkara R, Quinn J. A Neonatal Intensive Care Unit’s Experience with Implementing an In-Situ Simulation and Debriefing Patient Safety Program in the Setting of a Quality Improvement Collaborative. Children. 2020; 7(11):202. https://doi.org/10.3390/children7110202

Chicago/Turabian Style

Eckels, Mary, Terry Zeilinger, Henry C. Lee, Janine Bergin, Louis P. Halamek, Nicole Yamada, Janene Fuerch, Ritu Chitkara, and Jenny Quinn. 2020. "A Neonatal Intensive Care Unit’s Experience with Implementing an In-Situ Simulation and Debriefing Patient Safety Program in the Setting of a Quality Improvement Collaborative" Children 7, no. 11: 202. https://doi.org/10.3390/children7110202

APA Style

Eckels, M., Zeilinger, T., Lee, H. C., Bergin, J., Halamek, L. P., Yamada, N., Fuerch, J., Chitkara, R., & Quinn, J. (2020). A Neonatal Intensive Care Unit’s Experience with Implementing an In-Situ Simulation and Debriefing Patient Safety Program in the Setting of a Quality Improvement Collaborative. Children, 7(11), 202. https://doi.org/10.3390/children7110202

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