SafePsych: improving patient safety by delivering high-impact simulation training on rare and complex scenarios in psychiatry
Introduction Despite an evidence base demonstrating simulation to be an effective medical education tool, it is not commonly used in postgraduate psychiatry training as it is in other medical specialties.Objective This paper outlines the development and effectiveness of a hybrid-virtual simulation-b...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2021-07-01
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| Series: | BMJ Open Quality |
| Online Access: | https://bmjopenquality.bmj.com/content/10/3/e001533.full |
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| author | Bronwyn Reid-McDermott Dara Byrne Eimear McMahon Anne M Doherty Kezanne Tong |
| author_facet | Bronwyn Reid-McDermott Dara Byrne Eimear McMahon Anne M Doherty Kezanne Tong |
| author_sort | Bronwyn Reid-McDermott |
| collection | DOAJ |
| description | Introduction Despite an evidence base demonstrating simulation to be an effective medical education tool, it is not commonly used in postgraduate psychiatry training as it is in other medical specialties.Objective This paper outlines the development and effectiveness of a hybrid-virtual simulation-based workshop designed to improve patient care by improving clinical skills of non-consultant hospital doctors (NCHDs) in detecting and managing rare and complex psychiatric emergencies.Methods Three clinical vignettes based on near-miss psychiatric cases were developed by a multidisciplinary team of physicians and nurses in psychiatry and experts in simulation-based medical education. The workshop, ‘SafePsych’ was delivered in a simulation laboratory while and broadcast via Zoom video-conferencing platform to observers. Debriefing followed each clinical scenario. Participants completed preworkshop and postworkshop questionnaires to evaluate clinical knowledge.Results The workshop was attended by consultants (n=12) and NCHDs in psychiatry and emergency medicine (n=19), and psychiatric nurses (n=5). In the psychiatry NCHD group, test scores significantly improved following the workshop (p<0.001). There were significant improvements in the test scores with a mean difference of 2.56 (SD 1.58, p<0.001). Feedback from participants and observers was positive, with constructive appraisals to improve the virtual element of the workshop.Conclusion Simulation-based training is effective in teaching high risk, rare complex psychiatric cases to psychiatry NCHDs. Further exploration of the learning needs of nursing staff is required. Future workshop delivery is feasible in the COVID-19 environment and beyond, using a virtual element to meet social distancing requirements while enhancing the reach of the training. |
| format | Article |
| id | doaj-art-51be655ebab843a7aa7d9814965d4954 |
| institution | Kabale University |
| issn | 2399-6641 |
| language | English |
| publishDate | 2021-07-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open Quality |
| spelling | doaj-art-51be655ebab843a7aa7d9814965d49542024-11-25T02:00:08ZengBMJ Publishing GroupBMJ Open Quality2399-66412021-07-0110310.1136/bmjoq-2021-001533SafePsych: improving patient safety by delivering high-impact simulation training on rare and complex scenarios in psychiatryBronwyn Reid-McDermott0Dara Byrne1Eimear McMahon2Anne M Doherty3Kezanne Tong4School of Medicine, National University of Ireland Galway, University Road, Galway, IrelandIrish Centre for Applied Patient Safety and Simulation, National University of Ireland - Galway, Galway, Ireland2 Psychiatry, University Hospital Galway, Galway, Ireland1 School of Medicine, University College Dublin, Dublin 4, Ireland1 Department of Psychiatry, University Hospital Galway, Galway, IrelandIntroduction Despite an evidence base demonstrating simulation to be an effective medical education tool, it is not commonly used in postgraduate psychiatry training as it is in other medical specialties.Objective This paper outlines the development and effectiveness of a hybrid-virtual simulation-based workshop designed to improve patient care by improving clinical skills of non-consultant hospital doctors (NCHDs) in detecting and managing rare and complex psychiatric emergencies.Methods Three clinical vignettes based on near-miss psychiatric cases were developed by a multidisciplinary team of physicians and nurses in psychiatry and experts in simulation-based medical education. The workshop, ‘SafePsych’ was delivered in a simulation laboratory while and broadcast via Zoom video-conferencing platform to observers. Debriefing followed each clinical scenario. Participants completed preworkshop and postworkshop questionnaires to evaluate clinical knowledge.Results The workshop was attended by consultants (n=12) and NCHDs in psychiatry and emergency medicine (n=19), and psychiatric nurses (n=5). In the psychiatry NCHD group, test scores significantly improved following the workshop (p<0.001). There were significant improvements in the test scores with a mean difference of 2.56 (SD 1.58, p<0.001). Feedback from participants and observers was positive, with constructive appraisals to improve the virtual element of the workshop.Conclusion Simulation-based training is effective in teaching high risk, rare complex psychiatric cases to psychiatry NCHDs. Further exploration of the learning needs of nursing staff is required. Future workshop delivery is feasible in the COVID-19 environment and beyond, using a virtual element to meet social distancing requirements while enhancing the reach of the training.https://bmjopenquality.bmj.com/content/10/3/e001533.full |
| spellingShingle | Bronwyn Reid-McDermott Dara Byrne Eimear McMahon Anne M Doherty Kezanne Tong SafePsych: improving patient safety by delivering high-impact simulation training on rare and complex scenarios in psychiatry BMJ Open Quality |
| title | SafePsych: improving patient safety by delivering high-impact simulation training on rare and complex scenarios in psychiatry |
| title_full | SafePsych: improving patient safety by delivering high-impact simulation training on rare and complex scenarios in psychiatry |
| title_fullStr | SafePsych: improving patient safety by delivering high-impact simulation training on rare and complex scenarios in psychiatry |
| title_full_unstemmed | SafePsych: improving patient safety by delivering high-impact simulation training on rare and complex scenarios in psychiatry |
| title_short | SafePsych: improving patient safety by delivering high-impact simulation training on rare and complex scenarios in psychiatry |
| title_sort | safepsych improving patient safety by delivering high impact simulation training on rare and complex scenarios in psychiatry |
| url | https://bmjopenquality.bmj.com/content/10/3/e001533.full |
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