Exploring the extent to which simulation-based education addresses contemporary patient safety priorities: a scoping review

Article


Seaton, Philippa, Levett-Jones, Tracy, Cant, Robyn, Cooper, Simon, Kelly, Michelle A., McKenna, Lisa, Ng, Linda and Bogossian, Fiona. 2019. "Exploring the extent to which simulation-based education addresses contemporary patient safety priorities: a scoping review." Collegian: The Australian Journal of Nursing Practice, Scholarship and Research. 26 (1), pp. 194-203. https://doi.org/10.1016/j.colegn.2018.04.006
Article Title

Exploring the extent to which simulation-based education addresses contemporary patient safety priorities: a scoping review

ERA Journal ID14073
Article CategoryArticle
AuthorsSeaton, Philippa (Author), Levett-Jones, Tracy (Author), Cant, Robyn (Author), Cooper, Simon (Author), Kelly, Michelle A. (Author), McKenna, Lisa (Author), Ng, Linda (Author) and Bogossian, Fiona (Author)
Journal TitleCollegian: The Australian Journal of Nursing Practice, Scholarship and Research
Journal Citation26 (1), pp. 194-203
Number of Pages10
Year2019
PublisherElsevier
Place of PublicationNetherlands
ISSN1322-7696
1876-7575
Digital Object Identifier (DOI)https://doi.org/10.1016/j.colegn.2018.04.006
Web Address (URL)https://www.sciencedirect.com/science/article/pii/S1322769618300829?dgcid=coauthor
Abstract

Background: There is unprecedented increase in use of simulation-based education in healthcare settings. The key driver is improving quality and safety in healthcare. To date, there is limited understanding of the degree to which this goal has been achieved.

Aim: This scoping review aimed to explore the extent to which simulation-based education in healthcare has addressed and impacted contemporary patient safety priorities.

Methods: Systematic searches of literature (2007–2016) were based on each of 10 patient safety priorities articulated in Australia’s National Safety and Quality Health Service Standards and New Zealand’s Health, Quality and Safety Indicators and markers. Included primary studies evaluated transferability to practice and/or behavioural change and improved patient outcomes, based on Kirkpatrick’s training evaluation model Level 3 and Level 4.

Findings: Fifteen papers met inclusion criteria. Studies aligned with four of ten National Safety and Quality Health Service Standards: (3). Preventing and controlling healthcare associated infections; (4). Medication safety; (6). Clinical handover; (9). Recognising and responding to clinical deterioration. The studies were indicative of potential for simulation-based education to have a significant impact on patient safety.

Discussion: Studies that qualify as translational science, demonstrating changes in clinician behaviours and improved patient outcomes, are emerging. Little evidence from Australian and New Zealand contexts suggests that outcomes of simulation-based education in this region are not commensurate with the significant government investments.

Conclusion: Translational studies, despite being difficult to design and conduct, should form part of a thematic, sustained and cumulative program of simulation-based research to identify translational science.

Keywordscare quality, The Kirkpatrick Model, patient safety, simulation, transferability
ANZSRC Field of Research 2020420599. Nursing not elsewhere classified
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Byline AffiliationsUniversity of Otago, New Zealand
University of Technology Sydney
Federation University
Curtin University
La Trobe University
University of Queensland
Institution of OriginUniversity of Southern Queensland
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