Thread by @petrosoniak

Great work by @sparsh717 leading this project.

Thread= #simulation for latent safety threat identification

Summary: Debriefing safety threats, people talk more about people (e.g. interpersonal issues) than env't or equipment threats

stel.bmj.com/content/early/…
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There's a growing application of simulation to identify latent safety threats e.g. equipment, interpersonal & physical space issues especially during #covid19

Typically data is gathered via debriefing (i.e. feedback from participants after simulation)

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We observed that even when explicitly asked about challenges posed by the physical space & equipment, the discussions veered back towards teamwork/communication. Even our follow up questions gravitated away from the physical space/equipment issues

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This is an IMPORTANT finding since most of us #simulation folks rely heavily on debriefing (rather than other data, like observational, movement tracking etc)

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It's likely that people are not accustomed at providing feedback about their clinical space. We blindly accept that equipment & environment issues in healthcare are "just how it is". Almost like a bit of learned helplessness

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Our work suggests that we need to tailor our data collection efforts to align with the type of information we are seeking. Debriefing for system issues is great but there are also limitations. Alternative data collection processes may be required to account for these gaps.
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