Meet the team
Royal Bournemouth and Christchurch NHS Foundation Trust
- England - London (South)
- Dominic Smith, Consultant Anaesthetist
- Jess Wiggins, Consultant Anaesthetist
- Lynsey Woodward, Consultant Anaesthetist
- Ali Tattam, Deputy Clinical Leader, Anaesthetics
- Andrew Vaughton, Consultant Anaesthetist
- Ian Mowat, Consultant Anaesthetist
What is the positive change that has emerged through new collaborations or partnerships during Covid-19 that your project is going to embed?
Covid-19 has prompted the medical community to explore new ways of learning and a host of online options have worked effectively. Team training of skills and human factors using high-fidelity simulation is difficult to deliver with social distancing.
Team simulation improves patient safety and is effective in teaching and implementing guidelines. A survey in our deanery showed that 45% of anaesthetic trainees don’t have access to regular simulation training and of those who do, 66% have experienced a significant reduction since the start of the pandemic.
The simulation faculty at Royal Bournemouth Hospital (RBH) proposes a novel way to embed guidelines, improve patient safety and enhance online courses and education. Encouraged by positive feedback and the success of simulation videos to teach new protocols for intubating patients with Covid-19, we have initiated the development of a free, online library of realistic, simulated anaesthetic emergency scenarios and plan to create a comprehensive resource.
What does your project aim to achieve?
This project aims to provide free online simulated anaesthetic scenarios and is uniquely aimed at all members of the theatre team.
We envisage this benefitting a wide range of participants including anaesthetists, theatre staff returning to work after shielding or maternity leave and multidisciplinary theatre teams. The website is already endorsed by the Royal College of Anaesthetists.
We have collated feedback demonstrating the value in increasing confidence, reiterating skills and bringing teams together.
We are collaborating with Bournemouth University to use the videos to support the BSc Operating Department Practice course.
Locally, to support the merger of Poole and Bournemouth Hospitals to create University Hospitals Dorset, we plan to use videoed simulation to embed new protocols and to assist teams who will be working in new environments.
The worldwide potential to provide online team simulation training in developing countries, where access to this training style is non-existent, is very exciting.
How will the project be delivered?
www.simulatedanaestheticscenarios.com is up and running, publicised predominantly through social media. It has been viewed worldwide and we will continually promote as more videos go online.
With funding we will seek expert input, developing the website and improving functionality and searchability.
We have been approached to produce videos to support training courses and envisage requests increasing as courses move online. We would like to be able to fulfil these requests and funding will enable ongoing production of quality videos and creation of a comprehensive resource.
We are collecting feedback via the website and social media. We are measuring impact by assessing differences between teams trained using videos versus those trained without when performing simulation. Early results are very encouraging.
The website is a non-profit enterprise but, to fund the project going forward, we plan to develop a virtual, interactive anaesthetic simulation course to complement the videos.
How is your project going to share learning?
A library of simulation resources provides an excellent opportunity to collect evidence to support the usefulness of team simulation training to improve patient safety and reduce the impact of human factors. Preliminary qualitative feedback and early results from comparison tests will be presented at the Association for Simulated Practice in Healthcare conference, 2020, and further qualitative and quantitative research is planned and will be put forward for publication. Results from all our research to date and going forward will be shared in the research section of www.simulatedanaestheticscenarios.com.
We plan to continue collecting and responding to feedback visibly, both on the website and on social media.
Learning from this project will be shared through the Q Exchange with regular updates for the community. It is hoped that conversations about how we can support virtual medical education and maintain or improve patient safety in anaesthesia will prompt similar projects within other acute specialties.
How you can contribute
- We would benefit from input by anyone with experience in promoting ideas on a national and international scale.
- We are open to constructive criticism to challenge and expand our ideas.
- Opportunities for networking and collaborating would be welcomed.
|11 Nov 2020||Presentation of preliminary results at ASPiH 2020|
|16 Nov 2020||Ongoing film production to expand library|
|16 Nov 2020||Regular simulation training with further assessment/research|
|4 Jan 2021||Further engagement with Bournemouth University to develop course material|
|4 Jan 2021||Promotion of project within Q community|
|1 Mar 2021||Further film production - aim to release two per month|
|1 Mar 2021||Phase 2 - IT support and active promotion|
|5 Apr 2021||Faculty meeting to plan virtual course development|
|6 Sep 2021||Provisional planned launch of virtual course|