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Sidi A, Gravenstein N, Vasilopoulos T, et al. J Patient Saf. 2021;17(6):e490-e496.
Nontechnical skills, such as teamwork and communication, can influence performance in technical fields like surgery or emergency medicine. This study found that simulation-based assessments can measure improvements in nontechnical skills and cognitive performance among residents.
Siebert JN, Bloudeau L, Combescure C, et al. JAMA Netw Open. 2021;4(8):e2123007.
Medication errors are common in pediatric patients who require care from emergency medical services. This randomized trial measured the impact of a mobile app in reducing medication errors during simulated pediatric out-of-hospital cardiac arrest scenarios. Advanced paramedics were exposed to a standardized video simulation of an 18-month of child with cardiac arrest and tested on sequential preparations of intravenous emergency drugs of varying degrees of difficulty with or without mobile app support. Compared with conventional drug preparation methods, use of the mobile app significantly decreased the rate of medication errors and time to drug delivery.

Ensuring maternal safety is a patient safety priority. This library reflects a curated selection of PSNet content focused on improving maternal safety. Included resources explore strategies with the potential to improve maternal care delivery and outcomes, such as high reliability, care standardization, teamwork, unit-based safety initiatives, and trigger tools.

Petrosoniak A, Fan M, Hicks CM, et al. BMJ Qual Saf. 2021;30(9):739-746.
Trauma resuscitation is a complex, specialized process with a high risk for errors. Researchers analyzed videotapes of in situ simulations to evaluate latent safety events occurring during trauma resuscitation. Themes influencing latent safety events related to physical workspace, mental model formation, equipment, unclear accountability, demands exceeding individuals’ capacity, and task-specific issues.
Hoyle JD, Ekblad G, Woodwyk A, et al. Prehosp Emerg Care. 2021:1-8.
Inaccurate assessment of pediatric patient weight can lead to medication dosing errors. In simulated pediatric scenarios, pre-hospital emergency medical services (EMS) crews obtained patient weight using one or more of three methods: asking parent, using patient age, and Broselow-Luten Tape (BLT). BLT was the most frequent method used and patient age resulted in the most frequent dosing errors. Systems-based solutions are presented.

James Augustine, MD, is the National Director of Prehospital Strategy at US Acute Care Solutions where he provides service as a Fire EMS Medical Director. We spoke with him about threats and concerns for patient safety for EMS when responding to a 911 call.

Langevin M, Ward N, Fitzgibbons C, et al. Simul Healthc. 2021;Epub Jun 18.
Prior research has found that simulation-based event analysis (SBEA) can identify novel sources of error as well as generate creative strategies for error prevention. In this study, researchers found that simulation can optimize SBEA-generated recommendations and that it provides opportunity to test the intervention in real-life settings before widespread implementation.

Otolaryngol Head Neck Surg. 2018-2021.

Otolaryngology-head and neck surgery is vulnerable to wrong site errors and other challenges present in surgical care. This series of articles highlights key areas of importance for the specialty as they work to enhance patient safety. The 2021 installment covers the role of simulation.
Petrone G, Brown L, Binder W, et al. Disaster Med Public Health Prep. 2021;Epub Mar 26.
As COVID-19 infections surged worldwide, many states set up alternative care hospitals (ACH), or field hospitals. Prior to opening a Rhode Island ACH, four multi-disciplinary in situ simulation scenarios were run to perform system testing. This in situ simulation was successful in identifying patient safety concerns, resulting in equipment modification and protocol changes.
Society for Simulation in Healthcare.
Simulation provides a safe space to observe behaviors and generate constructive feedback to enhance individual and team performance. This website provides promotional materials for an annual campaign to raise awareness of professionals that use simulation to develop teamwork, communication, and crisis management skills in health care. The 2021 observance is will be held September 13-19.
Lane AS, Roberts C. BMJ Simul Technol Enhanc Learn. 2020;Epub Dec 3.
Open disclosure by healthcare providers is increasingly encouraged. This qualitative study characterized the experiences of medical students participating in a high-fidelity simulation session based on open disclosure after medication error. Findings reinforced the need for psychological safety, emotional arousal during learning, and both individual and collective reflective learning.
Dryver E, Lundager Forberg J, Hård af Segerstad C, et al. BMJ Qual Saf. 2021;30(9):697-705.
Checklists are commonly used in surgical and critical care settings to improve patient safety. This multisite study simulation study found that checklists can improve local resuscitation teams’ management of medical crises such as anaphylactic shock and septic shock in emergency departments.
Minehart RD, Bryant AS, Jackson J, et al. Obstet Gynecol Clin North Am. 2021;48(1):31-51.
Improving maternal safety and reducing disparities in maternal morbidity and mortality are national priorities. This article discusses inequities in maternal health outcomes and provision of care, factors involved in the relationship between race and health (e.g., racism, social status, health behaviors), and efforts at the national-, state-, and hospital-level to improve obstetric care and outcomes for Black mothers.
Fransen AF, van de Ven J, Banga FR, et al. Cochrane Database Syst Rev. 2020;12:Cd011545.
Teamwork training simulation programs can improve communication and safety culture in obstetric teams. This systematic review found that simulation-based obstetric team training can improve team performance and may improve some maternal and perinatal outcomes. The authors note that future research should attempt to limit bias, improve precision, and pay attention to effect measurement at the patient outcome level.
Berg TA, Hebert SH, Chyka D, et al. Simul Healthc. 2020;Epub Dec 5.
Nurses are often responsible for medication administration at the bedside. This simulation study found that a smart phone app providing just-in-time medication administration information could reduce the occurrence of medication administration errors by nursing students. 
Kjaergaard-Andersen G, Ibsgaard P, Paltved C, et al. Int J Qual Health Care. 2020;Epub Nov 10 .
Simulation training is used by hospitals to improve patient care. This study describes the experience of one Danish hospital shifting from simulation training at external centers to in situ training. The shift to in situ training identified several latent safety threats (e.g., equipment access, lack of closed-loop communication, out-of-date checklists) and these findings led to practice changes.