Guidelines for Simulations: Benefits/Challenges in PT

▪ Identify performance gaps or process issues based on the expected outcomes of the simulation-based experience. ▪ Follow the HSSOBPTM Facilitation. ▪ The Debrief process should be conducted in an environment that provides privacy and discretion, open discussion, and trust, and one that supports learners in the case of unexpected distress or outcome. ▪ The process should include multiple points of view, such as self, peers, external observers, standardized patients, operations/ technology specialists, and/ or automated performance analysis and feedback systems. ▪ Discussion should guide learner(s) toward comprehension and understanding of objectives. ▪ The Debrief process should be structured; incorporate various phases; and conducted depending on the complexity of the scenario, available time, and the learning objectives. ▪ Debrief facilitates analysis or critique of the team, system, or the learner while acknowledging that each learner’s perspective is valid and may not be fully understood without exploration. ▪ Well-designed Debriefing encourages learners to search for evidence-based solutions and fosters transfer of learning to the clinical setting.

The debriefing process is conducted in a manner that promotes self, team, and/or systems analysis. This process should encourage reflection, exploration of knowledge, and resolution of performance/ system gaps while maintaining psychological safety and confidentiality. The debriefing process is planned and structured in a purposeful way based on theoretical frame- works and/or evidenced-based concepts.

The Operations Standard In contrast to the others, the Operations Standard addresses the pragmatic management concerns associated with Simulations including the development and maintenance of a strategic plan, policies and procedures, financial resources, and personnel.

Box. 6 Healthcare Simulation Standards of Best Practice: Operations 13

Criterion

Summary of Elements

Implement a strategic plan that coordinates and aligns resources of the SBE program to achieve its goals.

Perform a needs assessment.

▪ Define a strategic plan (including immediate, short- and long- term goals) that aligns with the governing institution and supports the mission, vision, and values of both the SBE program and organizations associated with the SBE program. ▪ Devise an organizational infrastructure that supports the goals and outcomes of the SBE program, and define roles for leadership, administration, management, operations and/or technology specialists, educators, or other simulationists. ▪ Involve and report progress to key stakeholders. ▪ Implement a systematic evaluation plan of operations with a prescribed review/revision cycle.

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