ISS used to assess performance and identify risks: eighteen studies, mostly observational, reported positive benefits for identifying hazards, latent safety threats and guideline non-adherence¶

Claim · All claims
Evidence · 1 study · review r3 · q2
Currency · newest study 2022 · not yet checked against its sources · not reviewed by a person

Subclaims¶

q2 i? Eighteen studies used ISS as an assessment method to identify medication errors, latent safety threats, guideline non-adherence and equipment issues, and authors reported positive benefits for detecting errors and informing improvement initiatives. → Evans Kerry 2022

Evidence¶

Evans Kerry 2022¶

Evans Kerry, Woodruff Jenny, Cowley Alison, Bramley Louise, Miles Giulia, Ross Alastair, Cooper Joanne, Baxendale Bryn. (2022). GENESISS 2—Generating Standards for In-Situ Simulation project: a systematic mapping review. BMC Medical Education. https://doi.org/10.1186/s12909-022-03401-y

q2 · i? · review · r3

Review category 1: eighteen studies (samples where reported ranging from 12 to 277 participants) conducted ISS to assess performance and identify risks such as medication errors and latent safety threats. The review reports "Authors reported positive benefits of conducting ISS to identify risks and hazards in clinical environments".

"Eighteen studies conducted ISS as a method of assessment (Table 2). Studies were conducted in the US, Canada, Denmark, Sweden, UK, Germany, Switzerland. Most studies were observational (n = 17), with one study reporting a quasi-experimental design"

Discussion¶

Related Claims¶

• In-situ simulation is used in healthcare for four mapped purposes: assessment, system readiness and safety culture, clinical skills and patient outcomes, and non-technical skills, knowledge and confidence — a broader claim this one bears on
• All nine studies using ISS to assess and promote system readiness and safety cultures reported improvements in readiness scores and safety attitudes — related
• Medical students and interns poorly identified pressure ulcer risk in a patient-safety simulation — a narrower finding that bears on this claim
• Interprofessional teams identified pressure ulcer risks better than individuals in a simulation study — a narrower finding that bears on this claim