All nine studies using ISS to assess and promote system readiness and safety cultures reported improvements in readiness scores and safety attitudes¶

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? Nine observational studies using ISS to prepare staff for new facilities and promote safety cultures all reported improvements in readiness scores and safety attitudes outcomes. → 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 2: nine observational studies (samples where reported 14 to 289 participants) in EDs, operating theatres, a neonatal ICU and an obstetric unit, with data mainly from pre/post self-assessment questionnaires and direct observation. The review reports "All of the studies reported improvements in readiness scores and safety attitudes outcomes".

"All of the studies reported improvements in readiness scores and safety attitudes outcomes."

Discussion¶

Learner Variables¶

• Safety — outcome: instruction changes it

Related Claims¶

• 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 — related
• 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
• After implementing collaboratively designed changes (emergency trolley, grab bags, orientation rules), the second in-situ simulation showed smoother, faster emergency care delivery — a narrower finding that bears on this claim
• Participants reported increased confidence, readiness and teamwork after completing the SimLab programme — a narrower finding that bears on this claim