Action taken following identification of latent safety threats | Repeat simulation following action |
Laminated ALS algorithms on resuscitation trolleys (trust-wide) | Algorithm used by permanent team members and those exposed to simulation programme previously |
Major haemorrhage protocol training at junior doctor induction/teaching and dedicated acute medical management training days for non-training doctors (trust wide) | Major haemorrhage protocol activated more efficiently |
Gastrointestinal bleed simulation for foundation doctors (emphasis on major haemorrhage protocol) | Major haemorrhage protocol activated more efficiently |
Laminated major haemorrhage protocol on resuscitation trolleys (trust-wide) | Major haemorrhage protocol activated more efficiently |
Multiprofessional team members reminded of uniform policy and asked to wear easily located name badges at all times and asked to introduce themselves at the morning board round (local) | Improved closed loop communication during repeat simulation |
Sourcing relevant equipment undertaken by ward management (local) | Improvement in equipment shortages |
ALS, advanced life support.