Action taken following identification of latent safety threats and results of repeat simulation
| 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.