| Description: |
Introduction Human factors play an important role in adverse incidents and complaints in healthcare. Simulation is increasingly recognised as a safe and effective platform for human factors training. We propose that multiprofessional team-based simulation courses could enhance staff training, staff engagement, patient safety and patient experience in the endoscopy unit. Methods We designed and delivered four in-situ multiprofessional simulation courses for established endoscopy teams across North West London, using recent clinical incident and complaints data to inform scenario selection and debriefs. We developed learning resources including a faculty information sheet, pre and post course questionnaires, scenario descriptions and an introductory presentation. We procured an OGD and colonoscopy simulator and invited a patient actor to contribute to scenarios and debriefs. Video feedback was used to inform peer-led discussions. We collected quantitative and qualitative pre and post course data including participant demographics, and Likert scores for course enjoyment, usefulness, relevance and realism. Data was analysed descriptively. Results A total of 47 endoscopy staff participated in the courses (course size 8–15), including 32 nurse assistants, 11 endoscopists, 3 health care assistants and 1 porter. 70% were female, 55% were aged 35 to 50 and 60% had less than 5 years experience in endoscopy. Post course data analysis showed high Likert scores across all measured domains (1 poor – 5 excellent): 4.74 (enjoyment), 4.81 (usefulness), 4.80 (relevance), 4.33 (realistic). 85% felt that their confidence in managing similar situations in real life had improved. Qualitative data was universally positive, and included: “quality feedback”, “makes you reflect on better practice”, “shared learning”, and “there is a real need for courses such as this”. Conclusion Endoscopy teams value simulation based multiprofessional learning platforms for human factors training. We believe that 3 key features enhanced learning and ... |