The ultimate in knowledge translation. Case: cardiac arrest ED simulation to test & train our processes for dual sequential defibrillation. We were joined by @DrCheskes who changed practice w/ @NEJM pub Dose VF study. Amazing start to the day @UnityHealthTO w/ @Sim_UnityHealth

What a great way to start the day! Multidisciplinary team simulation in our ED @UnityHealthTO this AM made possible by our ED RN educators and @Sim_UnityHealth team! An accidental hypothermia case to test our rewarming processes and we were joined by our CVICU colleagues.

We just “crash tested” using translational #simulation a more streamlined process of getting critically injured pts to the OR. Far more safe & efficient than “hoping” a new protocol will work. In a complex adaptive system, key to observe how a new system plays out in reality.

Every organization will encounter a crisis. Here’s how we used the concept of pre-mortem to improve. This week we @Sim_UnityHealth conducted a multi-disciplinary #simulation of a complete loss of IT infrastructure. Goal: crash test our processes & ensure ongoing care 🧵 1/

Here's how we're using in situ #simulation and data-driven QI initiatives with our @UnityHealthTO ED team. 🧵 Case: Refractory VF Goals: - Integrate DOSE VF protocol from @DrCheskes et al & tested dual sequential defib logistics - Evaluate CPR performance - Test RN co-lead 1/

The power of #simulation-informed #design We tested, refined & improved the process for walk-in stroke patients using an 8 min scenario and 25min debriefing with a multidisciplinary team led by stroke NP Lee Barratt A boardroom meeting never would've accomplished the same. 1/

Another successful in situ #simulation at St Mikes emerg @UnityHealthTO calcium blocker overdose High dose insulin, gastric lavage Amazing participation & teaching from Drs Emily Austin (toxicologist) & @EmICUcanada (intensivist) #worldclass Case design & debrief by @riggsy

This seems like a bit of a disaster waiting to happen…we discovered this during in situ #simulation testing this morning Manufacturers need to do better Under pressure, it’s predictable these 2 very different meds could get mixed up #clinical #design #HumanFactors

Critical Care Skills Training Day It’s go time!! Half way through. Amazing participants, instructors and sim team. #AreWeTalkinAboutPractice? @EMUofT @Sim_UnityHealth

8th Annual Critical Care Skills Training Day Check out why working & training at @EMUofT & @UnityHealthTO is amazing! Can't believe @EmICUcanada and I have been running this now for 8yrs! T minus 1 day. Shout out to @Sim_UnityHealth @MelissaAMcG @PopescuRaymond #simulation

Here’s resilience at its best. Yes it’s a pandemic. Yes it’s the 3rd wave. Yes HCWs are working harder than ever. But it didn’t stop our training @ St Michael’s @UnityHealthTO #Simulation team training yesterday in our ED. We got you.

Great day @UnityHealthTO running #translational #simulation to finalize the #design and testing of new #cardiology dept cath and procedure lab. Multi-disciplinary sim with tremendous end-user feedback! This is future of #healthcare design. Lots of work planning w/ @Sim_StMikes

Last week, we posted about the opening of our new trauma bay @UnityHealthTO, a space that we “purposely designed, extensively tested, revised with end-user feedback.” – @HumanFact0rz #design #trauma #emergencymedicine Here's a thread with more details 1/

In situ #simulation team training this morning in our new #trauma bay St Mikes @UnityHealthTO. Amazing work by our multi-disciplinary team learning and practicing in our new clinical space. Made possible by @Sim_StMikes!

iSTART-Trauma 2.0 completed today. #simulation + #designthinking with a focus on end-user feedback. Today was both clinician and patient perspectives. More to come.

iSTART-Trauma 1.0 (in situ Simulation for Testing and Assessment of Redesigned Treatment zones). Full multi-disciplinary team. 3 scenarios cross-referenced with key trauma processes. Feedback solicited with plans for modifications. Here's a few pics before we got started. 1/