Guerilla Sim: Anywhere, Anytime, Anyone
Jon GatwardRoyal Prince Alfred Hospital, Sydney
Guerrilla..
noun
..a member of a small, independent mobile force taking part in irregular fighting, using hit-and-run tactics..
guerrilla warfare..referring to actions or activities performed in an impromptu way, often without authorization
EXCLUSIVE: MEDICAL SIMULATON WORKS
HIE rate
Anywhere?
$
$ 2, 0 0 0, 0 0 0
Mobile Simulation
$ $ 1, 5 0 0, 0 0 0
$ $ 8, 0 0 0
$ $ 0
Hit-and-run Sim
www.sydneyhems.com
www.sydneyhems.com
www.sydneyhems.com
www.sydneyhems.com
www.sydneyhems.com
www.sydneyhems.com Photos courtesy of Cliff Reid and Karel Habig
In-situ simulation
$ $ 1 5 0
$ $ 2 0, 0 0 0
Anytime?
q No need for study leave or travel
q Can happen 24/7q Can be impromptu
q Pagersq Before/after
shiftq Shift overlap
Simulation in the workplace
q Taking staff away from patients
Impromptu training?
Anyone?
Anyone?
Oh, just not smart. Even for you.
Signal
Noise
Experience
Mobile Simulation
Why go mobile?
LATEST: IN-SITU SIMULATION WORKS
Experienced, paid Faculty
Well equipped
Out of clinical context
Expensive
Leave from work
Often a one-off
May not reflect local practice
Course fees
Variable Faculty
Usual ward equipment
Normal working environment
Cheap
Intact, interdisciplinary teams
Repetition, patient journeys
Local case-mix and adverse incidents
Reveals system errors / latent threats
What we do at RPA
Tips for success
Tips for successTime
FlexibilityPatients and relativesQI Unit specificBrief and debriefEquipmentData
N = 300
$90 million since 2011
Summary
www.mobilesim.wordpress.com
o Simulation workso Mobile / in situ training has its
advantageso It can be done on the cheap,
buto There is money aroundo Money follows datao Still need experienced Facultyo Take care with debriefing
