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Table 1 Outline of VP scenarios in VSPR
| VP title | VP topic | Positive patient outcomes | Negative patient outcomes. | Target learner audience |
|---|---|---|---|---|
| Falls | Preventing patient falls in the clinical practice setting. | Patient assisted to toilet. Patient discharged 2 days later. | Patient falls when toileting independently. Sustains laceration to forehead, fractured right neck of femur and head injury. Patient remained in hospital for several weeks for treatment and rehabilitation. | Novice learner |
| Ward round | Interprofessional teamwork including patient as a member of the team. | Correct diagnosis and management and patient commenced on appropriate medication. Patient discharged 3 days later. | Incorrect diagnosis and management. Patient experiences acute pulmonary oedema and requires emergency medical team intervention. Patient admitted to high-dependency unit and follow-up rehabilitation for several weeks. | Advanced beginner |
| Aggressive patients | Recognising and responding to aggression. | Patient frustration and agitation correctly identified and managed resulting in de-escalation of the situation. | Patient frustration and agitation is not recognised. Patient behaviour escalates into aggressive violent outburst. Security measures are required to manage patient situation. | Advanced beginner |
| Community | Managing warfarin therapy in the community post coronary artery bypass grafts. | Patient receiving warfarin therapy has high International Normalised Ratio identified and emergency medical treatment instigated. | High international normalised ratio not identified. Patient sent home from clinic with no emergency treatment. Patient experiences large cerebral haemorrhage and dies shortly after. | Advanced beginner |
| Administering blood products | Risks associated with administering blood products in the clinical setting. | Incorrect patient identification is recognised. Correct patient is located and verified. Blood product administration proceeds without incident. | Following incorrect patient identification, wrong patient administered blood product. Patient experiences severe haemolytic transfusion reaction and admitted to intensive care unit. | Advanced beginner |
| Post-operative | Recognising and responding to patient deterioration in the immediate post-operative period. | Patterns and trends are recognised early with appropriate treatment implemented. Normal fluid balance returned in post-operative phase. | Patterns and trends are not recognised and no treatment implemented. Patient experiences acute kidney injury post-operatively. | Competent |
| Midwifery | Woman with epidural analgesia in labour experiences episode of hypotension. | A pathological fetal heart rate pattern is detected following episode of hypotension. Fluid resuscitation is initiated and a change to maternal position. Normal vaginal birth. | There is a delay in recognising, reporting and responding to a pathological fetal heart rate pattern. Fetal compromise ensues resulting in emergency caesarean section and neonate resuscitation. | Competent |
