From: SAFEE: A Debriefing Tool to Identify Latent Conditions in Simulation-based Hospital Design Testing
Simulation-based activities to evaluate systems and processes | Simulation-based activities to evaluate architectural design | |
---|---|---|
Conceptual framework | SEIPS 2.0; all components of the work system | SEIPS 2.0; a single component of the work system |
Testing focus | Systems and process | Environment |
Scenario facilitation | Tasks and care process driven by participant medical decision making | Facilitator directed completion of tasks and care activities Facilitator must understand evidence-based safe design principles and the architectural design of the clinical space being tested |
Testing objectives | High-risk and high-impact changes identified by stakeholders | Design elements defined by evidence-based safe design principles |
Debriefing team | Participants: front line staff Stakeholders: physician directors, nursing or respiratory therapy managers, and/or nurse educators. System stakeholders: representation from quality and patient safety, information and technology, infection control, and accreditation | Participants: front line staff Stakeholders: physician directors, nursing or respiratory therapy managers, and/or nurse educators. System stakeholders: representation from quality and patient safety, information and technology, infection control, and accreditation Architects |
Opportunities for improvement | Driven by participant knowledge and experience to propose solutions to remedy system and process deficiencies Examples: operational readiness, transition planning, process improvement, improvements related to people, organization, and technologies, tools, tasks, and environment | Relies on the architect team to devise design alternatives and solutions Architects elicit feedback from clinicians regarding clinical needs and preferences Examples: architectural modification, future administration, and operational planning |