Table 1 Sample COVID-19 simulation scenario objectives (highest risk and highest frequency)
| Examples of some COVID-19 scenario objectives (pre-determined to be highest risk and highest frequency) | System issue categories [35] |
|---|---|
|
Equipment: Implement creation of carts for personal protective equipment/intubation Cognitive aids: Apply airway pause with COVID-19 additions Paging systems: Assess addition of “COVID-19” stem to pages to ensure HCP safety and priority response | Tools and technology |
|
Task complexity: Prepare smaller specialized teams for intubation (e.g., airway response team) Prepare smaller teams to anticipate and prepare for any aerosol-generating medical procedure Designate and prepare personal protective equipment (PPE) coach for donning and doffing Organize clean runner role to help with cognitive overload | People and tasks |
|
Signage: Evaluate plan for new areas for COVID-19 vs non-COVID-19 patients (surge specific phases) Transport routes: Assess, plan, testing of dedicated hallways and elevators | Environment |
|
Assess staffing during day and night with Intensive Care Unit surge bed plans and escalating to 2 patients per room Site capacity and triggers: Evaluate pandemic surge exercises identifying triggers, bed capacity, flow restrictions, and continuity across the site | Organization |
|
Communication pathways: Apply testing of handover tools and new alerts Workflow: Identify appropriate number staff/roles caring for patient(s) Policies (testing of new or existing): Appraise any unnecessary and preventable delays in care and/or process | Processes |