期刊
SIMULATION IN HEALTHCARE-JOURNAL OF THE SOCIETY FOR SIMULATION IN HEALTHCARE
卷 8, 期 1, 页码 13-19出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/SIH.0b013e318280b202
关键词
Hierarchy; Teamwork; Crisis resource management; Dysrhythmia; Hyperkalemia; Medical error; Patient simulation; Medical education; Multidisciplinary simulation; Error avoidance; Ethics; Misdirection; Simulator death; Psychological safety in simulation
Medicine is hierarchical, and both positive and negative effects of this can be exposed and magnified during a crisis. Ideally, hierarchies function in an orderly manner, but when an inappropriate directive is given, the results can be disastrous unless team members are empowered to challenge the order. This article describes a case that uses misdirection and the possibility of simulated death to facilitate learning among experienced clinicians about the potentially deadly effects of an unchallenged, inappropriate order. The design of this case, however, raises additional questions regarding both ethics and psychological safety. The ethical concerns that surround the use of misdirection in simulation and the psychological ramifications of incorporating patient death in this context are explored in the commentary. We conclude with a discussion of debriefing strategies that can be used to promote psychological safety during potentially emotionally charged simulations and possible directions for future research. (Sim Healthcare 8:13-19, 2013)
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据