Variation and adaptation: learning from success in patient safety-oriented simulation training

Abstract Simulation is traditionally used to reduce errors and their negative consequences. But according to modern safety theories, this focus overlooks the learning potential of the positive performance, which is much more common than errors. Therefore, a supplementary approach to simulation is ne...

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Main Authors: Peter Dieckmann, Mary Patterson, Saadi Lahlou, Jessica Mesman, Patrik Nyström, Ralf Krage
Format: Article
Language:English
Published: BMC 2017-10-01
Series:Advances in Simulation
Subjects:
Online Access:http://link.springer.com/article/10.1186/s41077-017-0054-1
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author Peter Dieckmann
Mary Patterson
Saadi Lahlou
Jessica Mesman
Patrik Nyström
Ralf Krage
author_facet Peter Dieckmann
Mary Patterson
Saadi Lahlou
Jessica Mesman
Patrik Nyström
Ralf Krage
author_sort Peter Dieckmann
collection DOAJ
description Abstract Simulation is traditionally used to reduce errors and their negative consequences. But according to modern safety theories, this focus overlooks the learning potential of the positive performance, which is much more common than errors. Therefore, a supplementary approach to simulation is needed to unfold its full potential. In our commentary, we describe the learning from success (LFS) approach to simulation and debriefing. Drawing on several theoretical frameworks, we suggest supplementing the widespread deficit-oriented, corrective approach to simulation with an approach that focusses on systematically understanding how good performance is produced in frequent (mundane) simulation scenarios. We advocate to investigate and optimize human activity based on the connected layers of any setting: the embodied competences of the healthcare professionals, the social and organizational rules that guide their actions, and the material aspects of the setting. We discuss implications of these theoretical perspectives for the design and conduct of simulation scenarios, post-simulation debriefings, and faculty development programs.
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spelling doaj.art-7b5aa3a3305e4e14b9b4274090f878ac2022-12-22T03:39:23ZengBMCAdvances in Simulation2059-06282017-10-012111410.1186/s41077-017-0054-1Variation and adaptation: learning from success in patient safety-oriented simulation trainingPeter Dieckmann0Mary Patterson1Saadi Lahlou2Jessica Mesman3Patrik Nyström4Ralf Krage5Copenhagen Academy for Medical Education and Simulation (CAMES), Center for Human Resources, Capital Region of DenmarkChildren’s National Medical CenterLondon School of Economics and Political Science, Department of Psychological and Behavioural ScienceMaastricht University, Faculty of Arts and Social SciencesPatient Safety and Learning Centre, ARCADA University of Applied SciencesADAM Simulation Center, VU University Medical CenterAbstract Simulation is traditionally used to reduce errors and their negative consequences. But according to modern safety theories, this focus overlooks the learning potential of the positive performance, which is much more common than errors. Therefore, a supplementary approach to simulation is needed to unfold its full potential. In our commentary, we describe the learning from success (LFS) approach to simulation and debriefing. Drawing on several theoretical frameworks, we suggest supplementing the widespread deficit-oriented, corrective approach to simulation with an approach that focusses on systematically understanding how good performance is produced in frequent (mundane) simulation scenarios. We advocate to investigate and optimize human activity based on the connected layers of any setting: the embodied competences of the healthcare professionals, the social and organizational rules that guide their actions, and the material aspects of the setting. We discuss implications of these theoretical perspectives for the design and conduct of simulation scenarios, post-simulation debriefings, and faculty development programs.http://link.springer.com/article/10.1186/s41077-017-0054-1SimulationScenariosDebriefingsInstallation theoryActivity theoryMundane practice
spellingShingle Peter Dieckmann
Mary Patterson
Saadi Lahlou
Jessica Mesman
Patrik Nyström
Ralf Krage
Variation and adaptation: learning from success in patient safety-oriented simulation training
Advances in Simulation
Simulation
Scenarios
Debriefings
Installation theory
Activity theory
Mundane practice
title Variation and adaptation: learning from success in patient safety-oriented simulation training
title_full Variation and adaptation: learning from success in patient safety-oriented simulation training
title_fullStr Variation and adaptation: learning from success in patient safety-oriented simulation training
title_full_unstemmed Variation and adaptation: learning from success in patient safety-oriented simulation training
title_short Variation and adaptation: learning from success in patient safety-oriented simulation training
title_sort variation and adaptation learning from success in patient safety oriented simulation training
topic Simulation
Scenarios
Debriefings
Installation theory
Activity theory
Mundane practice
url http://link.springer.com/article/10.1186/s41077-017-0054-1
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AT jessicamesman variationandadaptationlearningfromsuccessinpatientsafetyorientedsimulationtraining
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