2016/062 - What can organizations learn from simulation ? A field study in anesthesia and intensive care
Cécile Boulard, David Rozier, Julien Picard, Aline Baron, Pierre Albaladejo
HEPS, Toulouse, France, 5-7 October, 2016.
The main purpose for using simulators in the field of anesthesia and intensive care is staff training. It is seen as a way to enable healthcare practitioners to train on specific situations without any risk involved. As we know from the literature, in high risks systems such as anesthesia and intensive care, safety is supported by normative safety – based on organizational anticipation – and by adaptive safety produced by the operators, in order to face the variability of situations. From an organizational perspective, the ability to better understand and characterize the adaptive safety in order to support it would have positive impacts on the global safety. This study suggests considering the post-simulation debriefings with experts operators as appropriate moments for organizations to grasp how work is actually performed and the way safety is really ensured. The study is based on the analysis of 10 post-simulation debriefings with expert operators. The main findings show that in post-simulation debriefings – where trainers adopt positive attitudes without judgements – core information on real work can be revealed. Operators can discuss and share good practices, some specific rules enforcement, feedbacks or even debate work organization. As a matter of fact, debriefings constitute for organizations a place where it is possible to understand real practice and at the same time consider and discuss potential changes.