Development and Implementation of a Surgical Safety Integrated Management System derived from Aviation: the ADDS-SIMS Project

​Exploring the translational educational outcomes of simulation-based education - from the laboratory to the bedside. 

Safety should be the core in every business endeavor. The 2000 report "To Err is Human" emphasized the need to build a safer health system where processes of care are designed to ensure that the patient is cared for safely and is spared from preventable errors. CAMES, as an academy with the vision that all doctors are trained in a safe simulation-based setting before working with patients, is committed to provide evidence-based simulation-based training programs to equip doctors with clinical skills and competences in order to provide excellent care. Patient safety is the core of all our activities. 

Armed with many years of experience in simulation-based education, and the continuous strive to promote patient care and safety, CAMES is taking a huge step by partnering with the Aviation industry to establish clinical safety management systems. Aviation safety is rigorous and well-established and has always been an exemplar for safety systems. Patient safety is just as important as passenger safety and should be our top priority when patients are admitted to our hospitals. This is achieved by ensuring that healthcare workers are well-trained and competent to provide optimal care. We will use aviation-derived training frameworks to remodel our training programs and use Implementation science to ensure quality and effectiveness of our programs.

Pursuit of this goal, we have assembled a team consisting of key experts in Patient care, Aviation training, Medical Education and Simulation, and Implementation Science. We will use hip fracture surgery as a model and enhance and improve simulation-based training and assessment of this procedure based on shared experiences from the different expertise. We will go beyond the simulated setting to explore the far-ranging benefits of training by inviting experts in Epidemiology, Health economics and Artificial intelligence (derived from the Operating Room (OR) Blackbox), providing scientific evidence to the implementation of the revised training program. Senior scientists and PhD students will be added and will be key drivers of these projects.

The overall goal of these projects is to establish and implement a safe healthcare training program that will equip health-care workers with the knowledge, skills, and attributes of professionalism needed to deliver quality patient care. We will explore translational educational outcomes- both in the educational setting and how it impacts patientcare practices and patient outcomes. Finally, we will perform return-on-investment analyses for the specific case that could aid in the transformation of modern healthcare towards a better, safer, and cheaper system.

This constellation of various expertise will form the basis of future work packages. We will start with Hip fracture surgery and believe that the proven positive effects and superior return-on-investment will drive the development and implementation of simulation-based education in other areas, e.g. Robotic Surgery.

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