Resource Page
April 6, 2016
UW WWAMI Institute for Simulation in Healthcare (WISH)
Harborview Medical Center
Seattle, WA
View the course flyer with full agenda here.
Click the "Just in Time - Ebola Patient Hygiene" app icon for download instructions!
Please find presentation recordings, slide PDFs, and related resources for each talk below:
Background
Providing care to patients with highly lethal infectious diseases such as Ebola virus disease (EVD) presents a major, immediate challenge to healthcare institutions. High-level personal protective equipment (PPE) requirements for healthcare workers (HCWs) treating Ebola virus patients include equipment that can limit peripheral vision, gross and fine motor skills, and spatial awareness and result in injuries from needle sticks and falls. Currently available training on high-level PPE for US healthcare workers is inadequate and does not consider the physical limitations and additional safety risls posed by PPE.
Objective
To design and deliver a short courses that addresses the unique health and safety needs of HCWs treating highly contagious, emergent infectious diseases.
Methods
Risk Assessment: We conducted 20 separate simulations to identify high-risk occupational hazards associated with high-level PPE use during the routine care of patients highly infectious disease. Simulations were video recorded and reviewed by a multidisciplinary panel to identify potential risks to HCWs as well as possible solutions.
Just-in-Time Training App: The results from the risk assessment informed the development of a just-in-time training application for use on smartphones or tablets that could used either training purposes or to guide care at the bedside. The "app" specifically target high-risk components of care and incorporated recommended solutions.
Train-the-Trainer Course: We developed and implemented a full day train-the-trainer course that (1) described hospital response processes for high-risk infectious disease outbreak, (2) incorporated lessons learned national and international response to EVD, (3) demonstrated how simulation could be used to train critical skills and assess individual and system proficiency, (4) taught participants a low cost method for teamwork training in high-risk environments, and (5) provided hands-on experience performing basic patient care while wearing full PPE. As part of the training, we developed a manual that outlined an evidence-based approach to risk assessment, and contained all material presented during the course. Participant knowledge and comfort with procedures was assessed.
Result: Attendees rated the course as beneficial, with pertinent content and informative speakers. Pre-/post measures of attendee confidence demonstrated increased self-efficacy in all ten areas.
Partners
University of Washington School of Medicine
UW School of Public Health DEOHS Continuing Education Center
UW Northwest Center for Occupational Health and Safety
Virginia Teach Carilion Research Institute
Medstar Health
Funding for this course is provided by Washington State Department of Labor & Industries, Safety and Health Investment Project (2014XH00293-K-1901). For more information, please select the following link.
Train-the-Trainer Course
Responding to the Challenge: Understanding the Need to Mobilize Personnel to Respond to an Infectious Disease Emergency
John Lynch, MD, MPH
Associate Professor of Medicine
Medical Director Infection Prevention and Employee Health
University of Washington Medicine, Harborview Medical Center
Steven Mitchell, MD
Assistant Professor, Emergency Medicine
Acting Medical Director, Emergency Department
University of Washington Medicine, Harborview Medical Center
View the presentation PDF
Watch presentation recording:
Additional Resources:
"Clinical Management of Ebola Virus Disease in the United States and Europe", New England Journal of Medicine - Download
Worker Protection, Hazard Analysis, and Risk of Infectious Agents
John Scott Meschke, JD, MS, PhD
Assistant Professor, Environmental and Occupational Health Sciences
University of Washington School of Public Health
View Presentation PDF
Watch Presentation Recording:
Additional Resources:
"Cleaning and disinfecting environmental surfaces in health care: Toward an integrated framework for infection and occupational illness prevention”, American Journal of Infection Control - Download
Using Virtual Reality to Develop Hospital Protocols
Dmitri Bouianov
CEO Context VR
View Presentation PDF
Watch Presentation Recording:
SHIP (Safety and Health Investment Project): Application of Failure Mode Effects Analysis to Occupational Health
Sarah Parker, PhD
Research Assistant Professor, Carilion Research Institute
Virginia Tech University
View Presentation PDF
Watch Presentation Recording:
Additional Resources:
“Failure analysis in the identification of synergies between cleaning monitoring methods”, American Journal of Infection Control - Download
“A Practical Framework for Patient Care Teams to Prospectively Identify and Mitigate Clinical Hazards”, The Joint Commission Journal on Quality and Patient Safety - Download
SHIP: Design of Event-based Simulations to Train High Risk Procedures
Rosemarie Fernandez, MD
Associate Professor, Emergency Medicine
University of Washington School of Medicine
View Presentation PDF
Watch Presentation Recording:
Additional Resources:
A typology of educationally focused medical simulation tools - Download
Healthcare Simulation to Advance Safety: Responding to Ebola and Other Threats - Download
Leveraging TeamSTEPPS Framework to Support Communication and Safety During High Risk Patient Care Activities
Ross Ehrmantraut, RN, HRET Senior Fellow
TeamCORE Clinical Manager,
UW Medicine WWAMI Institute for Simulation in Health Care (WISH)
View Presentation PDF
Watch Presentation Recording:
Additional Resources:
American Journal of Medical Quality “TeamSTEPPS: Assuring Optimal Teamwork in Clinical Settings” - Download
TeamSTEPPS Website
Additional Resources Section:
Faculty Bios - Download
Simulation Scripts
CVC line - Download
Peripheral IV - Download
Urinary Catheter Placement - Download
Intubation - Download
Fecal Management - Download
SHIP Project: Simulation and FMEA Results - Download
FMEA Worksheet - Download
APHA Ebola Presentation - Download
OSHA Ebola Website: https://www.osha.gov/SLTC/ebola/background.html
OSHA Links PDF - Download
OSHA FactSheets:
PPE Matrix- Download
Ebola Decontamination - Download
Ebola Decontamination Spanish - Download
Ebola Waste - Download
Preventing Worker Fatigue Among Ebola Healthcare Workers and Responders - NIOSH/OSHA - Download
Resource Materials Reference List - Download
May 5, 2017 AOHP/APIC Presentation
LIz Kindred presentation slide handout (2 slides per page)
Sarah Wolz presentation slide handout (2 slides per page)
Please use these materials for informational and educational purposes, but contact us for permission to reproduce of any these slides, as they are a compilation of materials from others, and we'd just like to know who is using and how. Thanks--Sarah & Liz sawolz94@uw.edu/206-221-3967 | ekindred@uw.edu
FMEA filled-in table example handout
FMEA workbook (pdf in 3 parts)