Simulation-Debriefing Enhanced Needs Assessment to Address Quality Markers in Health Care: An Innovation for Prospective Hazard Analysis.
Publication/Presentation Date
2-1-2025
Abstract
Simulation-Debriefing Enhanced Needs Assessment (SDENA) is a simulation-based approach to prospective hazard analysis that uses simulation and debriefing as a unit-level diagnostic tool. Scenarios address failure modes for health care improvement targets, and debriefing explores unit-specific barriers and resiliencies. Debriefing guides are structured to explore how six drivers of a behavior engineering framework (data, tools/resources, incentives, knowledge/skills, capacity, motivation) influence clinical behaviors. Illinois Hospital Association members who deployed SDENA to address specific hospital-acquired conditions found motivation to be a more significant barrier than anticipated before deployment. SDENA represents a novel approach to improving safety and may refine intervention targets.
Volume
51
Issue
2
First Page
144
Last Page
158
ISSN
1938-131X
Published In/Presented At
Barker, L. T., Bond, W. F., Willemsen-Dunlap, A. M., Cooley, K. L., McGarvey, J. S., Ruger, R. L., Kohlrus, A., Kremer, M. J., Sergel, M., & Vozenilek, J. A. (2025). Simulation-Debriefing Enhanced Needs Assessment to Address Quality Markers in Health Care: An Innovation for Prospective Hazard Analysis. Joint Commission journal on quality and patient safety, 51(2), 144–158. https://doi.org/10.1016/j.jcjq.2024.10.004
Disciplines
Medicine and Health Sciences
PubMedID
39799066
Department(s)
Department of Emergency Medicine
Document Type
Article