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The impact of web-based and face-to-face simulation on patient deterioration and patient safety: protocol for a multi-site multi-method design


Cooper, SJ and Kinsman, L and Chung, C and Cant, R and Boyle, J and Bull, B and Cameron, A and Connell, C and Kim, J-A and McInnes, D and McKay, A and Nankervis, K and Penz, E and Rotter, T, The impact of web-based and face-to-face simulation on patient deterioration and patient safety: protocol for a multi-site multi-method design, BMC Health Services Research, 16, (1) Article 475. ISSN 1472-6963 (2016) [Contribution to Refereed Journal]


Copyright Statement

Copyright 2016 The Authors Licensed under Creative Commons Attribution 4.0 International (CC BY 4.0)

DOI: doi:10.1186/s12913-016-1683-0


Background: There are international concerns in relation to the management of patient deterioration which has led to a body of evidence known as the ‘failure to rescue’ literature. Nursing staff are known to miss cues of deterioration and often fail to call for assistance. Medical Emergency Teams (Rapid Response Teams) do improve the management of acutely deteriorating patients, but first responders need the requisite skills to impact on patient safety.

Methods/design: In this study we aim to address these issues in a mixed methods interventional trial with the objective of measuring and comparing the cost and clinical impact of face-to-face and web-based simulation programs on the management of patient deterioration and related patient outcomes. The education programs, known as ‘FIRST2 ACT’, have been found to have an impact on education and will be tested in four hospitals in the State of Victoria, Australia. Nursing staff will be trained in primary (the first 8 min) responses to emergencies in two medical wards using a face-to-face approach and in two medical wards using a web-based version FIRST2 ACTWeb. The impact of these interventions will be determined through quantitative and qualitative approaches, cost analyses and patient notes review (time series analyses) to measure quality of care and patient outcomes.

Discussion: In this 18 month study it is hypothesised that both simulation programs will improve the detection and management of deteriorating patients but that the web-based program will have lower total costs. The study will also add to our overall understanding of the utility of simulation approaches in the preparation of nurses working in hospital wards.

Item Details

Item Type:Contribution to Refereed Journal
Keywords:multi site, multi method design research, simulation, clinical audit, education, nursing, E-simulation, patient safety, simulation-based learning
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Health services and systems not elsewhere classified
Objective Division:Health
Objective Group:Other health
Objective Field:Other health not elsewhere classified
UTAS Author:Kinsman, L (Professor Leigh Kinsman)
UTAS Author:McKay, A (Mrs Angela McKay)
ID Code:112042
Year Published:2016
Web of Science® Times Cited:7
Deposited By:Health Sciences
Deposited On:2016-10-24
Last Modified:2017-12-14
Downloads:184 View Download Statistics

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