Gangadharan S (LIJ New York), Walsh B, Auerbach MA

1. In situ simulation to detect latent safety
threats in process of critical care transport
Sandeep Gangadharan, M.D.
Barbara Walsh, M.D.
Marc Auerbach, M.D.
INSPIRE @ IMSH 2016 – San Diego, CA / USA
International Network for Simulation-based Pediatric Innovation, Research and Education

2. • Significant variability exists in organization of transport systems regionally
and nationally
• Majority of transport systems rely on a loosely defined consultation and co-
management process with a medical control physician
• There is no clear consensus if delivery of definitive treatment is enhanced
or impeded by care delivered at referring institution in consultation with
medical control physician
• Should rapid transport access to tertiary care facility or provision of care at
referring hospital in the “golden hour” be the dominant paradigm
International Network for Simulation-based Pediatric Innovation, Research and Education
Background

3. • P: Tertiary care Children’s Hospital afilliated
transport systems
• I:In situ sim (standardized scenario)
• C: Medical Control (ED vs ICU); Regional
variations
• O:1)Latent safety threats; 2)errors of omission;
3)errors of commission
International Network for Simulation-based Pediatric Innovation, Research and Education
PICO / Research Question

4. • Text
International Network for Simulation-based Pediatric Innovation, Research and Education
Approach / Design
Transport
System
Medical
Control
consultation
Referral
without
consultation
1)Latent safety
threats
2) Errors of
omission
3) Errors of
commission

5. • ALERT Presentation
• Grant Proposal (if applicable)
• IRB Submission
• Recruitment / Data Collection
• Data Analysis
• Abstract Presentation
• Manuscript Preparation
International Network for Simulation-based Pediatric Innovation, Research and Education
Timeline

6. 1. A feasible outcome with relevance and impact
2. How to determine/evaluate best systems of
transfer
3. Feasibility of the actual study with in-situ
simulations planned – guided site care from med
control, handoff evaluation, versus transport
medical management versus looking at it ALL
International Network for Simulation-based Pediatric Innovation, Research and Education
3 questions to improve study

7. At INSPIRE @ IMSH 2016:
In 2 months: IRB submitted
In 6 months: Potential grant submission
In 12 months; Data analysis and manuscript
International Network for Simulation-based Pediatric Innovation, Research and Education
Goals to accomplish

8. Name Sandeep Gangadharan, M.D.
Institution Cohen Children’s Center
E-mail, Phone sgangadhar@nshs.edu
Website / QR Code
International Network for Simulation-based Pediatric Innovation, Research and Education
Contact Information