key: cord-0062107-jtfmjcqb
authors: Dubé, Mirette; Kaba, Alyshah; Cronin, Theresa; Barnes, Sue; Fuselli, Tara; Grant, Vincent
title: Correction to: COVID-19 pandemic preparation: using simulation for systems-based learning to prepare the largest healthcare workforce and system in Canada
date: 2021-04-20
journal: Adv Simul (Lond)
DOI: 10.1186/s41077-021-00165-1
sha: 90ba28a646e2e6cad2e5b2b7d332627d353753dd
doc_id: 62107
cord_uid: jtfmjcqb

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The original article can be found online at https://doi.org/10.1186/s41077-020-00138-w. * Correspondence: mirette.dube@ahs.ca 1 eSIM Provincial Simulation Program, Alberta Health Services, Alberta Health Services, 1403 29th Street NW, Calgary, Alberta T2N 2 T9, Canada Full list of author information is available at the end of the article 1. Theme: Safe doffing (removal of PPE safely and in correct order)

People/Teams/Tasks; Tools/Technology; Key Outcomes:

• Cross monitor team members during doffing

• Use an IPAC poster as a cognitive aid • Ensure "1 to 1" doffing to avoid breaches observed when too many doffing at once (e.g. getting ahead or behind in doffing sequence)

• Consistent role of a "PPE Coach" to support safe doffing-ensure focus and intention with every step

• Implement "just-in-time" review of safe doffing to reduce cognitive load during long stressful periods in PPE. • Emergency Medical Services should use a common pager Stem: "Possible/Confirmed COVID-19 patient"

• Upon arrival of out of hospital emergency medical services, ensure transport is ready and routes are prepared.

Tools/Technology; People/Teams/Tasks Key Outcomes:

• Removal of stethoscopes, phones, ID badges, lanyards, watches, and earrings from person prior to donning.

• When items are on person, reinforce learnings re: don't reach below gown for ID badge/pager/mobile phone; or under visor to adjust goggles/mask.

• Creation of bins on an external cart in donning area for dropping items into

• Keep numbers of staff in the room low when possible

• Ensure cleaning process for roving items such as clipboards, ultrasound machines, etc.

People/Teams/Tasks Environment Key Outcomes:

• A runner role is needed across multi areas Operating Room, Emergency Department, Labour & Delivery Unit, Intensive Care Unit (team member to bring supplies between isolated COVID-19 care area and non-isolated area)

• Consider the involvement of HCAs and Unit Clerks to bring necessary equipment required for teams

• Establish "clean" and "dirty" sides between rooms and within rooms by taping the floors for a visual cue

• Establish CODE COVID-19 team to attend to all rapid deteriorating patients Table 3 Key themes and qualitative outcomes (highest impact and highest frequency) identified across simulations (Continued)

Use of trigger scripts on pagers to signal a priority response. Scripts like "COVID airway" or "COVID

Theme: Psychological Safety and Speaking Up People/Teams/Tasks Key Outcomes

Theme: Critical Care Medicine Pre-Intubation Cognitive Aid People/Teams/Tasks

Theme: Use of Cognitive Aids and Checklists Tools/Technology