TY - JOUR T1 - Effectiveness of simulation based training in patient safety - Validation study for Georges patient safety in simulation tool JF - European Respiratory Journal JO - Eur Respir J VL - 44 IS - Suppl 58 SP - P2791 AU - Shairana Naleem AU - Hannah Robinson AU - Indranil Chakravorty Y1 - 2014/09/01 UR - http://erj.ersjournals.com/content/44/Suppl_58/P2791.abstract N2 - The Georges Patient Safety in Simulation Tool (GPSS) was developed to assess 4 domains: DI -clinical decision making,DII- prescribing, DIII-communication-escalation and D IV-team-working. The assessment criteria was based on the Acute Care Assessment Tool of the JRCPTB and scoring on the Royal College of Physicians. The pilot study in 2011-12 in 48 core medical trainees in SW London demonstrated a baseline score of 22 and that majority of candidates failed to meet the pre-determined threshold for safe patient management. Clinical decision making and prescribing improved with training but only modest change was seen in communication and team-working.DesignThe course was redesigned to include enhanced aspects of situational awareness, delegation, team-management and handover. The structure of baseline assessment of all candidates, followed by 4 learning scenarios concluding with an assessment scenario, was retained with 2 assessors and single blinding. This was implemented in 2012-13 cohort and the impact analysed in a further 20 trainees.ResultsThe baseline scores were similar to 2011-12 cohort as 22.4 (SD 8.9) and this improved to 34.4 (SD 6.8) at the end of the simulation based training. The effect sizes Cohen's d and (correlation) of each domain were DI 1.13 (0.49), DII 1.01 (0.45), DIII 1.11 (0.49) and D IV 1.75 (0.66) with total scores 1.51 (0.6).ConclusionThe GPSS demonstrated internal consistency and reliability in measuring the impact of simulation based learning in improving patient safety domains and results were consistent with 2011-12 data with additional improvements seen in communication and team-working and may be used in other learners. ER -