Variation and adaptation: learning from success in patient safety-oriented simulation training

Abstract Simulation is traditionally used to reduce errors and their negative consequences. But according to modern safety theories, this focus overlooks the learning potential of the positive performance, which is much more common than errors. Therefore, a supplementary approach to simulation is ne...

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Main Authors:	Peter Dieckmann, Mary Patterson, Saadi Lahlou, Jessica Mesman, Patrik Nyström, Ralf Krage
Format:	Article
Language:	English
Published:	BMC 2017-10-01
Series:	Advances in Simulation
Subjects:	Simulation Scenarios Debriefings Installation theory Activity theory Mundane practice
Online Access:	http://link.springer.com/article/10.1186/s41077-017-0054-1

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spelling	doaj-7b5aa3a3305e4e14b9b4274090f878ac2020-11-25T00:38:52ZengBMCAdvances in Simulation2059-06282017-10-012111410.1186/s41077-017-0054-1Variation and adaptation: learning from success in patient safety-oriented simulation trainingPeter Dieckmann0Mary Patterson1Saadi Lahlou2Jessica Mesman3Patrik Nyström4Ralf Krage5Copenhagen Academy for Medical Education and Simulation (CAMES), Center for Human Resources, Capital Region of DenmarkChildren’s National Medical CenterLondon School of Economics and Political Science, Department of Psychological and Behavioural ScienceMaastricht University, Faculty of Arts and Social SciencesPatient Safety and Learning Centre, ARCADA University of Applied SciencesADAM Simulation Center, VU University Medical CenterAbstract Simulation is traditionally used to reduce errors and their negative consequences. But according to modern safety theories, this focus overlooks the learning potential of the positive performance, which is much more common than errors. Therefore, a supplementary approach to simulation is needed to unfold its full potential. In our commentary, we describe the learning from success (LFS) approach to simulation and debriefing. Drawing on several theoretical frameworks, we suggest supplementing the widespread deficit-oriented, corrective approach to simulation with an approach that focusses on systematically understanding how good performance is produced in frequent (mundane) simulation scenarios. We advocate to investigate and optimize human activity based on the connected layers of any setting: the embodied competences of the healthcare professionals, the social and organizational rules that guide their actions, and the material aspects of the setting. We discuss implications of these theoretical perspectives for the design and conduct of simulation scenarios, post-simulation debriefings, and faculty development programs.http://link.springer.com/article/10.1186/s41077-017-0054-1SimulationScenariosDebriefingsInstallation theoryActivity theoryMundane practice
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Peter Dieckmann Mary Patterson Saadi Lahlou Jessica Mesman Patrik Nyström Ralf Krage
spellingShingle	Peter Dieckmann Mary Patterson Saadi Lahlou Jessica Mesman Patrik Nyström Ralf Krage Variation and adaptation: learning from success in patient safety-oriented simulation training Advances in Simulation Simulation Scenarios Debriefings Installation theory Activity theory Mundane practice
author_facet	Peter Dieckmann Mary Patterson Saadi Lahlou Jessica Mesman Patrik Nyström Ralf Krage
author_sort	Peter Dieckmann
title	Variation and adaptation: learning from success in patient safety-oriented simulation training
title_short	Variation and adaptation: learning from success in patient safety-oriented simulation training
title_full	Variation and adaptation: learning from success in patient safety-oriented simulation training
title_fullStr	Variation and adaptation: learning from success in patient safety-oriented simulation training
title_full_unstemmed	Variation and adaptation: learning from success in patient safety-oriented simulation training
title_sort	variation and adaptation: learning from success in patient safety-oriented simulation training
publisher	BMC
series	Advances in Simulation
issn	2059-0628
publishDate	2017-10-01
description	Abstract Simulation is traditionally used to reduce errors and their negative consequences. But according to modern safety theories, this focus overlooks the learning potential of the positive performance, which is much more common than errors. Therefore, a supplementary approach to simulation is needed to unfold its full potential. In our commentary, we describe the learning from success (LFS) approach to simulation and debriefing. Drawing on several theoretical frameworks, we suggest supplementing the widespread deficit-oriented, corrective approach to simulation with an approach that focusses on systematically understanding how good performance is produced in frequent (mundane) simulation scenarios. We advocate to investigate and optimize human activity based on the connected layers of any setting: the embodied competences of the healthcare professionals, the social and organizational rules that guide their actions, and the material aspects of the setting. We discuss implications of these theoretical perspectives for the design and conduct of simulation scenarios, post-simulation debriefings, and faculty development programs.
topic	Simulation Scenarios Debriefings Installation theory Activity theory Mundane practice
url	http://link.springer.com/article/10.1186/s41077-017-0054-1
work_keys_str_mv	AT peterdieckmann variationandadaptationlearningfromsuccessinpatientsafetyorientedsimulationtraining AT marypatterson variationandadaptationlearningfromsuccessinpatientsafetyorientedsimulationtraining AT saadilahlou variationandadaptationlearningfromsuccessinpatientsafetyorientedsimulationtraining AT jessicamesman variationandadaptationlearningfromsuccessinpatientsafetyorientedsimulationtraining AT patriknystrom variationandadaptationlearningfromsuccessinpatientsafetyorientedsimulationtraining AT ralfkrage variationandadaptationlearningfromsuccessinpatientsafetyorientedsimulationtraining
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Variation and adaptation: learning from success in patient safety-oriented simulation training

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