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- Title
Simulation centres in German hospitals and their organisational aspects: Expert survey on drivers and obstacles.
- Authors
Rampel, Tobias; Gross, Benedict; Zech, Alexandra; Prückner, Stephan
- Abstract
Background: Simulation trainings offer the opportunity to replicate parts of or entire processes of medical care in a controlled environment. Some hospitals operate simulation centres dedicated to training their staff. Which organisational factors support or impede the implementation of such units in hospitals? Methods: In an exploratory survey experts and decision makers in German hospitals were interviewed. The answers were evaluated qualitatively in order to identify patterns in argumentation. Among the eleven participants were practitioners heading simulation centres (n=4), managers or executives in charge of finances (n=2), medical directors or head physicians with disciplinary responsibility for medical personnel (n=3), and researchers who deal with simulation trainings in medicine (n=2). The interview partners were guaranteed confidentiality in order to allow for them to speak freely about the obstacles and weaknesses in their respective organisations. Results: The interviewees showed a very heterogeneous picture of the simulation trainings in their respective hospitals in terms of contentas well as target groups. Asked about purpose and benefit of simulation centres, subgroups of the interviewees gave various arguments. Financing is comprised of subsidies, fees from external participants, and of vocational training budgets. Several obstacles for the implementation were mentioned such as insufficient error culture, deficient interaction of quality and risk management, high equipment costs, or staffing levels that are too low to schedule entire teams for vocational trainings. Conclusions: Patterns in argumentation could be identified thatsupport the implementation and operation of simulation centres in hospitals. Yet strikingly enough there were no coherent arguments i.e. there was no uniform reasoningof aim and purpose of simulation centres. Furthermore, the survey indicated the need to approach quality- and risk management more holistically wherefore simulation centres could offer laboratory environments. All in all, the survey indicates thatthe assessment of success and economic benefits of simulation centres haven't yet been examined thoroughly.
- Subjects
GERMANY; MEDICAL simulation; HOSPITALS; MEDICAL care; MEDICAL personnel; FINANCIAL management
- Publication
GMS Journal for Medical Education, 2018, Vol 35, Issue 3, p1
- ISSN
2366-5017
- Publication type
Article
- DOI
10.3205/zma001186