Impact de la simulation médicale sur l'adoption d'itinéraires clinique et l'amélioration de la qualité de soins aux patients


Rajesh Aggarwal

Centre universitaire de santé McGill


Domaine : services de santé

Programme chercheurs-boursiers cliniciens - Junior 2

Concours 2015-2016

Despite advances in surgical care, 1 in 10 patients are harmed. The greatest gains for the future of surgical care will be made through process innovation. The challenge is to deliver such innovations – the missing link has been a failure to engage and train frontline clinical staff. Current strategies consist of teaching seminars, protocols, and ‘learning on the job'. Education of clinical staff occurs in silos, rather than as a multidisciplinary team. This leads to poor compliance, variability in care, and a missed opportunity for clinical impact.

Simulation-based training is effective to enhance clinical performance. This research develops and implements simulation-based training for frontline clinical staff to deliver cohesive care, based upon best evidence. It is patient-focused, and integrated across multiple disciplines and specialties. Four simulation studies, based upon resident education, implementation of best evidence, assessment of the quality of clinical care, and innovation in models of care, use simulation care pathways (or SimCare). This novel approach allows healthcare providers to practice taking care of patients, within evidence-based care pathways, in a simulated environment, with transfer to clinical settings.

This work is important for high quality clinical outcomes, in a multidisciplinary and patient-oriented care environment. The gains from this research are applicable to all forms of healthcare delivery, and can enhance clinical care beyond surgery alone.