TY - JOUR
T1 - Variation and Adaptation
T2 - Comments on Learning From Success in Patient Safety- Oriented Simulation Training
AU - Dieckmann, Peter
AU - Patterson, Mary
AU - Lahlou, Saadi
AU - Mesman, Jessica
AU - Nyström, Patrik
AU - Krage, Ralf
PY - 2017/10/31
Y1 - 2017/10/31
N2 - 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.
AB - 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.
KW - simulation
KW - exnovation
KW - Patient safety
KW - video reflexivity
UR - https://advancesinsimulation.biomedcentral.com/articles/10.1186/s41077-017-0054-1
U2 - 10.1186/s41077-017-0054-1
DO - 10.1186/s41077-017-0054-1
M3 - Article
C2 - 29450022
SN - 2059-0628
VL - 2
JO - Advances in Simulation
JF - Advances in Simulation
IS - 21
ER -