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Harvard Center for Medical Simulation’s Jeff Cooper led a stellar team of simulation experts in conducting an amazing Plenary session at the National Patient Safety Foundation annual congress on Friday, May 27 in Washington, DC. Doug Bonacum, VP of Safety Management for Kaiser Permanente and co-chair of the NPSF meeting, did a quite memorable introduction of Jeff to the audience. Haru Okuda led a “sim wars”-like onstage simulation with an Emergency Department team from the Washington Hospital Center, Medstar Health. The team managed the care of a patient who had chest pain while in the audience. Robin Wootten was the patient’s simulation wife and got him up onto the onstage “Emergency Department”, where he became a mannequin, of course. An error committed by confederate nurse Jared Kutsin led the team to have a disclosure discussion with the family, accompanied by a (confederate) patient safety officer, who was in the audience. Paul Preston and Connie Lopez led the debriefing of the disclosure.
Employing live simulation on stage, this interactive plenary included audience participation while a team of leading simulation experts presents a real case scenario and effective debriefing techniques. As every organization strives for safer patient care, this plenary addressed the importance of enhanced accountability and responsibility throughout the entire organization using a method that is becoming a national standard for delivering effective and robust methods and techniques for improving patient safety. The session was a powerful learning experience about simulation and especially its use for practice in disclosing adverse events.

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