Background: An in-situ simulation model with a simulated patient environment is a training tool that was implemented for the front-line workers managing COVID-19 respiratory infection outbreak in a hospital of National Importance, situated in southern part of India. The objective of this training tool was to improve the preparedness of health care workers and the control measures to manage any respiratory infection outbreaks. Also, to provide good patient care and patient safety during the sudden outbreak of SARS-CoV-2, the pathogen causing pandemic respiratory infection outbreak worldwide.
Methods: Simulated patient environment is a kind of functional mock drill that was applied to assess and improve the readiness of the healthcare workers of the hospital to identify the patient at the screening area, guide the patient for investigation and inform the public health system during an outbreak of an infection. The faculty of the Department of Microbiology, Community and Family Medicine, and General Medicine were the educators and demonstrators. Fifty healthcare workers from All India Institute of Medical Sciences (AIIMS), Mangalagiri, Ministry of Health and Family Welfare (MOHFW), Government of India, such as doctors, epidemiologists, nurses, laboratory technicians, laboratory attendants, members of infection control team and biomedical waste management team participated in this program.
Results: Statistical analysis of the results with pre-intervention and post-intervention assessments and feedback from the participants was done at the end of the program. The difference between the mean of pre-intervention and post-intervention scores in doctors, nurses, and other health care professionals was statistically very highly significant (P-value < 0.001).
Conclusion: The training method was the simulation of management of pandemic respiratory infection outbreaks in the most realistic manner possible to test or evaluate the capability of more than one function in the context of an emergency event. An in-situ simulation is an effective method that is close to real-life scenario, to measure the readiness and effectiveness of an emergency response plan. Hence, it is a useful tool to assess disaster preparedness against any type of outbreak.



中文翻译：

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模拟患者环境：COVID-19 时代医疗保健专业人员的培训工具

背景：具有模拟患者环境的原位模拟模型是一种培训工具，用于在印度南部的一家国家重要医院管理 COVID-19 呼吸道感染爆发的一线工作人员。该培训工具的目的是提高卫生保健工作者的准备和控制措施，以管理任何呼吸道感染的爆发。此外，为了在 SARS-CoV-2 突然爆发期间提供良好的患者护理和患者安全，SARS-CoV-2 是导致全球大流行性呼吸道感染爆发的病原体。
方法：模拟患者环境是一种功能性模拟演练，用于评估和提高医院医护人员在疫情暴发期间在筛查区域识别患者、指导患者进行调查并告知公共卫生系统的准备情况。感染。微生物学、社区和家庭医学系和普通医学系的教员是教育者和示范者。来自全印度医学科学研究所 (AIIMS)、Mangalagiri、卫生和家庭福利部 (MOHFW)、印度政府的 50 名医护人员，如医生、流行病学家、护士、实验室技术人员、实验室服务员、感染控制小组成员和生物医学废物管理团队参与了该计划。
结果：在计划结束时对结果进行统计分析，包括干预前和干预后评估以及参与者的反馈。医生、护士和其他医疗保健专业人员的干预前和干预后得分的平均值之间的差异在统计学上非常显着（P 值 < 0.001）。
结论：培训方法是以最现实的方式模拟大流行性呼吸道感染爆发的管理，以测试或评估在紧急事件背景下多个功能的能力。现场模拟是一种接近真实场景的有效方法，用于衡量应急响应计划的准备情况和有效性。因此，它是评估针对任何类型爆发的备灾情况的有用工具。