| | November 201819UTLOOK Healthcare Tech By Maria Carmen G. Diaz, MD, FAAP, FACEP, Medical Director of Simulation, Nemours Institute for Clinical Excellence, North andShiva Kalidindi, MD, MPH, MS(Ed.), FAAP, Medical Director of Simulation,Nemours Institute for Clinical Excellence, SouthUsing Simulation to Improve Patient Safety and Quality of CareHow the Nemours Institute for Clinical Excellence is Taking Simulation Further For an article in a technical magazine, it may be surprising to learn that we consider the actual technology involved in healthcare simulation as one piece of a larger puzzle. Ultimately, Nemours is using simulation to improve quality of care and patient safety by creating realistic environments that allow participants to practice, learn, evaluate, test and gain a better understanding about systems and actions.Establishing a world-class simulation programNemours is an internationally recognized children's health system that owns and operates Nemours/Alfred I. duPont Hospital for Children in Wilmington, Del., and Nemours Children's Hospital in Orlando, Fla., along with outpatient facilities in six states, delivering pediatric primary, specialty and urgent care.In 2013, Nemours established the Nemours Institute for Clinical Excellence (NICE), and with two major campuses in Delaware and Florida, formalized simulation programs at NICE North (Delaware Valley) and NICE South (Florida). NICE's mission is to advance patient safety and quality of care by promoting clinical excellence through the use of simulation. In our simulations, learners are immersed in hands-on interactive environments that allow them to experience scenarios without putting patients at risk. NICE trains, educates and guides participants through realistic scenarios and debriefings. By and large, it is the debrief where participants learn the most. We walk through--step-by-step --what occurred, what went right, as well as opportunities to improve performance, teamwork and communication. This is done through a safe, risk-free, supportive, encouraging and collaborative environment.In June 2018, NICE North was awarded accreditation by the Society for Simulation in Healthcare. After an incredibly rigorous application process, this nod from a renowned organization acknowledged how much our team is doing to provide world-class simulation experiences. In addition, we are often asked to partner with other organizations to study how we may advance the field of simulation on a larger scale, as well as to present our findings at national and international conferences.A different approachWe believe that our holistic approach to simulation allows us to improve patient safety and quality of care. While many simulation programs focus on technical aspects such as how to place an IV or how to intubate a patient, NICE goes beyond the technical by also emphasizing the importance of cognitive and behavioral skills. Yes, we want our participants to know how to perform a procedure, but we also want them to understand why Maria Carmen CXO INSIGHTS < Page 9 | Page 11 >