In this paper, we describe the potential of simulation to improve hospital responses to the COVID-19 crisis. We provide tools which can be used to analyse the current needs of the situation, explain how simulation can help to improve responses to the crisis, what the key issues are with integrating simulation into organisations, and what to focus on when conducting simulations. We provide an overview of helpful resources and a collection of scenarios and support for centre-based and in situ simulations.

https://link.springer.com/content/pdf/10.1186/s41077-020-00121-5.pdf

The use of simulation to prepare and improve responses to infectious disease outbreaks like COVID-19: practical tips and resources from Norway, Denmark, and the UK

Lean healthcare is highlighted in the literature as an approach to quality improvement and operational efficiency. The purpose of this paper is to study how Lean healthcare has been implemented by analyzing empirical outcomes.,The authors used a literature review as the primary research method, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses process. Peer-reviewed journals were analyzed – searching for Lean healthcare implementation, tools used, wastes addressed, outcomes and sustainability.,Evidence suggests that Lean can improve healthcare operational effectiveness. However, empirical studies show implementation is still highly localized with small successes. Most transformations are focused on implementing one or two Lean tools that primarily target patient waiting times and there is minimal evidence about sustainability. Establishing clear definitions for healthcare-related Lean terminology may improve practice, especially episodic care and service quality.,This work provides a Lean healthcare case review. The research makes a significant contribution to Lean healthcare by increasing understanding (scale, scope and sustainability). From a theory building perspective, the authors suggest that barriers to adoption include a common healthcare-specific Lean terminology, and a need to expand implementation beyond small successes. This understanding will help identify key areas for further research in Lean healthcare management.

Lean healthcare: scale, scope and sustainability

Effects of Lean Healthcare on Patient Flow: A Systematic Review.

Lean production in complex socio-technical systems: A systematic literature review

Real-Time Debriefing After Critical Events: Exploring the Gap Between Principle and Reality.

Summary StatementModern healthcare organizations strive for continuous improvement in systems and processes to ensure safe, effective, and cost-conscious patient care. However, systems failures and inefficiencies lurk in every organization, often emerging only after patients have experienced harm or

PEARLS for Systems Integration: A Modified PEARLS Framework for Debriefing Systems-Focused Simulations

/pdf/improving-patient-flow-using-lean-methodology-an-emergency-11z7t4h3za.pdf

Improving Patient Flow Using Lean Methodology: an Emergency Medicine

Septic shock continues to be a major cause of morbidity and mortality in children. Early recognition and management of severe sepsis and septic shock in the first hour of resuscitation hav...

Pediatric Emergency Medicine Simulation Curriculum: Septic Shock

Status asthmaticus continues to be a major cause of morbidity and mortality worldwide. Status asthmaticus is characterized by airway inflammation, excessive airway mucous production and/or...

Pediatric Emergency Medicine Simulation Curriculum: Status Asthmaticus

This module provides a comprehensive package to support instructors teaching pediatric hypovolemic shock. It includes background knowledge, presimulation preparation guidelines, a simulati...

Kimberly Stone

Papers

PEARLS for Systems Integration: A Modified PEARLS Framework for Debriefing Systems-Focused Simulations

Improving Patient Flow Using Lean Methodology: an Emergency Medicine

Pediatric Emergency Medicine Simulation Curriculum: Septic Shock

Pediatric Emergency Medicine Simulation Curriculum: Status Asthmaticus

Pediatric Emergency Medicine Simulation Curriculum: Hypovolemic Shock