Simulation Training Assessment Tool STAT Anaphylaxis SCENARIO ALGORITHM

Simulation Training Assessment Tool (STAT)– Anaphylaxis SCENARIO ALGORITHM SET UP BACKGROUND Date: Instructor(s): Learning Objectives: 1. Recognize anaphylaxis is life threatening 2. 3. CRITICAL ACTIONS ARRIVAL Learner(s): Milestones SUSTAIN Verbalized that pt has anaphylaxis and called for help PATIENT COURSE RE-ASSESSMENT LABS & IMAGES Dispo pt to the ED DISPOSITION TOTAL ME = Meets Expectations; NI = Needs Improvement Debriefing Phases 1. Reaction—Blow off steam and elicit concerns 2. Teaching—Address performance related critical actions 3. Summary—What did you do well? What did you learn for next time? IMPROVE

CLER Critical Actions • Include transitions of care/disposition of patient • Evaluate professionalism via interactions within team, patient and family members • Build in medication errors or errors in other areas – Learner must recognize error – Learner must know proper reporting of adverse events – Learner must foster a culture of safety • Utilize upper level residents supervising lower level residents to evaluate their performance

Example Pathways • Patient safety – Reporting of adverse events, close calls – Education on patient safety – Culture of safety • Care transitions – Education in care transitions – Resident engagement in hand-offs – Resident engagement in transfers between services and locations

Example Pathways • Supervision – Patients, families and GME supervision – Roles of staff members other than physicians in resident supervision • Professionalism – Resident, faculty education on professionalism – Resident attitudes, skills and beliefs related to professionalism