PURPOSE This study aimed to identify the effects of a 12-week interprofessional simulation program, operated between February 2020 and January 2021, on the patient safety competencies of healthcare professionals in Switzerland. METHODS The simulation training was based on 2 scenarios of hospitalized patients with septic shock and respiratory failure, and trainees were expected to demonstrate patient safety competencies. A single-group before and after study was conducted after the intervention-simulation program, using a measurement tool (the Health Professional Education in Patient Safety Survey) to measure the perceived competencies of physicians, nurses, and nursing assistants. Out of 57 participants, 37 answered the questionnaire surveys 4 times: 48 hours before the training, followed by post-surveys at 24 hours, 6 weeks, and 12 weeks after the training. The linear mixed effect model was applied for the analysis. RESULTS Four components out of 6 perceived patient safety competencies improved at 6 weeks but returned to a similar level before training at 12 weeks. Competencies of "communicating effectively," "managing safety risks," "understanding human and environmental factors that influence patient safety," and "recognize and respond to remove immediate risks of harm" are statistically significant both overall and in the comparison between before the training and 6 weeks after the training. CONCLUSION Interprofessional simulation programs contributed to developing some areas of patient safety competencies of healthcare professionals, but only for a limited time. Interprofessional simulation programs should be repeated and combined with other forms of support, including case discussions and debriefings, to ensure lasting effects.

中文翻译：

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跨专业模拟项目对瑞士医疗保健专业人员患者安全能力的影响：前后研究。

目的本研究旨在确定 2020 年 2 月至 2021 年 1 月期间运行的为期 12 周的跨专业模拟项目对瑞士医疗保健专业人员的患者安全能力的影响。方法模拟培训基于感染性休克和呼吸衰竭住院患者的2种场景，要求学员展示患者安全能力。在干预模拟计划之后进行了单组前后研究，使用测量工具（患者安全调查中的健康专业教育）来测量医生、护士和护理助理的感知能力。57 名参与者中，37 人回答了 4 次问卷调查：培训前 48 小时、培训后 24 小时、6 周和 12 周进行后调查。应用线性混合效应模型进行分析。结果 6 项感知的患者安全能力中有 4 项在第 6 周时有所改善，但在第 12 周时恢复到培训前的相似水平。“有效沟通”、“管理安全风险”、“了解影响患者安全的人类和环境因素”以及“识别并做出反应以消除直接伤害风险”的能力无论是在总体上还是在培训前的比较中都具有统计显着性以及训练后6周。结论 跨专业模拟项目有助于发展医疗保健专业人员的患者安全能力的某些领域，但只持续有限的时间。应重复进行跨专业模拟计划，并与其他形式的支持（包括案例讨论和汇报）相结合，以确保持久效果。