O32 Use of In-Situ simulation to tackle latent threats in a major haemorrhage protocol – difficulties and determination

• Published in: BMJ simulation & technology enhanced learning Vol. 5; no. Suppl 2; p. A17
• Main Authors: Woodruff, Jenny, Wadia, Toranj, Korb, Cecilia, Gaspar, Mihaela, Lane, Mary, Burmester, Margarita
• Format: Journal Article
• Language: English
• Published: London BMJ Publishing Group LTD 01.11.2019
• Subjects: Patient safety; Protocol; Simulation

IntroductionMajor Haemorrhage carries a high mortality of 32%1 and requires a co-ordinated response from bloodbank, clinical areas and porters. In-situ simulation can reveal latent threats which are not shown by Patient Safety Incident reporting.2 Repeated simulations allow iterative Quality Improve...