title: Simulation: can it eliminate failure to rescue?
abstract: Evidence shows the management of deteriorating patients needs to be improved, particularly in midwifery care. In a series of three simulation-based studies in Australia we examined qualified nurses', student nurses' and midwives' ability to manage patient deterioration. Nurses' knowledge levels were acceptable but their skill performance was low and there was a gap between the theory and practice they had experienced. In these high-pressure situations, demographic factors (including educational level) had no impact on their performance, which suggests they need repetitive "high-stakes" simulation, improved feedback mechanisms and enhanced educational processes.
authors.affiliation: Monash University, Victoria, Australia.
authors.forename: Simon
authors.initials: S
authors.lastname: Cooper
authors.forename: Penny
authors.initials: P
authors.lastname: Buykx
authors.forename: Tracy
authors.initials: T
authors.lastname: McConnell-Henry
authors.forename: Leigh
authors.initials: L
authors.lastname: Kinsman
authors.forename: Susan
authors.initials: S
authors.lastname: McDermott
mesh_terms: D004506:Education, Nursing / Q000379:methods; D006323:Heart Arrest / Q000451:nursing*; D006801:Humans; D007318:Inservice Training / Q000379:methods*; D008348:Manikins; D009730:Nursing Assessment / Q000592:standards*; D009741:Nursing Staff, Hospital / Q000193:education* / Q000592:standards; D016544:Patient Simulation