title: Exploring the potential of sequential simulation.
abstract: BACKGROUND
  Several recent papers have highlighted the need for better integrated care to improve health care for children and families. Our team spent a year exploring the potential of 'Sequential Simulation' (SqS) as a teaching tool to address this need with young people and multidisciplinary teams. SqS allows the simulation of a series of key events or 'crunch points' that come together to represent the patient journey, and highlights the impact of individuals on this journey. The pilot SqS was based on an adolescent with asthma - a common condition that requires excellent multidisciplinary care with the patient at the centre.
  
  
  METHODS
  The SqS was designed using transportable sets and audio-visual equipment to create realism. Actors were employed to play the roles of the young person and mother and health professionals played themselves. The SqS was run at different events with varied audiences, including young people, health professionals and teachers. It was used to explore the difficulties that can arise during a patient journey, the importance of communication throughout, and to highlight the significance of each individual in the patient experience.
  
  
  RESULTS
  The SqS was met with enthusiasm and felt to be an innovative and effective way of promoting better teamwork and communication. It was well received at a school asthma education event for pupils and community teams, demonstrating its varied potential. The year was the first step in the introduction of this exciting new concept that has the potential to help promote better integrated care for paediatric patients and their families. Our team spent a year exploring the potential of 'Sequential Simulation' as a teaching tool [to provide better integrated care].
authors.affiliation: Imperial College London, London, UK.
authors.forename: Polly
authors.initials: P
authors.lastname: Powell
authors.affiliation: Imperial College London, London, UK.
authors.forename: Zinah
authors.initials: Z
authors.lastname: Sorefan
authors.affiliation: Whittington Health NHS Trust & Paediatric Department, St Marys Hospital, Imperial NHS Trust, London, UK.
authors.forename: Sara
authors.initials: S
authors.lastname: Hamilton
authors.affiliation: Biosurgery and Surgical Technology Department, Imperial College London, Chancellor's Teaching Centre, London, UK.
authors.forename: Roger
authors.initials: R
authors.lastname: Kneebone
authors.affiliation: Surgical Computing and Simulation Centre for Engagement and Simulation Science, Imperial College London, London, UK.
authors.forename: Fernando
authors.initials: F
authors.lastname: Bello
mesh_terms: D001249:Asthma / Q000628:therapy; D003142:Communication; D005192:Family Health / Q000193:education*; D006282:Health Personnel / Q000193:education*; D006801:Humans; D010348:Patient Care Team / Q000458:organization & administration*; D010358:Patient Participation / Q000379:methods*; D000066908:Simulation Training / Q000458:organization & administration*