Boston Children’s Hospital, Simulator Program (SIMPeds)

Since 2001, Boston Children’s Hospital Simulator Program (SIMPeds) has focused on perfecting an inextricable link between preparedness and high quality, high volume pediatric care, as a quality improvement resource, preparation and testing system.

SIMPeds emphasizes “location, location, location” as a main ingredient of its secret sauce in engaging the whole host of trainees through our most senior clinicians (>70% of usage), weaving SIM through the very fabric of a busy hospital among 27 departments and divisions.


SIMPeds Circle

The mainstays of SIMPeds “Tool Box” of successful center development have always been to be:

⇒ Collaborative: A state of the art resource built, owned, supported, heavily utilized and valued by the entire BCH community.

⇒ Applicable: All activities based firmly on adult learning principles.

⇒ High Quality: All faculty trained in art and science of simulation delivered right.

⇒ Structured: >20 processes guide curriculum development through implementation.

⇒ Accessible: Integrated within and throughout the hospital for easy, frequent training.

⇒ Relevant: Serves as implementation arm of major hospital initiatives.

⇒ Realistic: For expert pracitioners at level of technical, conceptual and emotional.

⇒ Research: Curriculum development and assessment move hand in hand to insure quality.

 

SIMPeds is in love with collaboration, process and multidisciplinary faculty as the core to a sustainable program, and has trained > 1000 international faculty in multi-day pediatric simulation instructor courses. SIMPeds has built incredible international partnerships among 12 pediatric teaching hospitals in 7 countries, focused on the rapid launch of high quality simulation centers around the globe.

 

SIMPeds SIM Train division encompasses >100 multidisciplinary courses geared to training across the expertise gradient at BCH, Nationally and Internationally.

Courses include pure skills, contextualized medicine, mock codes, team work and human factors all tailored to levels of students through the most senior staff among 27 medical and surgical units and departments.

The SIM Train Division also includes multiple component courses and activities in SIM Faculty Development from basic techniques in SIM delivery, to state of art “how to” courses in Human Factors training each with heavy emphasis on debriefing and feedback as core to the method.

SIMPeds has partnered with 12 hospitals in 7 countries focused on rapid upstart of state of art International Pediatric Simulation Centers for hospital and global regions.

 

SIMPeds SIM Engineering division ‘personalizes pediatrics’ by seamlessly integrating high fidelity simulator and device manufacturing into the SIMPeds curriculum development pathway for training, surgical planning and care delivery.

Through a combination of materials, industrial and mechanical engineering, SIM Engineering focuses on development of whole body mannequins and skills trainers applied to neonatal through adolescent models.

Now through SIMPeds3D, SIM Engineering is moving the needle as “personalized pediatrics” via creation of exact recreations of child anatomy for ultrahigh fidelity SIM, surgical planning and preparation as well as patient and family education. SIM Engineering also partners with divisions throughout the hospital in creating prototypes of devices to enhance pediatrics.

 

SIMPeds SIM Test Division focuses and enhances safety through engagement of SIM Technology as “crash test dummies” for the full range of hospital activities, policies, procedures environments and facilities.

SIM Test assists in safe iteration, vetting and identification of best approaches and remediation of latent safety threats prior to any ill effects or harm to children.

STEP 1: Pre-adoption/construction

SIMs to assess and test feasibility, logistics and best, safest, most economical approach to optimize form-function prior to adoption/construction.

STEP 2: Post-adoption/construction

SIMs to safely introduce new policies, facilities to BCH staff/teams by engaging in highly realistic simulations prior arrival/movement of actual patients.

STEP 3: Ongoing Surveillance

Ongoing interval SIM testing and evaluation throughout the life of a facilities, policy, elements to insure ongoing safe use.

 

SIMPeds SIM Network division reaches beyond walls to connect Boston Children’s to its families as well as local and regional pediatric healthcare community.

Goals of SIM Network are to produce novel mechanisms to cascade BCH “know how” throughout the community as well as to develop sustainable simulation activities to occur on-site to support partnering institutions.

Partners include the BCH Network Hospitals, Pre-hospital/EMS, Massachusetts Fire and Police Departments. SIM Network innovatively reaches our families and caregivers by providing pre-discharge SIM education to mitigate anxiety through education and prepare and facilitate easy and safe transitions.

 

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Map of active service lines of BCH Network hospitals that we are engaging in Simulation-based training.