Using multiple scenarios that simulate an active ED setting, including an unstable patient at triage, a patient with deterioration in the ED, patients with abnormalities not addressed at discharge, and patient hand-offs, the curriculum is designed to improve providers’ ability to:
- recognize barriers to gathering and integrating complete information;
- use a designated method (e.g., SBAR, IPASS) for receiving and transferring complete information; and
- lower the barriers for speaking up, by consistent use of agreed upon communication prompts, (e.g., triggers to identify and respond to unstable patients, physician-nurse huddles, and discharge timeouts with reconciliation of abnormal vital signs).
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