![]() ![]() How can we ensure teamwork with challenges to communication during COVID-19? ![]() How can we support patient-centered care during social distancing and grieving? Optimizing and testing workflows before and during implementation ensures safety and quality care during pandemics.Īre new processes and equipment safe for patients? COVID-19 has created unique threats and unanswered challenges to each element of the Quadruple Aim (Table (Table1 1). The fourth Aim incorporates the increasing understanding that excellent health care is not possible without a physically and psychologically safe and healthy workforce. These 4 interdependent goals consist of (1) enhancing patient experience and safety, (2) improving population health, (3) reducing costs and preventing loss of revenue, and (4) improving wellness and satisfaction of health care workers. The Triple Aim of health system reform addresses ongoing and future challenges faced by the health care sector, 2 with recent calls for expansion to a Quadruple Aim 3 to include considerations and protection for staff. Many of these plans run counter to the accepted mantra in modern times, including intentional cancelations of profitable elective procedures and layoffs or furloughs of dedicated medical staff during the pandemic. Administrators are rapidly navigating their institutions through uncertain times, providing leadership and strategic plans to manage numerous evolving systems threats. Leveraging simulation and human factors will support a resilient and sustainable response to the pandemic in a transformed health care landscape.Ĭoronavirus disease 2019 (COVID-19) has uniquely stressed health care systems, policy makers, and health care workers throughout the world as they face the worst health and economic crises of our lifetimes. Finally, simulation supports health worker wellness and satisfaction by identifying optimal work conditions that maximize productivity while protecting staff through preparedness training. Third, prevention of lost revenue occurs through usability testing of equipment and computer-based simulations to predict system performance and resilience. Second, population health is strengthened through virtual platforms that deliver telehealth and remote simulation that ensure readiness for personnel to deploy to new clinical units. First, patient safety is enhanced through development and testing of new technologies, equipment, and protocols using laboratory-based and in situ simulation. This article examines pragmatic applications of simulation and human factors to support the Quadruple Aim of health system performance during the COVID-19 era. The health care sector has made radical changes to hospital operations and care delivery in response to the coronavirus disease (COVID-19) pandemic. ![]()
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