Here's how we're using in situ #simulation and data-driven QI initiatives with our Unity Health Toronto ED team. 🧵 Case: Refractory VF Goals: - Integrate DOSE VF protocol from Sheldon Cheskes et al & tested dual sequential defib logistics - Evaluate CPR performance - Test RN co-lead 1/

Every organization will encounter a crisis. Here’s how we used the concept of pre-mortem to improve. This week we Simulation @ Unity Health Toronto conducted a multi-disciplinary #simulation of a complete loss of IT infrastructure. Goal: crash test our processes & ensure ongoing care 🧵 1/

The last OR (#ISS sim) case of the day went exactly as planned: high quality CPR, early defib, and lots of interprofessional collaboration. Unity Health Toronto Unity Health Toronto Education

We just “crash tested” using translational #simulation a more streamlined process of getting critically injured pts to the OR. Far more safe & efficient than “hoping” a new protocol will work. In a complex adaptive system, key to observe how a new system plays out in reality.

Crash testing the new St Joseph’s ED resus spaces with the experts. Thanks to the Joes’ ED RNs, Clericals, RTs, MDs and Op Readiness for your time & expertise. We’ve identified latent safety threats to resolve before the first pt enters the space! Unity Health Toronto Unity Health Toronto Education

Sim team members hard at work getting a trauma scenario ready for the Young Leaders St. Michael's Hospital Foundation event! It is a privilege to partner with the Foundation to support quality patient care at our St. Michael's Emergency Department. Unity Health Toronto Unity Health Toronto Education

We're excited to kickoff a new year of Anesthesia Crisis Resource Management (ACRM) sessions for anesthesia residents. Go team! Unity Health Toronto Unity Health Toronto Education Department of Anesthesiology & Pain Medicine

What a great way to start the day! Multidisciplinary team simulation in our ED Unity Health Toronto this AM made possible by our ED RN educators and Simulation @ Unity Health Toronto team! An accidental hypothermia case to test our rewarming processes and we were joined by our CVICU colleagues.

Proud to be supporting this initiative. Representation matters.

Excited to be a part of this project!

Prepped and ready for our simulated code orange exercise. Critical exercise to test our processes! Andrew Petrosoniak Unity Health Toronto Education Unity Health Toronto Doug Campbell

The ultimate in knowledge translation. Case: cardiac arrest ED simulation to test & train our processes for dual sequential defibrillation. We were joined by Sheldon Cheskes who changed practice w/ NEJM pub Dose VF study. Amazing start to the day Unity Health Toronto w/ Simulation @ Unity Health Toronto

Using #simulation for #HALO (high acuity, low opportunity) events, like a mass casualty. “It allows staff to safely experience the chaos, stress and resource constraints they would face during a mass casualty event. It's like a dress rehearsal that allows for deep learning.”

Excited to have you in this role and where you will take our team 🥳

Can you train/fine tune AI using simulation? We wanted to know, and with the help of the Digital supercluster grant we can! Stay tuned for our findings and lessons learned. Unity Health Toronto Education Unity Health Toronto Andrew Petrosoniak Lumeto digitalsupercluster.ca/projects/ai-dr…

Is VR simulation a useful tool to address racism? We partnered with our Anti-Racism Equity and Social Accountability & Centre for Faculty Development to find out. Check out our article, what do you think? Unity Health Toronto Education Unity Health Toronto Andrew Petrosoniak link.springer.com/10.1186/s41077…

Interrogating our processes for accepting critically ill patients is an essential practice. Thanks Ornge for being such a great collaborator in this work! Successful dry run complete, looking forward to May 7th! Unity Health Toronto Unity Health Toronto Education Andrew Petrosoniak

An amazing translational simulation event with Ornge and St Mike’s ED on May 7th! > 100 participants and online observers. These types sim events allow us to stress test our processes, leading to systems-wide impacts. Great work all! Andrew Petrosoniak Unity Health Toronto Education Unity Health Toronto