• A Dharamsi, K Hayman, S Yi, R Chow, C Yee, E Gaylord, D Tawadrous, L B Chartier, and M Landes.
• Emergency Department, University Health Network, Toronto, Canada; Department of Medicine, Division of Emergency Medicine, University of Toronto, Toronto, Canada. Electronic address: alia.dharamsi@gmail.com.
• J. Hosp. Infect. 2020 Aug 1; 105 (4): 604-607.

AbstractIn response to coronavirus disease 2019 (COVID-19), a rapid-cycle in-situ simulation (ISS) programme was developed to facilitate identification and resolution of systems-based latent safety threats. The simulation involved a possible COVID-19 case in respiratory failure, using a mannequin modified to aerosolize phosphorescent secretions. Thirty-six individuals participated in five ISS sessions over 6 weeks, and a further 20 individuals observed these sessions. Debriefing identified latent safety threats from four domains: personnel, personal protective equipment, supply/environment and communication. These threats were addressed and resolved in later iterations. Ninety-four percent of participants felt more prepared to care for a potential case of COVID-19 after the ISS.Copyright © 2020 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.

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