How In Situ Simulation can Facilitate Implementation Science Interventions for Formalisation of an Emergency Neonatal Obstetric Code (ENOC)

¹Senior Consultant, Department of Emergency Medicine, Singapore General Hospital, Singapore

²Professor, Duke NUS Graduate Medical School, Yong Loo Lin School of Medicine, National University of Singapore and Lee Kong Chian Medical School, Nanyang Technological University, Singapore

³Director, Sing Health Duke NUS Institute of Medical Simulation (SIMS), Singapore

*Corresponding author: Fatimah Lateef, FRCS (A&E), MBBS, FAMS, Department of Emergency Medicine, Singapore General Hospital, Outram Road, 1 Hospital Drive, Singapore 169608, Singapore, Tel: +65 632 149 72/3558; Fax: 65 632 148 73; E-mail: [email protected].

Received Date: October 07, 2023

Published Date: November 20, 2023

Citation: Lateef F. (2023). How In Situ Simulation can Facilitate Implementation Science Interventions for Formalisation of an Emergency Neonatal Obstetric Code (ENOC). Mathews J Emergency Med. 8(5):66.

Copyrights: Lateef F. © (2023).

ABSTRACT

Implementation science (IS) refers to the understanding and addressing of both the barriers and enablers to the incorporation and uptake of evidence-based practices and interventions. IS has evolved as a means to close the research to practice gap. At the same time, it can also help enhance the return on research investments. IS should provide guidance on themes, tools, resources, strategies as well as research design in the implementation of a program, a new pathway or a practice guideline. It must also focus on the implementation context, how to measure outcomes and how to report the implementation findings.

Simulation can help in the identification of barriers and latent threats as well as assist with familiarization with the enablers. Simulation is also useful for implementation mapping and the planning of implementation strategies. This paper discusses how a new emergency activation pathway, The Emergency-Neonatology-Obstetric Code (ENOC), will be implemented, in the context of an inter-professional team working together, at Singapore General Hospital (SGH). In situ simulation was used on several occasions to test out the proposed workflow, which was planned and conceptualized using the Updated Consolidated Framework for Implementation Research.

Keywords: Implementation Science, In Situ Simulation, Emergency- Neonatal-Obstetric Code, Implementation Framework.