Abstract:

Objective To explore the implementation outcomes of in-situ simulation for severe allergic reactions progressing to cardiac arrest across a hospital. Methods Based on best practices in simulation teaching，an in-situ simulation implementation plan was developed for severe allergic reactions leading to cardiac arrest. From November 2022 to February 2023，unannounced in-situ simulations were conducted at a tertiary-level children’s hospital in Zhejiang Province. Safety hazards were identified and analyzed，and a questionnaires were used to evaluate the implementation outcomes. Results A total of 31 in-situ simulations were conducted across the hospital，identifying 55 safety hazards. Nurses participating in the case scenarios rated the overall implementation plan at 91 （82，96） points. Conclusion In-situ simulation can effectively identify safety hazards in clinical environments，and participants generally acknowledge the value of its methods，content，and organizational structure..

Key words: In-situ simulation, Severe allergic reactions, Pediatrics, Pediatric patient safety, Safety hazards