Prompted by evidence that clinical simulations improve patient safety, team simulations are emerging in hospital settings. Accrediting organizations such as the U.S. Joint Commission on Accreditation of Healthcare Organizations and the American College of Obstetricians and Gynecologists (Joint Commission, 2004, American College of Obstetricians and Gynecologists, 2002) have recommend simulation of obstetrical emergencies, including shoulder dystocia for hospital teams. National patient safety mandates for simulation training of critical events have not been available to small, rural hospitals because of lack of talent and equipment, creating a gap in resources. Other than demonstrations by manikin companies, this author has currently been unable to sufficiently document the existence of active, non-academic resources for in-situ simulations available to small, rural hospitals in California.
The California Simulation Alliance (CSA) is uniquely positioned as a state consortium for healthcare simulation to solve the deficiencies of talent and equipment by bringing the benefits of in-situ simulations to rural and urban community hospitals. The CSA Onsite Sims project described in this proposal initiates the move to in-situ scenarios from simulation center scenarios by expanding the CSA nurse-based scenarios into interprofessional, in-situ team simulations while maintaining the validity, repeatability, and integrity of the CSA scenarios. The CSA Onsite Sims scenarios promote the identification of desired behaviors, communication, and patterns that improve outcomes satisfying the medico-legal need for documented patient safety practices.
","abstract_html":"<p>Prompted by evidence that clinical simulations improve patient safety, team simulations are emerging in hospital settings. Accrediting organizations such as the U.S. Joint Commission on Accreditation of Healthcare Organizations and the American College of Obstetricians and Gynecologists (Joint Commission, 2004, American College of Obstetricians and Gynecologists, 2002) have recommend simulation of obstetrical emergencies, including shoulder dystocia for hospital teams. National patient safety mandates for simulation training of critical events have not been available to small, rural hospitals because of lack of talent and equipment, creating a gap in resources. Other than demonstrations by manikin companies, this author has currently been unable to sufficiently document the existence of active, non-academic resources for in-situ simulations available to small, rural hospitals in California.</p> <p>The California Simulation Alliance (CSA) is uniquely positioned as a state consortium for healthcare simulation to solve the deficiencies of talent and equipment by bringing the benefits of in-situ simulations to rural and urban community hospitals. The CSA Onsite Sims project described in this proposal initiates the move to in-situ scenarios from simulation center scenarios by expanding the CSA nurse-based scenarios into interprofessional, in-situ team simulations while maintaining the validity, repeatability, and integrity of the CSA scenarios. The CSA Onsite Sims scenarios promote the identification of desired behaviors, communication, and patterns that improve outcomes satisfying the medico-legal need for documented patient safety practices.</p>","abstract_has_math":false,"creators":["Yznaga, Elizabeth"],"institution":null,"degree_name":"Doctor of Nursing Practice (DNP)","degree_level":"Project","degree_discipline":null,"degree_department":null,"school":null,"contributors":["Dr. Jo Loomis","Dr. Amy Nichols","Dr. Linda Walsh"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2013,"date_issued":"2013-05-07T07:00:00Z","date_published":"2013-05-07T07:00:00Z","updated_at":"2026-07-24T05:42:50Z","subjects":["Clinical Simulation","Interprofessional","Obstetrics","Shoulder Dystocia","Alternative Personnel","In-situ Simulation","Community Hospitals","California Simulation Alliance","Maternal, Child Health and Neonatal Nursing","Medical Education","Medical Humanities","Nursing","Nursing Midwifery","Social and Behavioral Sciences"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://repository.usfca.edu/dnp/32","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Dr. Jo Loomis","Dr. Amy Nichols","Dr. Linda Walsh"]},{"key":"dc:creator","label":"Author","values":["Yznaga, Elizabeth"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.available","label":"Dc Date Available","values":["2014-09-12T07:00:00Z"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Project"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Doctor of Nursing Practice (DNP)"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Clinical Simulation","Interprofessional","Obstetrics","Shoulder Dystocia","Alternative Personnel","In-situ Simulation","Community Hospitals","California Simulation Alliance","Maternal, Child Health and Neonatal Nursing","Medical Education","Medical Humanities","Nursing","Nursing Midwifery","Social and Behavioral Sciences"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://repository.usfca.edu/dnp/32"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Prompted by evidence that clinical simulations improve patient safety, team simulations are emerging in hospital settings. Accrediting organizations such as the U.S. Joint Commission on Accreditation of Healthcare Organizations and the American College of Obstetricians and Gynecologists (Joint Commission, 2004, American College of Obstetricians and Gynecologists, 2002) have recommend simulation of obstetrical emergencies, including shoulder dystocia for hospital teams. National patient safety mandates for simulation training of critical events have not been available to small, rural hospitals because of lack of talent and equipment, creating a gap in resources. Other than demonstrations by manikin companies, this author has currently been unable to sufficiently document the existence of active, non-academic resources for in-situ simulations available to small, rural hospitals in California.
The California Simulation Alliance (CSA) is uniquely positioned as a state consortium for healthcare simulation to solve the deficiencies of talent and equipment by bringing the benefits of in-situ simulations to rural and urban community hospitals. The CSA Onsite Sims project described in this proposal initiates the move to in-situ scenarios from simulation center scenarios by expanding the CSA nurse-based scenarios into interprofessional, in-situ team simulations while maintaining the validity, repeatability, and integrity of the CSA scenarios. The CSA Onsite Sims scenarios promote the identification of desired behaviors, communication, and patterns that improve outcomes satisfying the medico-legal need for documented patient safety practices.
"]},{"key":"dc:title","label":"Title","values":["Interprofessional Roles Shoulder Dystocia: Maximizing Safety in Community Hospitals"]}]}],"canonical_facts":{"dc:contributor":["Dr. Jo Loomis","Dr. Amy Nichols","Dr. Linda Walsh"],"dc:creator":["Yznaga, Elizabeth"],"dc:date.available":["2014-09-12T07:00:00Z"],"dc:description.abstract":["Prompted by evidence that clinical simulations improve patient safety, team simulations are emerging in hospital settings. Accrediting organizations such as the U.S. Joint Commission on Accreditation of Healthcare Organizations and the American College of Obstetricians and Gynecologists (Joint Commission, 2004, American College of Obstetricians and Gynecologists, 2002) have recommend simulation of obstetrical emergencies, including shoulder dystocia for hospital teams. National patient safety mandates for simulation training of critical events have not been available to small, rural hospitals because of lack of talent and equipment, creating a gap in resources. Other than demonstrations by manikin companies, this author has currently been unable to sufficiently document the existence of active, non-academic resources for in-situ simulations available to small, rural hospitals in California.
The California Simulation Alliance (CSA) is uniquely positioned as a state consortium for healthcare simulation to solve the deficiencies of talent and equipment by bringing the benefits of in-situ simulations to rural and urban community hospitals. The CSA Onsite Sims project described in this proposal initiates the move to in-situ scenarios from simulation center scenarios by expanding the CSA nurse-based scenarios into interprofessional, in-situ team simulations while maintaining the validity, repeatability, and integrity of the CSA scenarios. The CSA Onsite Sims scenarios promote the identification of desired behaviors, communication, and patterns that improve outcomes satisfying the medico-legal need for documented patient safety practices.
"],"dc:identifier":["https://repository.usfca.edu/dnp/32"],"dc:subject":["Clinical Simulation","Interprofessional","Obstetrics","Shoulder Dystocia","Alternative Personnel","In-situ Simulation","Community Hospitals","California Simulation Alliance","Maternal, Child Health and Neonatal Nursing","Medical Education","Medical Humanities","Nursing","Nursing Midwifery","Social and Behavioral Sciences"],"dc:title":["Interprofessional Roles Shoulder Dystocia: Maximizing Safety in Community Hospitals"],"thesis:degree_level":["Project"],"thesis:degree_name":["Doctor of Nursing Practice (DNP)"]},"updated_at":"2026-07-24T05:42:50Z"}