P405 Endoscopy in-situ simulation: evaluation of a novel programme in a tertiary endoscopy unit

Introduction We developed a pilot programme to learn from adverse events in our unit, using in-situ simulation (ISS). Our programme focuses on Endoscopic Non-Technical Skills (ENTS) development as a means to improve learning. Methods A pilot study was designed to evaluate outcomes from the first year of our ISS programme. We conducted a pilot high-fidelity, multidisciplinary ISS session followed by debrief, based on an established simulation model. Faculty included a simulated patient, consultant endoscopist, resuscitation officer and research fellow with a simulation interest. An ENTS confidence score was developed and measured at baseline and after the ISS session. Participants were invited to a follow-up focus group to discuss learning opportunities. Results were collated and analysed thematically to inform the core structure of our ISS programme. Two further high-fidelity ISS sessions were run, with outcomes based on confidence scores and participant feedback. Analysis of ENTS scores was performed using pairwise Wilcoxon signed rank tests. Transcribed focus group discussions and participant feedback was analysed thematically. Results Across all simulation sessions there was a total of 84 participants, of whom the majority were band 5 nurses (50/84; 59.2%). Focus group outcomes were split into learning, barriers to simulation and improving training. Across 12 ENTS domains there was a significant improvement between pre and post confidence scores for all 3 scenarios (p Participant feedback revealed learning subthemes around teamworking, communication skills, leadership, decision-making, situational awareness, strategies for learning and personal development. Conclusions Our pilot study identified improved confidence in 8 of the 12 ENTS domains with learning focused on non-technical skills development. This study provides the basis for further collaborative work across other centres to validate its use as a teaching tool in endoscopy.