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Ms. Janice Kee

Senior Nurse


Coronary Care Unit


Ward 28, NUHCS

Janice joined NUH in 2003 and has

been working in CCU Ward 28 since

2004. Joining the Intensive Care Unit/High

Dependency team of educators in 2008,

she ful lled her passion for training and

sharing knowledge and skills with others.

She hopes to venture more into simulation

training so that others can bene t from

what she has learnt.


Ms. Tay

Miao Qin

Assistant Manager,

Operations &



Miao Qin oversees the operations of

Diagnostic Vascular Lab and Heart

Rehabilitation services. She also supports

the Patient Safety Of cers on patient

safety initiatives in the Department of



medical errors and adverse event occur-

rence. The programme also harnesses

key concepts on teamwork, leadership,

situation monitoring, mutual support

and communication.

Trainings and Discussions

Since its initial launch, the PS team has

conducted ve in-situ simulation pro-

grammes with 40 participants including

clinicians, nurses, medical technologists,

radiographers and patient service as-


In-depth discussions were held with site

supervisors and participants before the

initiation of the programme. The PS

team created realistic clinical scenarios

as training platforms with the utilisation

of manikins. The simulations were then

video recorded for the trainers to review

and identify areas for improvement.

Future Plans

The programme has been warmly re-

ceived, with marked improvements in

team performance and communication

during crisis.

The PS team has made future plans for

the programme, which includes:

• Bi-annual simulations for each critical


• Simulations on inter-department com-

plex cases such as operative thea-

tre nurses, cardiothoracic surgeons,

anaesthetists and perfusionists;

• Train-the-trainer programme to em-

power teams and ensure continuity

of safe quality care for patients.•

TeamSTEPPS is an


teamwork system which

improves patient

outcomes by optimising

communication and

teamwork among

healthcare professionals.

– Hoe Kwei Fong, Senior Staff Nurse

(Angiography Centre)

Communication is of

utmost importance to enable

a team to function effectively.

I would recommend my fellow

colleagues to undergo this

programme as well.

n alignment with NUHCS’s

patient safety guidelines, four

facilities were identi ed as key

service units that require rapid coordi-

nated care due to their high-risk

patient pro les and complexity of pro-

cedures performed there. The units are

Angiography Centre, Diagnostic Cardi-

ology Lab, Diagnostic Nuclear Lab

and Coronary Care Unit.

The Simulation Programme

The PS team, led by Asst. Prof. Edgar

Tay, Senior Consultant, NUHCS, deve-

loped our Inter-Professional Crisis

Management Simulation Programme

with support from Nursing and Opera-

tions and Administration divisions.

Launched in October 2016, the pro-

gramme adopts patient safety strate-

gies, team strategies and tools to

enhance performance and patient

safety (TeamSTEPPS).

Both strategies seek to enhance staff’s

awareness towards the prevention of