Breaking barriers in establishing simulation in India-A collaborative approach by pediatric simulation training and research society (PediSTARS)

Vijayanand Jamalpuri; Ranjit Kumar Gunda; Geethanjali Ramachandra; Sujatha Thyagarajan; Rakshay Shetty; Rajasri R Seethamraju; Vinay M Nadkarni; Michael Shepherd

doi:10.3389/fped.2022.927711

Breaking barriers in establishing simulation in India-A collaborative approach by pediatric simulation training and research society (PediSTARS)

Front Pediatr. 2022 Sep 21:10:927711. doi: 10.3389/fped.2022.927711. eCollection 2022.

Authors

Vijayanand Jamalpuri^{1

2}, Ranjit Kumar Gunda^{2

3}, Geethanjali Ramachandra^{2

4}, Sujatha Thyagarajan^{2

5}, Rakshay Shetty^{2

6}, Rajasri R Seethamraju^{2

7}, Vinay M Nadkarni^{2

8}, Michael Shepherd^{2

9}

Affiliations

¹ Department of Neonatology, Rainbow Children's Hospital, Hyderabad, India.
² Pediatric Simulation Training and Research Society, Hyderabad, India.
³ Department of Neonatology, Butterfly Hospitals for Women and Children, Hyderabad, India.
⁴ Department of Pediatric Critical Care, Krishna Institute of Medical Sciences, Hyderabad, India.
⁵ Department of Pediatric Critical Care, Aster RV Hospital, Bengaluru, India.
⁶ Department of Pediatric Critical Care, Rainbow Children's Hospital, Bengaluru, India.
⁷ Lancashire Women and Newborn Center, Burnley General Hospital, Burnley, United Kingdom.
⁸ Department of Anesthesiology, Critical Care and Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, United States.
⁹ Children's Emergency Department, Starship Children's Health, Auckland, New Zealand.

Abstract

Simulation based training (SBT) plays a pivotal role in quality improvement and patient safety. Simulation is not only for training health care professionals but also an excellent tool for systems and facility changes which will potentially improve patient safety and ultimately outcomes. SBT is already established both as a training modality, and as a quality improvement tool in high income countries. It's use in low and middle-income countries (LMIC), including India, however, is sporadic and variable because of multiple barriers. The barriers for establishment of simulation are lack of knowledge about benefits of simulation, psychological resistance, cost, and lack of trained faculty. PediSTARS (Pediatric Simulation Training and Research Society), a simulation society was founded in August 2013 to spread the simulation across India and thus improve the quality and safety of health care using SBT. In this article we discuss various barriers for healthcare simulation in India and also our attempts to overcome some of these barriers by collaborative practice.

Keywords: India; PediSTARS; barriers; collaboration; simulation.