Personas y liderazgo · Comportamiento organizativo

Evidence into Practice — Embed the Sepsis Bundle at Riverside Vale

A four-round, advanced healthcare change-management simulation set inside Riverside Vale NHS Foundation Trust, a 620-bed Midlands district general hospital (GBP 410M budget, 6,400 staff) under a coroner's Regulation 28 'Prevention of Future Deaths' report.

4 rondas Ejecutivo

Vista previa

Sobre la simulación

A four-round, advanced healthcare change-management simulation set inside Riverside Vale NHS Foundation Trust, a 620-bed Midlands district general hospital (GBP 410M budget, 6,400 staff) under a coroner's Regulation 28 'Prevention of Future Deaths' report.

A 34-year-old mother died of undetected sepsis; the Trust has 90 days to prove a credible plan to embed the nationally recommended 'Sepsis Six' bundle across its emergency department and two acute wards.

The evidence is settled — its own research-active sepsis team has published nationally — yet bundle compliance sits at 28% (a failed 2024 attempt peaked there and lapsed) and median time-to-antibiotics is 127 minutes against a 60-minute standard. The regulator expects a credible trajectory to ≥75% by day 90; the national reliability target is ≥90%.

Playing the Change Lead with only 0.6 WTE of protected champion time and a fixed GBP 180,000 budget, you (1) diagnose this as an ADOPTION gap, not an evidence or training gap, mapping barriers across Dopson's and the PARiHS lens of evidence, context and facilitation; (2) package the evidence and choose opinion-leaders, allocating champion time across the distant expert consultant, a trusted night-shift peer charge nurse, and managerial sponsors — the credible local peer often shifts practice more than the professor; (3) adapt to local context and sequence the rollout, choosing pilot-and-spread vs big-bang and the fidelity-vs-local-fit balance unit by unit; and (4) embed, measure and defend a day-90 trajectory to the Medical Director and a non-executive board member, naming leading and lagging indicators and an owner for each ward after the champion time ends.

The math rewards genuine, context-sensitive, peer-led adoption and punishes the five classic errors — re-proving the evidence or 'more training', the wrong messenger, one uniform mandate, total fidelity with no adaptation, and a launch event with no sustainment plan. Final KPIs track Bundle Compliance %, Adoption Quality (real vs paper), Sustainability, and Champion Time used against the 0.6 WTE cap.

Para quién es

Una simulación avanzada para participantes acostumbrados a trabajar con los principales marcos y dilemas de la materia, pensada para formación de directivos y profesionales con experiencia.

Cómo funciona una sesión

  1. El docente crea una sesión desde el panel de Eureka e invita a los participantes.
  2. Los participantes juegan 4 rondas. En cada una envían sus decisiones y la simulación calcula los resultados.
  3. El docente sigue el progreso y los resultados de cada participante desde el panel, y usa los resultados de la clase para el debriefing.

Decisiones que toman los participantes

Las decisiones que toman los participantes durante la simulación:

  • What actually stops staff using a bundle they already know works?
  • Using the PARiHS lens, where is the single highest-leverage barrier?
  • How candidly does your team name this as an adoption problem, not 'more training'? (%)
  • How do you translate the national bundle so each unit will actually use it?
  • Allocate the 0.6 WTE champion time across opinion-leaders (must total 0.60)
  • Which artefact do you invest the budget in first?
  • How do you sequence the rollout across the ED and the two acute wards?
  • Fidelity vs local fit: how much can each unit adapt the HOW of the bundle?
  • Mid-flight feedback loops — how much budget into rapid weekly audit + correction?
  • Protect frontline time on the burned-out night shift — how hard? (%)

Qué siguen los participantes

Lo que los participantes siguen en pantalla a medida que avanzan las rondas:

  • Compliance & Adoption Trajectory

Temas que cubre

Diseñada para asignaturas de Comportamiento organizativo.

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