Skip to main content

In Situ Simulation

  • Chapter
  • First Online:
Comprehensive Healthcare Simulation: Pediatrics

Abstract

In situ simulation describes training that occurs in real patient care environments, rather than in a simulation center or off-site training area. Mobile simulation, taking simulation to hospitals or clinics in the community, can make in situ simulation methodologies accessible across institutions and international boundaries.

In situ and mobile simulations allow participants to experience and examine their native work environment. Target learners can extend beyond the individual and team, as is common in center-based simulation, to the hospital unit or an organization as a whole. In situ offers the unique ability to explore complex systems and interrelationships, at all levels of a healthcare delivery process. This chapter reviews opportunities and challenges unique to in situ simulation, including applications where it has been shown to be particularly effective. Included are guidelines on setting up a successful in situ session, common challenges, possible solutions, and strategies for multi-institutional mobile in situ simulations.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Hays RT, Singer MJ. Simulation fidelity in training system design: bridging the gap between reality and training. New York: Springer-Verlag; 1988.

    Google Scholar 

  2. Allan CK, Thiagarajan RR, Beke D, Imprescia A, Kappus LJ, Garden A, et al. Simulation-based training delivered directly to the pediatric cardiac intensive care unit engenders preparedness, comfort and decreased anxiety among multidisciplinary resuscitation teams. J Thorac Cardiovasc Surg. 2010;140(3):646–52.

    Article  PubMed  Google Scholar 

  3. Weinstock PH, Kappus LJ, Garden A, Burns JP. Simulation at the point of care: reduced-cost, in situ training via a mobile cart. Pediatr Crit Care Med. 2009;10:176–81.

    Article  PubMed  Google Scholar 

  4. Clapper TC. In situ and mobile simulation: lessons learned… authentic and resource intensive. Clin Simul Nurs. 2013;9(11):e551–7.

    Article  Google Scholar 

  5. Calhoun AW, Boone MC, Peterson EB, Boland KA, Montgomery VL. Integrated in-situ simulation using redirected faculty educational time to minimize costs: a feasibility study. Simul Healthc. 2011;6:337–44.

    Article  PubMed  Google Scholar 

  6. Patterson MD, Blike GT, Nadkarni VM. In situ simulation: challenges and results. In: Henriksen K, Battles JB, Keyes MA, et al., editors. Advances in patient safety: new directions and alternative approaches (Vol. 3: Performance and tools). Rockville: Agency for healthcare research and quality (US); 2008. http://www.ncbi.nlm.nih.gov/books/NBK43682/.

    Google Scholar 

  7. Raemer DB. Ignaz Semmelweis Redux? Simul Healthc. 2014;9:153–5.

    Article  PubMed  Google Scholar 

  8. Kobayashi L, Patterson MD, Overly FL, Shapiro MJ, Williams KA, Jay GD. Educational and research implications of portable human patient simulation in acute care medicine. Acad Emerg Med. 2008;15:1166–74.

    Article  PubMed  Google Scholar 

  9. Miller KK, Riley W, Davis S, Hansen HE. In situ simulation: a method of experiential learning to promote safety and team behavior. J Perinat Neonatal Nurs. 2008;22(2):105–13.

    Article  PubMed  Google Scholar 

  10. Wheeler DS, Geis G, Mack EH, LeMaster T, Patterson MD. High-reliability emergency response teams in the hospital: improving quality and safety using in situ simulation training. BMJ Qual Saf. 2013;22:507–14.

    Article  PubMed  Google Scholar 

  11. Theilen U, Leonard P, Jones P, Ardill R, Weitz J, Agrawal D, Simpson D. Regular in situ simulation training of paediatric medical emergency team improves hospital response to deteriorating patients. Resuscitation. 2013;84(2):218–22.

    Article  CAS  PubMed  Google Scholar 

  12. Andreatta P, Saxton E, Thompson M, Annich G. Simulation-based mock codes significantly correlate with improved pediatric patient cardiopulmonary arrest survival rates. Pediatr Crit Care Med. 2011;12(1):33–7.

    Article  PubMed  Google Scholar 

  13. Steinemann S, Berg B, Skinner A, DiTulio A, Anzelon K, Terada K, et al. In situ, multidisciplinary, simulation-based teamwork training improves early trauma care. J Surg Educ. 2011;68(6):472–7.

    Article  PubMed  Google Scholar 

  14. Miller D, Crandall C, Washington C, McLaughlin S. Improving teamwork and communication in trauma care through in situ simulations. Acad Emerg Med. 2012;19(5):608–12.

    Article  PubMed  Google Scholar 

  15. Patterson MD, Geis GL, Falcone RA, LeMaster T, Wears RL. In situ simulation: detection of safety threats and teamwork training in a high risk emergency department. BMJ Qual Saf. 2013;22:468–77.

    Article  PubMed  Google Scholar 

  16. Wetzel EA, Lang TR, Pendegrass TL, Taylor RG, Geis GL. Identification of latent safety threats using high-fidelity simulation-based training with multidisciplinary neonatology teams. Jt Comm J Qual Patient Saf. 2013;39(6):268–73.

    PubMed  Google Scholar 

  17. Kobayashi L, Shapiro MJ, Sucov A, Woolard R, Boss RM 3rd, Dunbar J, et al. Portable advanced medical simulation for new emergency department testing and orientation. Acad Emerg Med. 2006;13(6):691–5.

    Article  PubMed  Google Scholar 

  18. Geis GL, Pio B, Pendergrass TL, Moyer MR, Patterson MD. Simulation to assess the safety of new healthcare teams and new facilities. Simul Healthc. 2011;6(3):125–33.

    Article  PubMed  Google Scholar 

  19. Guise JM, Mladenovic J. In situ simulation: identification of systems issues. Semin Perinatol. 2013;37(3):161–5.

    Article  PubMed  Google Scholar 

  20. O’Leary F, McGarvey K, Christoff A, Major J, Lockie F, Chayen G, et al. Identifying incidents of suboptimal care during pediatric emergencies—an observational study utilizing in situ and simulation center scenarios. Resuscitation. 2014;85:431–6.

    Article  Google Scholar 

  21. Groom JA. Creating new solutions to the simulation puzzle. Simul Healthc. 2009;4(3):131–4.

    Article  PubMed  Google Scholar 

  22. Rosen MA, Hunt EA, Pronovost PJ, Federowicz MA, Weaver SJ. In situ simulation in continuing education for the health care professions: a systematic review. J Contin Educ Health Prof. 2012;32(4):243–54.

    Article  PubMed  Google Scholar 

  23. Niles D, Sutton RM, Donoghue A, Kalsi MS, Roberts K, Boyle L, et al. “Rolling Refreshers”: a novel approach to maintain CPR psychomotor skill competence. Resuscitation. 2009;80:909–12.

    Article  PubMed  Google Scholar 

  24. Hunt EA, Duval-Arnould JM, Nelson-McMillan KL, Bradshaw JH, Diener-West M, Perretta JS, et al. Pediatric resident resuscitation skills improve after “rapid cycle deliberate practice” training. Resuscitation. 2014;85:945–51.

    Article  PubMed  Google Scholar 

  25. Weinstock P. Weathering the perfect storm: a deeper look at simulation applied to pediatric critical care. Pediatr Crit Care Med. 2012;13(2):226–7.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Tensing Maa MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Maa, T., Heimberg, E., Reid, J. (2016). In Situ Simulation. In: Grant, V., Cheng, A. (eds) Comprehensive Healthcare Simulation: Pediatrics. Comprehensive Healthcare Simulation. Springer, Cham. https://doi.org/10.1007/978-3-319-24187-6_12

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-24187-6_12

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-24185-2

  • Online ISBN: 978-3-319-24187-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics