In Situ Simulation
- 17 Downloads
In situ simulation is unique, in that it is physically integrated into the clinical care environment. This can provide additional realism and more direct application to clinical practice. Additionally, in situ simulation can provide an opportunity to identify and address latent threats and other system issues. In this chapter, we will examine qualities and opportunities unique to in situ simulation and examine the differences from a more traditional simulation lab with dedicated space. While there are significant benefits to in situ simulation, there are distinct cultural and logistical challenges that must be considered, and that may create barriers to its use. An understanding of the benefits and barriers that exist will help create successful implementation strategies for in situ simulation. Specific applications of in situ simulation will be discussed.
KeywordsIn situ simulation Mobile simulation Latent threats
- 1.Jolly B, Kelly M, Nestel D, Watson M. Healthcare simulation education: evidence, theory and practice. Chichester, West Sussex: Wiley; 2018.Google Scholar
- 2.Patterson MD, Blike GT, Nadkarni VM. In situ simulation: challenges and results. In: Henriksen K, Battles JB, Keyes MA, Grady ML, editors. Advances in patient safety: new directions and alternative approaches (vol. 3: performance and tools) (). Rockville: Agency for Healthcare Research and Quality (US); 2008. p. NBK43682.Google Scholar
- 3.Rosen MA, Hunt EA, Provonost PA, Fedorowicz MA, Weaver SJ. In situ simulation in continuing education for the health care professions: a systematic review. J Contin Educ Health Prof. 2012;30(2):78–88.Google Scholar
- 9.Davison M, Kinnear FB, Fulbrook P. Evaluation of a multiple-encounter in situ simulation for orientation of staff to a new paediatric emergency service: a single-group pretest/post-test study. BMJ Simul Technol Enhanc Learn. 2017;3:149–53. https://doi.org/10.1136/bmjstel-2016-000138.CrossRefPubMedPubMedCentralGoogle Scholar
- 15.Sørensen JL, Østergaard D, Leblanc V, Ottesen B, Konge L, Dieckmann P, et al. Design of simulation-based medical education and advantages and disadvantages of in situ simulation versus off-site simulation. BMC Med Educ. 2017;17:20. https://doi.org/10.1186/s12909-016-0838-3.CrossRefPubMedPubMedCentralGoogle Scholar
- 21.Sørensen JL, Navne LE, Martin HM, Ottesen B, Albrecthsen CK, Pedersen BW, et al. Clarifying the learning experiences of healthcare professionals with in situ and off-site simulation-based medical education: a qualitative study: table 1. BMJ Open. 2015;5:e008345. https://doi.org/10.1136/bmjopen-2015-008345.CrossRefPubMedPubMedCentralGoogle Scholar
- 22.Theilen U, Fraser L, Jones P, Leonard P, Simpson D. Regular in-situ simulation training of paediatric medical emergency team leads to sustained improvements in hospital response to deteriorating patients, improved outcomes in intensive care and financial savings. Resuscitation. 2017;115:61–7. https://doi.org/10.1016/j.resuscitation.2017.03.031.CrossRefPubMedGoogle Scholar
- 31.Nickson C, Chris, Monash University, Australian Centre for Health Innovation, New Zealand Intensive Care Society, ANZICS Education Committee, et al. In situ simulation life in the fast lane. Med Blog. 2017;. https://lifeinthefastlane.com/ccc/situ-simulation/. Accessed 5 Nov 2018.
- 32.Riley W, Hansen H, Gurses AP, Davis S, Miller K, Priester R. The nature, characteristics and patterns of perinatal critical events teams. In: Henriksen K, Battles JB, Keyes MA, Grady ML, editors. Advances in patient safety: New directions and alternative approaches (vol. 3: performance and tools). Rockville: Agency for Healthcare Research and Quality (US); 2008. p. NBK43664.Google Scholar
- 33.Kobayashi L, Parchuri R, Gardiner FG, Paolucci GA, Tomaselli NM, Al-Rasheed RS, Bertsch KS, Devine J, Boss RM, Gibbs FJ, Goldlust E, Monti JE, O’Hearn B, Portelli DC, Siegel NA, Hemendinger D, Jay GD. Use of in situ simulation and human factors engineering to assess and improve emergency department clinical systems for timely telemetry-based detection of life-threatening arrhythmias. BMJ Qual Saf. 2013;22(1):72–83. https://doi.org/10.1136/bmjqs-2012-001134.CrossRefPubMedGoogle Scholar
- 35.Rubio-Gurung S, Putet G, Touzet S, Gauthier-Moulinier H, Jordan I, Beissel A, Labaune JM, Blanc S, Amamra N, Balandras C, Rudigoz RC, Colin C, Picaud JC. In situ simulation training for neonatal resuscitation: an RCT. Pediatrics. 2014;134(3):e790–7. https://doi.org/10.1542/peds.2013-3988.CrossRefPubMedGoogle Scholar
- 38.Siegel NA, Kobayashi L, Dunbar-Viveiros JA, Devine J, Al-Rasheed RS, Gardiner FG, et al. In situ medical simulation investigation of emergency department procedural sedation with randomized trial of experimental bedside clinical process guidance intervention. Simul Healthc. 2015;10:146–53. https://doi.org/10.1097/sih.0000000000000083.CrossRefPubMedGoogle Scholar