In Situ Simulation

  • Tensing MaaEmail author
  • Ellen Heimberg
  • Jennifer R. Reid
Part of the Comprehensive Healthcare Simulation book series (CHS)


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.


In situ simulation Mobile simulation Team training Teamwork Interprofessional training Patient safety Latent safety threat Multi-institutional simulation Just-in-time Rolling-refresher Rapid Cycle Deliberate Practice 


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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Department of Pediatrics, Department of Critical Care MedicineOhio State University College of Medicine, Nationwide Children’s HospitalColumbusUSA
  2. 2.Department of Pediatric Cardiology, Pulmology, Intensive Care MedicineUniversity Children’s HospitalTuebingenGermany
  3. 3.Department of Pediatrics, Division of Emergency MedicineUniversity of Washington School of Medicine, Seattle Children’s HospitalSeattleUSA

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