Table 1.

Area-specific simulations

Opening date	Area	Theme of scenarios	Number of scenarios completed/participants
August 2012	Clinical support services (FM&E, housekeeping, supply, administration, lab, clinical engineering, protection services)	First simulations were done incorporating those outside clinical services using an advanced first responder/Code Blue event. No clinical support 911 response required. Most departments had limited first aide responders only	7 days/14 sessions 124 participants
September 2012 May 2013	Emergency disaster management	Code Green (evacuation), Code Red (fire)/loss of power, Code White (aggressive patient), Code Yellow (missing Marvin Site response)	1 session—65 participants 1 session—59 participants 1session—44 participants 1 session—68 participants
	Diagnostic imaging Magnetic resonance imaging	Anaphylaxis due to contrast injection Code Blue events in MRI and CT area requiring a 911 response to site Way finding becomes a major issue - collaborations for EMS crews with protection services as a key player	3 days—6 Sessions 42 participants 1session—34 participants
	Neuro outpatient clinics/rehab	Seizure	5 days—10 sessions 68 participants
January 2013	Emergency department	Trauma, acute coronary syndrome requiring transfer to catheterization lab at another hospital, precipitous birth, pediatric asthma attack	3 days multiple concurrent sessions—48 sessions 240 participants
February 2013	Intensive care unit (ICU)	Code Blue response all units, Code 66 – medical emergency team, anaphylaxis in a public area, transfer to operating room	Multiple days concurrent with orientation—24 sessions 96 participants
April 2013	Medical inpatient units and outpatient clinics	Code Blue	Multiple days concurrent with orientation—138 sessions 690 participants
	Operating rooms (OR) Post-anesthetic care	Code Blue, malignant hyperthermia, trauma, transfer from ED to OR to ICU	4 days—12 sessions 144 participants 2 days—6 sessions 19 participants
July 2103	Pediatric outpatient clinics	Seizure, asthma	2 sessions—28 participants
September 2103	Family maternal practice (FMP) Neonatal intensive care unit (NICU) Women’s Clinic	Vaginal birth with vacuum/forceps, cord prolapse with transfer to OR, post-partum hemorrhage, neonatal resuscitation, maternal code	12 days—multiple concurrent sessions— 108 sessions 282 participants
July 2014	Cardiac intensive care unit (CICU)	Acute coronary syndrome, Code Blue, extreme bradycardia requiring pacing, synchronized cardioversion	1 day—4 sessions/16 participants