In situ simulation toolkit video

Statement

In situ simulation (ISS) (simulation in the workplace) helps to improve participants' knowledge, behaviour and confidence by providing multidisciplinary training¹ in real clinical environment. ISS also contributes towards identification of hidden errors in the system called latent errors.² ISS has been successfully used to test run newly established healthcare facilities.³ There is emerging evidence that ISS helps in reducing morbidity and mortality⁴ thus could improve quality of patient care.⁵

Effective delivery of ISS requires proper planning, collaboration and execution. As ISS is a relatively new educational tool, there are very few resources available that would highlight key components of ISS.

We have created a video that would highlight various aspects related to ISS. The steps highlighted should be given due consideration before undertaking simulation in the workplace.

The components shown are: identification of stakeholders, needs analysis, timing, faculty assignment, resources, parent team collaboration, technical team familiarity with clinical settings, set up, pre briefing, scenario, debriefing, faculty debriefing, highlighting identified latent errors using risk managements tools to clinical managers and drafting plans to tackle the highlighted risks.

These steps are by no means applicable to all ISS sessions but they do provide a benchmark around which an ISS session could be planned. We hope that visual display of the steps would help in better understanding of the process.