ArticleJournal of perinatology : official journal of the California Perinatal Association2020
Qualitative analysis of latent safety threats uncovered by in situ simulation-based operations testing before moving into a single-family-room neonatal intensive care unit.
Article in Journal of perinatology : official journal of the California Perinatal Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.
- The use of healthcare simulation to identify and address latent safety threats: a scoping review.Frontiers in health services · 2025Pooled it
- Reframing simulation as an implementation strategy: a call for conceptual integration across two scientific communities.Implementation science communications · 2026Article
- Practical low-cost simulation for a new NICU build - simulating everyday work with staff and parents.Journal of perinatology : official journal of the California Perinatal Association · 2026Article
- Resolving latent safety threats identified through in situ simulation: a multicentre mixed-methods study.Advances in simulation (London, England) · 2025Article
- Review
- Development and evaluation of a simulation-based early-mobility curriculum for paediatric intensive care nurses.Nursing in critical care · 2025Article
- Article
- Sustained decrease in latent safety threats through regular interprofessional in situ simulation training of neonatal emergencies.BMJ open quality · 2023Article
- Financial and Safety Impact of Simulation-based Clinical Systems Testing on Pediatric Trauma Center Transitions.Pediatric quality & safetyArticle
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
objectivesWe aimed to identify: (a) latent safety threats (LSTs) in a new neonatal intensive care unit (NICU) through simulation-based pre-occupancy operations testing, and (b) LSTs that remained unresolved 1-year post-occupancy. STUDY
designIn this qualitative study, 111 healthcare professionals participated in patient care simulations and debriefings in a new NICU. Debriefing transcripts were inductively analyzed to characterize LSTs. Unresolved LSTs were identified 1 year after NICU occupancy.
resultsThematic saturation was attained after analysis of nine debriefings. Four major themes affecting staff function and patient safety emerged from 305 threats: relay of information, workplace design, patient care processes, and patient family and staff focus. One-year post occupancy, 29 (9%) LSTs remained unresolved.
conclusionTeam debriefings of simulated patient events uncover LSTs that can largely be resolved before transitioning patient care into a new NICU. Understanding how LSTs interact provides a platform to develop viable strategies to mitigate patient safety risks.
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Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.