SynthesisBMJ simulation & technology enhanced learning2020
In situ simulation and its effects on patient outcomes: a systematic review.
Synthesis in BMJ simulation & technology enhanced learning, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
45 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- GENESISS 2-Generating Standards for In-Situ Simulation project: a systematic mapping review.BMC medical education · 2022Pooled it
- Guideline
- In situ simulation training for a better interprofessional team performance in transferring critically ill patients with COVID-19: a prospective randomised control trial.Postgraduate medical journal · 2022Trial
- Lived Experiences of Clinical Nurse Educators Facilitating Interprofessional Simulation: An Interpretative Phenomenological Analysis Study.Nursing in critical care · 2026Article
- Partnering an implementation strategy with a multi-modal education to improve delirium practices.BMC nursing · 2026Article
- Moving beyond projects: a logic model evaluation of an established translational simulation program.Advances in simulation (London, England) · 2026Article
- Impact of Electronic Medical Record Training on Pediatric Residents' Learning Outcomes: A Simulation-Based Study.Cureus · 2026Article
- IN SITU: Evaluation of the feasibility and impacts of in situ simulation in emergency medicine, a mixed method study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Article
- Evaluation of the implementation of clinical simulation as a learning tool: an 18-month experience at a university hospital.Frontiers in medicine · 2026Article
- A flipped classroom improves medical students' skills how to manage medical emergencies-an intervention-control study.BMC medical education · 2025Article
- Uncovering success stories: how to resuscitate in situ simulation initiatives in Canadian emergency departments.Advances in simulation (London, England) · 2025Article
- Insights from 40 years of educational research: honoring Jeroen van Merriënboer.Advances in simulation (London, England) · 2025Review
- Implementation of a Novel Wilderness Medicine Simulation Course for Medical Students.MedEdPORTAL : the journal of teaching and learning resources · 2025Article
- Virtual Reality Training to Reduce Workplace Violence in Healthcare.Issues in mental health nursing · 2025Article
- In situ simulation for cardiopulmonary resuscitation training: A systematic review.Resuscitation plus · 2025Review
- Interprofessional In Situ Simulation's Impact on Healthcare Personnel's Competence and Reported Need for Training in Cardiopulmonary Resuscitation-A Pilot Study in Norway.Healthcare (Basel, Switzerland) · 2024Article
- Virtual simulation training for postpartum hemorrhage in low-to-moderate-volume hospitals in the US.AJOG global reports · 2024Article
- Ward-based in situ simulation: lessons learnt from a UK District General Hospital.BMJ open quality · 2024Article
- Effectiveness of In-situ Simulation on Clinical Competence for Nurses: A Systematic Review.Clinical simulation in nursing · 2024Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The use of in situ simulation has previously been shown to increase confidence, teamwork and practical skills of trained professionals. However, a direct benefit to patient outcomes has not been sufficiently explored. This review focuses on the effect of in situ simulation training in a hospital setting on morbidity or mortality. Methods: A combined search was conducted in PUBMED, OVID, WEB OF SCIENCE, CINAHL, SCOPUS and EMBASE. 478 studies were screened with nine articles published between 2011 and 2017 meeting the inclusion criteria for analysis. Results: This review selected eight prospective studies and one prospective-retrospective study. Three studies isolated in situ simulation as an experimental variable while the remaining studies implemented in situ programmes as a component of larger quality improvement initiatives. Seven studies demonstrated a significant improvement in morbidity and/or mortality outcomes following integrated in situ simulation training. Conclusion: Existing literature, albeit limited, demonstrates that in situ training improves patient outcomes either in isolation or within a larger quality improvement programme. However, existing evidence contains difficulties such as isolating the impact of in situ training from various potential confounding factors and potential for publication bias.
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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.