SynthesisBMJ simulation & technology enhanced learning2015
In situ simulation as a tool for patient safety: a systematic review identifying how it is used and its effectiveness.
Synthesis in BMJ simulation & technology enhanced learning, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis 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
25 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Simulation-based education to improve communication skills: a systematic review and identification of current best practice.BMJ simulation & technology enhanced learning · 2018Pooled it
- Simulation-Based Education for Health Professionals in Rural and Remote Contexts in High-Income Countries: A Scoping Review.The Australian journal of rural health · 2026Article
- Improving surgical team confidence for intraoperative cardiac arrest in non-standard positions (sitting beach chair and prone): a prospective in-situ simulation study with three-month follow-up.Resuscitation plus · 2026Article
- The role of in situ simulations in the assessment of pediatric anesthesiologists' non-technical skills.BMC medical education · 2026Observational
- Patients from Remote Health Centers Referred to Cayenne Emergency Department: A One-Year Observational Study.The American journal of tropical medicine and hygiene · 2026Observational
- Review
- Multifaceted characterization of antibacterial resin composites: A scoping review on efficacy, properties, and in vivo performance.The Japanese dental science review · 2025Review
- Review
- Effectiveness of ultra-rapid (20 min) high-frequency in-situ cardiac arrest simulations in a high-volume operating department - A tool for evaluating and implementing emergency routines.Resuscitation plus · 2025Article
- Ten years of incident reports on in-hospital cardiac arrest - Are they useful for improvements?Resuscitation plus · 2024Article
- In-situ simulation of CPR in the emergency department - A tool for continuous improvement of the initial resuscitation.Resuscitation plus · 2023Article
- A Novel Approach to Emergency Department Readiness for Airborne Precautions Using Simulation-Based Clinical Systems Testing.Annals of emergency medicine · 2023Article
- Design and Implementation of Airway Response Teams to Improve the Practice of Emergency Airway Management.Journal of clinical medicine · 2022Review
- Learning experience on sentinel cases of COVID-19 at a public healthcare institution: sharing on operating room processes.Singapore medical journal · 2022Article
- Immersive 360° videos in health and social care education: a scoping review.BMC medical education · 2021Article
- The important role of in-situ simulation in preparing surgeons for the COVID-19 pandemic.The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland · 2021Article
- The role of clinical simulation in preparing for a pandemic.BJA education · 2021Review
- Use of In Situ Simulation to Improve Emergency Department Readiness for the COVID-19 Pandemic.Prehospital and disaster medicine · 2021Article
- Anaesthesia and Critical Care Department at a Major Academic Centre's Adaptation to Face the COVID-19 Pandemic.International journal of general medicine · 2021Article
- 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: In situ simulation is an emerging technique involving interdisciplinary teams working through simulated scenarios which replicate events encountered in healthcare institutions, particularly those which are either low frequency or associated with high risk to patients. Since it takes place in the clinical environment, it is ideally suited to improving patient safety outcomes. Objective: To identify and appraise all studies assessing contribution of in situ simulation to patient safety, identify gaps in knowledge and areas for future research, as well as suggesting strategies for maximising its impact on patient safety within an institution. Study selection: Three electronic databases (MEDLINE, PubMed and EMBASE) as well as the Cochrane Library were searched for articles relating to patient safety outcomes in in situ simulation. In addition a subject expert was approached to suggest any additional articles not identified by electronic searches. A total of 1795 abstracts were identified and screened, 35 full articles assessed for eligibility for inclusion and a total of 18 full articles included in the review after unsuitable articles were excluded. Conclusions: In situ simulation can improve real-life patient safety outcomes, with 2 studies demonstrating improved morbidity and mortality outcomes following initiation of in situ simulation. There is good evidence to suggest that its implementation leads to improved clinical skills, teamwork and observed behaviours. Additionally, it is ideally suited to detecting latent safety errors (errors identified within a scenario which, if they had occurred in real life, could have led to a degree of harm occurring to a patient).
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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.