ArticleAdvances in simulation (London, England)2025
Outreach simulation for system improvement: a novel advocacy and reporting process.
Article in Advances in simulation (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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
2 citing papers in PubMed.
- Resolving latent safety threats identified through in situ simulation: a multicentre mixed-methods study.Advances in simulation (London, England) · 2025Article
- Reimagining simulation for quality and safety in healthcare: connecting paradigms, methods, and communities.Advances in simulation (London, England) · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionHealthcare simulation programmes measuring their value risk wasting resources in attempts to prove they impact patient outcomes. Simulation is one of many strategies used to enhance healthcare systems, and proving specific correlation with simulation will prove impossible in many circumstances. To maintain accountability but ensure feasibility, we argue simulation services need measurement processes that are robust, achievable, and synergistic with their mission. In 2023, the STORK service in Queensland, Australia, began measuring the impact of simulation on systems rather than patients to define the extent to which their educational programmes could impact system improvement.
methodsTranslational simulation methodologies and quality improvement measures were embedded in an established educational course. We used simulation activities to diagnose environmental and system-level problems in participants' workplaces throughout Queensland. Courses included dedicated time to discuss site-specific actionable solutions with participants and identified local champions to implement quality improvement changes. By designing a novel electronic reporting process (Optimus PRIME Course Summary), we documented issues and solutions identified in regional healthcare facilities and ensured they reached key stakeholders. We audited our ability to improve these systems through follow-up data collection via phone and emails with local educators across the state.
resultsFrom 40 courses delivered across 37 facilities, 242 issues were identified, primarily related to drug safety and equipment management. At follow-up, 45.5% of the issues were resolved, with 44.6% still being addressed. Recommended resources were successfully implemented in 64% of sites.
conclusionThis process demonstrates that focusing on system-level changes can significantly enhance healthcare systems. The reporting framework provided a robust, achievable, and synergistic method to measure simulation impact and influence change. Additionally, we share key lessons learned from the process to guide other simulation services in improving their own measurement strategies.
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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.