Patient Safety / Simulation and Ergonomics

Over the last fifteen years there has been a shift from only delivering simulation sessions in a designated simulation area to more simulation being delivered in clinical areas in so called in-situ simulations. Clearly in-situ simulation offers the ability to increase simulation capacity and become more inclusive, but sometimes it is claimed to be the optimal place to deliver simulation - it may offer lots of benefits but it isn’t without some degree of risk. Benefits - the ability to simulate in the participants clinical area, with their clinical equipment and their team has clear benefits and we know that all to often staff sent for simulation in a dedicated area, will be cherry picked and will not be representative of the skill mix in the real environment. Also, as it is the real working area, it also enables detection of those ergonomic issues (or latent issues) i.e. when people coming from different areas can’t find the location, equipment isn’t available etc. Worklo