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0075 ‘Train-rehearse-think-repeat’, helping algorithms work: I n-situ theatre team training on a budget
  1. Ben Woodrow-Hirst1,2,
  2. Leah Greene2,
  3. Suzanne Gough2
  1. 1Mid Cheshire Hospitals NHS Foundation Trust, Cheshire, UK
  2. 2Manchester Metropolitan University, Manchester, UK


Background Although simulation is an effective learning tool that improves patient safety,1 the space, time and resources to achieve additional training for theatre staff are at a premium. Algorithms are routinely used to support patient safety in healthcare but the opportunity to learn them is rare.2 This presentation will provide insights into how the combination of in-situ team training (on a budget) was developed to improve patient safety in theatres.

Methodology To facilitate improvements in the use of common algorithms in both paediatric and adult theatres, a simulation innovation was developed to allow the multi-disciplinary team (MDT) to train and rehearse ‘high risk, low frequency’ (HRLF) events together.3 This innovation generated the possibility to allow MDT teams to practice rare (HRLF) events in-situ. This innovation was developed with minimal funding and utilised theatre space when not in use.


‘Train’: Related to the standard MDT training (e.g. basic and advanced life support).

‘Rehearse’: The MDT were given the opportunity to rehearse rare HRLF events using in-situ simulation.

‘Think’: Following simulation, all MDT members participated in a detailed debrief.

‘Repeat’: Post-debrief, participants had the opportunity to repeat elements of the simulation to galvanise new learning. A further opportunity for participants to repeat the scenario is provided six months later, to demonstrate retention of skills and knowledge.

Results/outcomes Initial evaluations will be presented including, cost analysis, simulation facilitator observations, participant feedback and impact. Key findings include changes in participant’s technical and non-technical skills, improved understanding and use of algorithms.

Potential impact Initial findings indicate that this low cost in-situ simulation innovation improves the use of algorithms in theatre. By augmenting emergency algorithms and mandatory life support training, MDT members are able to ‘train, rehearse, think and repeat’: learning together in-situ to build resilience and confidence amidst the unpredictability of theatre practice.


  1. Department of Health. A framework for technology enhanced learning. London: Department of Health, 2011

  2. Von Der Heyden M, Meissner K. Simulation in preclinical emergency medicine. Best Pract Res Clin Anaesthesiol 2015;29(1):61–68

  3. Chiniara G, Cole G, Brisbin K, Huffman D, Cragg B, Lamacchia M, Norman D. Simulation in healthcare: a taxonomy and conceptual framework for instructional design and media selection. Med Teach 2013;35(8):1380–1395

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