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0161 In-situ simulation – the public’s perspective
  1. James Blythe1,
  2. Christopher Vas2,
  3. Fharhad Motaleb2,
  4. Sanjay Gupta1,
  5. Makani Purva1
  1. 1Hull Institute of Learning and Simulation, Hull Royal Infirmary, Hull and East Yorkshire Hospitals NHS Trust, Hull, Humberside, UK
  2. 2School of Paediatrics Yorkshire and Humberside, Yorkshire, UK


Background Simulation is recognised as a valuable training tool in healthcare. As simulation evolves there are growing numbers of multi-disciplinary exercises.1 Recently, the use of in-situ simulation training has increased in popularity. This allows teams to undertake simulation exercises in their usual place of work, increasing the fidelity of the experience as a whole and ideally suited to multi-disciplinary team training. In-situ exercises also allow for latent risks to be identified within an environment.2,3

Additionally, in-situ simulation allows clinical teams to demonstrate to patients and visitors present that education and training are taken seriously by the team caring for them. They are aware there is an educational exercise in progress, and can often see the simulation unfolding, so can witness first-hand the commitment and time the team gives to the exercise.

From experience as a simulation fellow it can be difficult to engage healthcare professionals in unannounced in situ simulation exercises, a common reason for non-participation being ‘too busy’ with clinical duties.

Methodology A study is currently underway at Hull Royal Infirmary focussing on parents, carers and other visitors to paediatric wards whilst in-situ simulation exercises are undertaken. The project is canvassing opinion from the public on team simulation training and their thoughts on the training occurring in-situ, also aiming to assess any perceived impact it has on patient care. A questionnaire is distributed prior to a session; the exercise takes place then responses collected.

Results Initial results are encouraging, with the majority of responders in favour of in situ simulation and reporting little or no impact on patient care during the exercise.

Potential impact This project aims to demonstrate that service users believe that simulation training is a valuable learning tool, and they are reassured that teams take training and thus patient safety seriously. It will also show in-situ exercises do not result in patient care compromise, which can be used to increase engagement from team members in future exercises.


  1. Dadiz R, Weinschreider J, Schriefer J, et al. Interdisciplinary simulation-based training to improve delivery room communication. Simul Healthc. 2013;8(5): 279–291

  2. Miller KK, Riley W, Davis S. In situ simulation: a method of experiential learning to promote safety and team behaviour. J Perinat Neonatal Nurs. 2008;22(2):105–113

  3. Lok A, Peirce E, Shore H. Identifying latent risks through in situ simulation training to improve patient safety. Archives of Disease in Childhood. Conference: Annual Conference of the Royal College of Paediatrics and Child Health, RCPCH 2014. Conference Publication, 2014;99:A201

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