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The number of reported clinical incidents continues to rise in the UK, with 1.9 million incidents reported to the National Reporting and Learning System from July 2016 to June 2017, an increase of 6.9%.1 Despite this, there has not been a clear demonstrable improvement in patient safety. This is in part due to a failure to disseminate effective safety interventions into routine practice as well as the lack of a consistent tool to measure improvements in patient safety problems.2
Incident reporting in itself does not lead to improved patient safety without reflection, investigation and re-organisation,3 requiring us to find ways in which we can best respond to clinical incidents in a responsive and timely fashion to prevent recurrence.
Regular in situ simulation has been shown to result in sustained improvements in the management of acutely unwell paediatric patients.4 In situ simulation is also a practical method of identifying latent safety threats, allowing implementation of system changes that contribute to improved patient care.5
We developed an in situ simulation programme—known as RISK (Responsive In-situ Simulation in Kids)—within the paediatric department of University College London Hospital, a large London teaching …
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