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Creating a sustainable simulation programme for enhancing patient safety in a critical care setting
  1. Susana Lucena-Amaro
  1. Correspondence to Susana Lucena-Amaro, Adult Critical Care Unit, The Royal London Hospital, London E1 1BB, UK; susana.lucena-amaro{at}

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Clinical incidents and near misses resulting in patient safety breaches are meticulously examined and analysed in our critical care unit. The outcomes of such investigations often highlight these events as multifactorial in nature, and not just a consequence of poor clinical knowledge.1 Once established that human factors were a major contributor to some incidents, simulation training was introduced, primarily aiming at the improvement of clinical judgement and decision-making skills.2

The aim of this project was to design and deliver a simulation training programme for enhancing patient safety, which could be consistently and sustainably delivered in our 44-bed tertiary critical care unit in a 675-bed major trauma centre in London, UK.

In this context, simulation training was initially offered in our critical care unit in 2015. It consisted of a medium fidelity programme delivered in situ to 200 nurses over a period of a year.3 The project was led and implemented by two critical care clinicians (a doctor and a nurse) who left the unit prior to its conclusion. Relying so heavily on a small number of facilitators compromised its quality and delivery due to the lack of facilitators and the inexperience of the team taking over the training. This highlighted the need to create a more sustainable model of simulation training that could be consistently implemented to our large nursing …

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  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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