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Low-budget In situ multidisciplinary operating room simulation programme: just add a mock patient
  1. Nadav Levy1,
  2. Idit Matot2,
  3. Carolyn F Weiniger2
  1. 1 Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA
  2. 2 Anesthesia, Intensive Care and Pain Medicine, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
  1. Correspondence to Dr Nadav Levy, Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA; nadav42{at}

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High-tech dedicated simulation centres enable learning, knowledge retention and teamwork.1 2 However, simulation in real-life conditions (in situ) allows teams to practise in their familiar environment and avoids travel costs to a simulation centre.3 4

This practice report describes our In situ Multidisciplinary Simulation (IMS) project established in a large quaternary hospital. We share some solutions to budgetary and logistical challenges. Multidisciplinary simulation for medical personnel was not routinely practised in the Tel Aviv Medical Center Operating Room (OR), and to our knowledge in any Israeli OR. We aimed to facilitate teamwork training in a familiar environment, learning the location of vital equipment and to practise emergency call protocols. In addition, we wished to identify and address system weaknesses.

Figure 1

Conclusions and tips for creating an in situ multidisciplinary simulation project accordingto the experience of the Tel Aviv Medical Center In Situ Multidisciplinary Operating Room Simulation group. OR, operating room.


Setting and equipment

The IMS project was initiated without financial support, structuring simulations to use minimal reusable equipment. We initially borrowed ‘Little Anne’ (Leardal Medical, Stavanger, Norway), a doll with low-tech specifications, enabling mask ventilation but lacking advanced airway capabilities, from the emergency department. We used a FLUKE ProSim 8 Vital Sign and ECG Patient Simulator (Everett, Washington, USA), routinely used by our technicians for calibration and testing of monitors, to produce vital signs. A FLUKE QED6 Defibrillator Tester (Everett, Washington, …

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  • NL and CFW contributed equally.

  • Contributors NL is the founder and moderator of the reported project in its first two years and has authored and edited this manuscript. IM, as chair of the TASMC anaesthesia division has substantially contributed and facilitated the project and is a co-author of this manuscript. CFW is the acting moderator of the project, and has co-authored and edited this manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

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

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