"No-go considerations" for in situ simulation safety.

Komal Bajaj; Anjoinette Minors; Katie Walker; Michael Meguerdichian; Mary Patterson

Commentary

Emerging Classic

"No-go considerations" for in situ simulation safety.

June 13, 2018

Bajaj K, Minors A, Walker K, et al. Simul Healthc. 2018;13(3):221-224.

View more articles from the same authors.

Frontline simulations offer valuable opportunities to explore system issues, process weaknesses, and teamwork skills. This article discusses risks associated with in situ simulations and describes how to determine when simulations should be canceled, postponed, or relocated to ensure safety.

PubMed citation

Free full text

Related Resources From the Same Author(s)

Debrief it all: a tool for inclusion of Safety-II.

April 14, 2021

Enhancing safety of a system-wide in situ simulation program using no-go considerations.

October 4, 2023

Hospital-wide cardiac arrest in situ simulation to identify and mitigate latent safety threats.

June 8, 2022

The Broselow tape as an effective medication dosing instrument: a review of the literature.

October 10, 2012

In situ simulation as a tool to longitudinally identify and track latent safety threats in a structured quality improvement initiative for SARS-CoV-2 airway management: a single-center study.

February 22, 2023

In situ simulation as a quality improvement tool to identify and mitigate latent safety threats for emergency department SARS-CoV-2 airway management: a multi-institutional initiative.

June 28, 2023

Safety-I, Safety-II and resilience engineering.

November 6, 2015

Team training for safer birth.

January 6, 2016

Understanding and confronting our mistakes: the epidemiology of error in radiology and strategies for error reduction.

November 11, 2015

High-reliability emergency response teams in the hospital: improving quality and safety using in situ simulation training.

May 1, 2013

Interventions for improving teamwork in intrapartem care: a systematic review of randomised controlled trials.

October 30, 2019

Improving administration and documentation of enteral nutrition support therapy in a Veteran Affairs health care system: use of medication administration record and bar code scanning technology.

February 1, 2023

In situ simulation: detection of safety threats and teamwork training in a high risk emergency department.

June 5, 2013

Advance care planning documentation practices and accessibility in the electronic health record: implications for patient safety.

March 28, 2018

Transmission of community- and hospital-acquired SARS-CoV-2 in hospital settings in the UK: a cohort study.

November 10, 2021

When staff speak up on safety, do managers listen—and act?

August 24, 2011

Handoff strategies in settings with high consequences for failure: lessons for health care operations.

March 6, 2005

A structured judgement method to enhance mortality case note review: development and evaluation.

December 4, 2013

Fear of Covid-19 leads other patients to decline critical treatment.

June 3, 2020

Applying human factors engineering to address the telemetry alarm problem in a large medical center.

August 11, 2021

Workarounds to intended use of health information technology: a narrative review of the human factors engineering literature.

May 2, 2018

Gaps in ambulatory patient safety for immunosuppressive specialty medications.

June 12, 2019

Reversing the rise in maternal mortality.

January 16, 2019

Pediatric faculty knowledge and comfort discussing diagnostic errors: a pilot survey to understand barriers to an educational program.

June 12, 2019

The TeamSTEPPS for Improving Diagnosis Team Assessment Tool: scale development and psychometric evaluation.

February 7, 2024

Usability of a human factors-based clinical decision support in the emergency department: lessons learned for design and implementation.

May 11, 2022

Adverse events associated with procedural sedation and analgesia in a pediatric emergency department: a comparison of common parenteral drugs.

June 22, 2005

Medical improv: a novel approach to teaching communication and professionalism skills.

August 3, 2016

Creating a just culture in the perioperative setting.

March 13, 2024

"Do no harm": promoting anti-racist policing in pediatric emergency departments through 20 practice change considerations.

February 1, 2023

Surgical accountability in the 1880s: the death of Susan Nixon.

August 31, 2005

Racial and ethnic differences in emergency department pain management of children with fractures.

April 22, 2020

Patient handoffs: standardized and reliable measurement tools remain elusive.

February 10, 2010

A cross-sectional analysis investigating organizational factors that influence near-miss error reporting among hospital pharmacists.

August 27, 2014

Why do hospital prescribers continue antibiotics when it is safe to stop? Results of a choice experiment survey.

September 2, 2020

Do words matter? Stigmatizing language and the transmission of bias in the medical record.

January 26, 2018

From tasks to processes: the case for changing health information technology to improve health care.

April 1, 2009

The relationship between resident physician burnout and its’ effects on patient care, professionalism, and academic achievement: a review of the literature.

October 5, 2022

Evaluation of communication and safety behaviors during hospital-wide code response simulation.

March 2, 2022

Leveraging the Partnership for Patients' initiative to improve patient safety and quality within the Military Health System.

May 3, 2017

Threats to patient safety in primary care reported by older people with multimorbidity: baseline findings from a longitudinal qualitative study and implications for intervention.

January 24, 2018

Reducing risk in maternity by optimising teamwork and leadership: an evidence-based approach to save mothers and babies.

June 12, 2013

Recognizing and responding to the "toxic" work environment: worker safety, patient safety, and abuse/neglect in nursing homes.

September 20, 2017

Adverse events experienced by homecare patients: a scoping review of the literature.

March 10, 2010

Factors contributing to an increase in duplicate medication order errors after CPOE implementation.

August 17, 2011

Associations between a new disruptive behaviors scale and teamwork, patient safety, work-life balance, burnout, and depression.

January 22, 2020

Hospital- and system-wide interventions for health care-associated infections: a systematic review.

September 16, 2020

Implementing root cause analysis in an area health service: views of the participants.

November 16, 2005

Enhancing electronic health record usability in pediatric patient care: a scenario-based approach.

March 13, 2013

What is the role of individual accountability in patient safety? A multi-site ethnographic study.

November 25, 2015

Workplace verbal abuse, nurse-reported quality of care, and patient safety outcomes among early-career hospital nurses.

August 19, 2020

Realist synthesis of intentional rounding in hospital wards: exploring the evidence of what works, for whom, in what circumstances and why.

May 16, 2018

Interactive questioning in critical care during handovers: a transcript analysis of communication behaviours by physicians, nurses and nurse practitioners.

May 28, 2014

Residual anaesthesia drugs in intravenous lines—a silent threat?

July 17, 2013

Should health care providers be forced to apologise after things go wrong?

January 28, 2015

Electronic prescribing within an electronic health record reduces ambulatory prescribing errors.

October 5, 2011

Professionalism: a necessary ingredient in a culture of safety.

January 30, 2005

Interventions to reduce pediatric medication errors: a systematic review.

July 30, 2014

Associations between communication climate and the frequency of medical error reporting among pharmacists within an inpatient setting.

September 25, 2013

Associations between perceived crisis mode work climate and poor information exchange within hospitals.

February 4, 2015

Improving patient safety by identifying side effects from introducing bar coding in medication administration.

October 19, 2005

Surgical safety checklists: do they improve outcomes?

June 20, 2012

The perception of patient safety in an alternate site of care for elective surgery during the first wave of the novel coronavirus pandemic in the United Kingdom: a survey of 158 patients.

March 24, 2021

Patient safety culture: factors that influence clinician involvement in patient safety behaviours.

January 12, 2011

Effect of a pharmacist on adverse drug events and medication errors in outpatients with cardiovascular disease.

May 6, 2009

The impact of COVID-19 workflow changes on radiation oncology incident reporting.

November 2, 2022

Clinical handover of patients arriving by ambulance to the emergency department: a literature review.

October 13, 2010

Medication discrepancy rates and sources upon nursing home intake: a prospective study.

April 6, 2022

Communication and collaboration: it's about the pharmacists, as well as the physicians and nurses.

February 17, 2010

State of science: evolving perspectives on ‘human error’.

March 16, 2022

Patient safety climate in primary care: age matters.

March 18, 2009

Shifting supervision: implications for safe administration of medication by nursing students.

November 5, 2008

ICU nurses' acceptance of electronic health records.

July 13, 2011

Predictors of nursing home nurses' willingness to report medication near-misses.

May 13, 2020

The Emergency Medical Services Safety Attitudes Questionnaire.

February 24, 2010

Strategies for improving communication in the emergency department: mediums and messages in a noisy environment.

July 24, 2013

What causes adverse events in prehospital care? A human-factors approach.

September 19, 2012

The association between EMS workplace safety culture and safety outcomes.

October 19, 2011

Using consumer engagement strategies to improve healthcare safety for young people: an exploration of the relevance and suitability of current approaches.

November 30, 2022

Patient access to electronic health records during hospitalization.

March 18, 2015

Decimal numbers and safe interpretation of clinical pathology results.

April 16, 2014

Incidence, patterns, and prevention of wrong-site surgery.

April 19, 2006

Family perceptions of medication administration at school: errors, risk factors, and consequences.

April 16, 2008

Racial bias among emergency providers: strategies to mitigate its adverse effects.

May 26, 2021

Electronic prescribing in an ambulatory care setting: a cluster randomized trial.

April 20, 2011

Medication reconciliation accuracy and patient understanding of intended medication changes on hospital discharge.

December 19, 2012

A longitudinal evaluation of computed tomography radiation incidents within a multisite NHS trust.

November 9, 2022

Medication errors in overweight and obese pediatric patients: a systematic review.

February 9, 2022

Evaluation of a physician informatics tool to improve patient handoffs.

July 29, 2009

Collaborating—or "selling" patients? A conceptual framework for emergency department-to-inpatient handoff negotiations.

March 18, 2015

Implementation science for ambulatory care safety: a novel method to develop context-sensitive interventions to reduce quality gaps in monitoring high-risk patients.

July 12, 2017

Application of human factors to improve usability of clinical decision support for diagnostic decision-making: a scenario-based simulation study.

January 8, 2020

Improving patient safety: the comparative views of patient-safety specialists, workforce staff and managers.

January 30, 2005

Identification of doctors at risk of recurrent complaints: a national study of healthcare complaints in Australia.

May 1, 2013

What causes prescribing errors in children? Scoping review.

August 28, 2019

Characterising the complexity of medication safety using a human factors approach: an observational study in two intensive care units.

November 6, 2013

Preferences and perceptions of medical error disclosure among marginalized populations: a narrative review.

August 10, 2022

Towards a unified model of accident causation: refining and validating the systems thinking safety tenets.

May 10, 2023

The Patient Safety Institute demonstration project: a model for implementing a local health information infrastructure.

November 23, 2005

Incivility and clinical performance, teamwork, and emotions: a randomized controlled trial.

May 22, 2019

Related Resources

Annual Perspective

Communication During Transitions of Care

March 27, 2024

Interview

In Conversation With...Stephen Hines, PhD and Monika Haugstetter, MHA, MSN, RN, CPHQ about TeamSTEPPS 3.0

February 28, 2024

Perspective

Revising TeamSTEPPS: The Evolution of Patient Safety Teamwork Training

February 28, 2024

TeamSTEPPS Master Training Course.

June 11, 2024 - June 13, 2024

Perspective

Patient Safety in Office-Based Care Settings

January 31, 2024

Interview

In Conversation with...Richard Ricciardi about Office-Based Patient Safety

January 31, 2024

Supporting nurses in acute and emergency care settings to speak up.

November 8, 2023

How does robotic-assisted surgery change OR safety culture?

September 6, 2023

Interview

In Conversation with... Kathleen Sanford and Sue Schuelke about Virtual Nursing

August 30, 2023

Perspectives on Safety

Virtual Nursing: Improving Patient Care and Meeting Workforce Challenges

August 30, 2023

TeamSTEPPS Core Curriculum.

July 19, 2023

Understanding ultrarare adverse events - lessons learned from a twelve-year review of intraoperative deaths at an academic medical center.

June 21, 2023

Measuring team hierarchy during high-stakes clinical decision making: development and validation of a new behavioral observation method.

April 12, 2023

Journal Article

Study

A novel approach for engagement in team training in high-technology surgery: the robotic-assisted surgery olympics.

March 29, 2023

Critical care teamwork in the future: the role of TeamSTEPPS in the COVID-19 pandemic and implications for the future.

March 15, 2023

How providers can optimize effective and safe scribe use: a qualitative study.

February 1, 2023

A health system that won't learn from its mistakes.

September 21, 2022

Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department.

August 17, 2022

Handoffs and teamwork: a framework for care transition communication.

June 29, 2022

Unacceptable behaviours between healthcare workers: just the tip of the patient safety iceberg.

June 15, 2022

WebM&M Cases

Delayed Diagnosis of Kidney Transplant Complications

February 23, 2022

Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series study.

August 11, 2021

Has the COVID pandemic strengthened or weakened health care teams? A field guide to healthy workforce best practices.

March 31, 2021

Racial/ethnic inequities in pregnancy-related morbidity and mortality.

March 10, 2021

TeamSTEPPS for the COVID-19 Crisis.

February 10, 2021

Adaptive design: adaptation and adoption of patient safety practices in daily routines, a multi-site study.

August 12, 2020

Interprofessional/interdisciplinary teamwork during the early COVID-19 pandemic: experience from a children's hospital within an academic health center.

August 12, 2020

Managing teamwork in the face of pandemic: evidence-based tips.

June 24, 2020

How to "DEAL" with disruptive physician behavior.

February 12, 2020

The role of human factors in neonatal patient safety

October 9, 2019

See More About The Topic

Hospitals

Health Care Providers

Health Care Executives and Administrators

Latent Errors

Communication between Providers

"No-go considerations" for in situ simulation safety.

A novel approach for engagement in team training in high-technology surgery: the robotic-assisted surgery olympics.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

"No-go considerations" for in situ simulation safety.

A novel approach for engagement in team training in high-technology surgery: the robotic-assisted surgery olympics.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site