Review Using simulation to improve systems. Citation Text: Kearney JA, Deutsch ES. Using Simulation to Improve Systems. Otolaryngol Clin North Am. 2017;50(5):1015-1028. doi:10.1016/j.otc.2017.05.011. Copy Citation Format: DOIGoogle ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL September 27, 2017 Kearney JA, Deutsch ES. Otolaryngol Clin North Am. 2017;50(5):1015-1028. View more articles from the same authors. Simulations in health care can help uncover technical weaknesses, teamwork gaps, and system problems. This review explores simulation use in otolaryngology and outlines key components of in-situ simulation and how to perform one. PubMed citation Available at Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Kearney JA, Deutsch ES. Using Simulation to Improve Systems. Otolaryngol Clin North Am. 2017;50(5):1015-1028. doi:10.1016/j.otc.2017.05.011. Copy Citation Format: DOIGoogle ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Related Resources From the Same Author(s) Prevalence of Errors in Anaphylaxis in Kids (PEAK): a multicenter simulation-based study. July 22, 2020 Wrong-site nerve blocks: a systematic literature review to guide principles for prevention. August 8, 2018 Safety-I, Safety-II and resilience engineering. November 6, 2015 Perspective Resilient Healthcare and the Safety-I and Safety-II Frameworks December 14, 2022 An IDEA: safety training to improve critical thinking by individuals and teams. April 10, 2019 Variation in surgical time-out and site marking within pediatric otolaryngology. January 26, 2011 Using social and behavioural science to support COVID-19 pandemic response. June 3, 2020 An mHealth design to promote medication safety in children with medical complexity. March 20, 2024 Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic review. January 12, 2022 Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries: a nonrandomized controlled trial. December 2, 2020 Physician and nurse well-being and preferred interventions to address burnout in hospital practice: factors associated with turnover, outcomes, and patient safety. July 19, 2023 Operational failures detected by frontline acute care nurses. March 29, 2017 Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study. November 16, 2022 Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers, April-June 2020. September 23, 2020 Bridging the gap between hospital and primary care: the pharmacist home visit. April 1, 2015 Patient–pharmacist communication during a post-discharge pharmacist home visit. April 10, 2019 Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions. August 4, 2021 A contemporary medicolegal analysis of outpatient medication management in chronic pain. November 8, 2017 State legal restrictions and prescription-opioid use among disabled adults. July 20, 2016 Optimizing Pediatric Patient Safety in the Emergency Care Setting. October 19, 2022 Economic impact of medication error: a systematic review. May 17, 2017 Primary care closed claims experience of Massachusetts malpractice insurers. October 16, 2013 Understanding factors that impact on health care professionals' risk perceptions and responses toward Clostridium difficile and methicillin-resistant Staphylococcus aureus: a structured literature review. April 10, 2013 What causes prescribing errors in children? Scoping review. August 28, 2019 Families as partners in hospital error and adverse event surveillance. March 8, 2017 Vital signs: improving antibiotic use among hospitalized patients. March 26, 2014 Implementation of an electronic system for medication reconciliation. February 28, 2007 'Speaking Up' for patient safety and staff well-being: a qualitative study. June 7, 2023 The randomized AMBORA trial: impact of pharmacological/pharmaceutical care on medication safety and patient-reported outcomes during treatment with new oral anticancer agents. April 21, 2021 Outbreak investigation of COVID-19 among residents and staff of an independent and assisted living community for older adults in Seattle, Washington. June 10, 2020 A Department of Medicine infrastructure for patient safety and clinical quality improvement. December 20, 2017 Effect of a pediatric early warning system on all-cause mortality in hospitalized pediatric patients. March 7, 2018 Implementation of a mandatory checklist of protocols and objectives improves compliance with a wide range of evidence-based intensive care unit practices. July 29, 2009 A multistep approach to improving biopsy site identification in dermatology: physician, staff, and patient roles based on a Delphi consensus. March 26, 2014 Operating room briefings: working on the same page. June 14, 2006 Estimation of breast cancer overdiagnosis in a U.S. breast screening cohort. March 16, 2022 Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention program. February 1, 2023 Trends in opioid use in commercially insured and Medicare Advantage populations in 2007–16: retrospective cohort study. August 29, 2018 A standardized handoff simulation promotes recovery from auditory distractions in resident physicians. July 11, 2018 Opioid prescribing for opioid-naive patients in emergency departments and other settings: characteristics of prescriptions and association with long-term use. October 25, 2017 Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes. January 25, 2012 Adverse drug event reporting systems: a systematic review. September 14, 2016 The relationship between registered nurses and nursing home quality: an integrative review (2008–2014). November 18, 2015 Structure and outcomes of interdisciplinary rounds in hospitalized medicine patients: a systematic review and suggested taxonomy. September 28, 2016 The cost of opioid–related adverse drug events. October 8, 2014 Patient activation related to fall prevention: a multisite study February 19, 2020 Assessing the effectiveness of engaging patients and their families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit: an implementation science study. March 27, 2019 Opportunities for improvement in nursing homes: variance of six patient safety climate factor scores across nursing homes and wards—assessed by the Safety Attitudes Questionnaire. July 17, 2019 WebM&M Cases Failure to Rescue the Mother July 2, 2019 Effectiveness of a course designed to teach handoffs to medical students. September 8, 2010 Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective randomised clinical evaluation. October 5, 2011 Patient safety measures in burn care: do national reporting systems accurately reflect quality of burn care? February 3, 2010 Why do hospital prescribers continue antibiotics when it is safe to stop? Results of a choice experiment survey. September 2, 2020 A World Health Organization field trial assessing a proposed ICD-11 framework for classifying patient safety events. November 15, 2017 Deriving ICD-10 codes for patient safety indicators for large-scale surveillance using administrative hospital data. October 12, 2016 ICD-11 for quality and safety: overview of the WHO Quality and Safety Topic Advisory Group. January 29, 2014 Medical errors in orthopaedics. Results of an AAOS member survey. March 18, 2009 Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care innovation. July 13, 2022 Telemedicine vs telephone consultations and medication prescribing errors among referring physicians: a cluster randomized crossover trial. March 13, 2024 Do patients who read visit notes on the patient portal have a higher rate of "loop closure" on diagnostic tests and referrals in primary care? A retrospective cohort study. January 17, 2024 Education outcomes from a duty-hour flexibility trial in internal medicine. March 28, 2018 Pilot testing of a model for insurer-driven, large-scale multicenter simulation training for operating room teams. December 11, 2013 The opioid crisis: origins, trends, policies, and the roles of pharmacists. April 10, 2019 Recommended guidelines for monitoring, reporting, and conducting research on medical emergency team, outreach, and rapid response systems: an Utstein-style scientific statement. February 13, 2008 Teamwork and team performance in multidisciplinary cancer teams: development and evaluation of an observational assessment tool. June 29, 2011 Description and evaluation of an interprofessional patient safety course for health professions and related sciences students. January 10, 2007 In the wake of hospital inquiries: impact on staff and safety. January 31, 2007 Factors that affect opioid quality improvement initiatives in primary care: insights from ten health systems. December 14, 2022 Physician engagement in malpractice risk reduction: a UPHS case study. August 29, 2018 Intervention to reduce transmission of resistant bacteria in intensive care. February 1, 2012 Identifying modifiable barriers to medication error reporting in the nursing home setting. December 5, 2007 Society of Critical Care Medicine Guidelines on Recognizing and Responding to Clinical Deterioration Outside the ICU: 2023. February 7, 2024 How providers can optimize effective and safe scribe use: a qualitative study. February 1, 2023 Adverse patient safety events during the COVID epidemic. May 17, 2023 Safe use of the EHR by medical scribes: a qualitative study. November 18, 2020 Mixed-methods evaluation of real-time safety reporting by hospitalized patients and their care partners: the MySafeCare application. June 13, 2018 Implementation of a structured hospital-wide morbidity and mortality rounds model. May 31, 2017 Operating room–to-ICU patient handovers: a multidisciplinary human-centered design approach. August 31, 2016 Creating an infrastructure for safety event reporting and analysis in a multicenter pediatric emergency department network. April 3, 2013 Quality improvement initiative to reduce serious safety events and improve patient safety culture. August 1, 2012 Can we make postoperative patient handovers safer? A systematic review of the literature. May 30, 2012 Handoff communication between hospital and outpatient dialysis units at patient discharge: a qualitative study. February 6, 2013 Society of Interventional Radiology IR Pre-Procedure Patient Safety Checklist by the Safety and Health Committee. June 15, 2016 Using a quantitative risk register to promote learning from a patient safety reporting system. February 4, 2015 Laboratory medicine handoff gaps experienced by primary care practices: a report from the Shared Networks of Collaborative Ambulatory Practices and Partners (SNOCAP). December 3, 2014 Changes in medical errors after implementation of a handoff program. November 12, 2014 Health information exchange in emergency medicine. August 19, 2015 Tall Man lettering and potential prescription errors: a time series analysis of 42 children's hospitals in the USA over 9 years. December 2, 2015 Examining the effects of an obstetrics interprofessional programme on reductions to reportable events and their related costs. December 5, 2018 Effect of hospital follow-up appointment on clinical event outcomes and mortality. July 14, 2010 Adverse drug events in pediatric outpatients. October 3, 2007 Reported medication events in a paediatric emergency research network: sharing to improve patient safety. November 28, 2012 Introducing new technology into the operating room: measuring the impact on job performance and satisfaction. June 8, 2005 Cause and effect analysis of closed claims in obstetrics and gynecology. May 18, 2005 Oral outpatient chemotherapy medication errors in children with acute lymphoblastic leukemia. August 23, 2006 Establishing a global learning community for incident-reporting systems. November 10, 2010 The anatomy of health care team training and the state of practice: a critical review. October 20, 2010 Pediatric patient safety in emergency departments: unit characteristics and staff perceptions. August 19, 2009 A pilot study examining undesirable events among emergency department–boarded patients awaiting inpatient beds. April 8, 2009 Should all duty hours be the same? Results of a national survey of surgical trainees. July 29, 2009 View More Related Resources Interview In Conversation with... Joan Stanley about The Role of Undergraduate Nursing Education in Patient Safety November 27, 2023 Perspectives on Safety The Role of Undergraduate Nursing Education in Patient Safety November 27, 2023 Using in situ simulation to identify latent safety threats in emergency medicine: a systematic review. November 8, 2023 Patient Safety/Quality Improvement Primer. July 27, 2023 Room of horrors simulation in healthcare education: a systematic review. June 21, 2023 Journal Article Study A standardized marking procedure for ENT operations to prevent wrong-site surgery: development, establishment and subsequent evaluation among patients and medical personnel. March 29, 2023 High-fidelity simulation’s impact on clinical reasoning and patient safety: a scoping review. March 29, 2023 Formalizing the hidden curriculum of performance enhancing errors. March 22, 2023 In situ simulation: a strategy to restore patient safety in intensive care units after the COVID-19 pandemic? February 8, 2023 Survey results from pharmacists provide support to enhance the organizational response to codes. October 26, 2022 The effectiveness of improving healthcare teams' human factor skills using simulation-based training: a systematic review. August 3, 2022 Creating psychological safety in interprofessional simulation for health professional learners: a scoping review of the barriers and enablers. May 18, 2022 Effectiveness of using simulation in the development of clinical reasoning in undergraduate nursing students: a systematic review. December 1, 2021 Management of the deteriorating adult patient: does simulation-based education improve patient safety? November 24, 2021 Trauma Resuscitation Using in situ Simulation Team Training (TRUST) study: latent safety threat evaluation using framework analysis and video review. September 1, 2021 Multi-professional simulation-based team training in obstetric emergencies for improving patient outcomes and trainees' performance February 17, 2021 WebM&M Cases Complications of ECMO During Transport April 29, 2020 Does simulation training for acute care nurses improve patient safety outcomes: a systematic review to inform evidence-based practice. October 23, 2019 PEARLS for systems integration: a modified PEARLS framework for debriefing systems-focused simulations. July 31, 2019 Delivering high reliability in maternity care: in situ simulation as a source of organisational resilience. July 10, 2019 Potential consequences of patient complications for surgeon well-being: a systematic review. April 17, 2019 Patient Safety and Quality Improvement. January 23, 2019 The architecture of safety: an emerging priority for improving patient safety. November 21, 2018 Association between surgical trainee daytime sleepiness and intraoperative technical skill when performing septoplasty. October 24, 2018 Systems science: a primer on high reliability. October 17, 2018 Using clinical simulation to study how to improve quality and safety in healthcare. September 29, 2018 The application of system dynamics modelling to system safety improvement: present use and future potential. September 19, 2018 Perspective How Does Health Care Simulation Affect Patient Care? August 1, 2018 Interview In Conversation With… Matthew Weinger, MD August 1, 2018 Safety, performance, and satisfaction outcomes in the operating room: a literature review. July 11, 2018 View More See More About The Topic Hospitals Facility and Group Administrators Educators Otolaryngology Epidemiology of Errors and Adverse Events View More
Prevalence of Errors in Anaphylaxis in Kids (PEAK): a multicenter simulation-based study. July 22, 2020
Wrong-site nerve blocks: a systematic literature review to guide principles for prevention. August 8, 2018
Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic review. January 12, 2022
Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries: a nonrandomized controlled trial. December 2, 2020
Physician and nurse well-being and preferred interventions to address burnout in hospital practice: factors associated with turnover, outcomes, and patient safety. July 19, 2023
Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study. November 16, 2022
Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers, April-June 2020. September 23, 2020
Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions. August 4, 2021
A contemporary medicolegal analysis of outpatient medication management in chronic pain. November 8, 2017
Understanding factors that impact on health care professionals' risk perceptions and responses toward Clostridium difficile and methicillin-resistant Staphylococcus aureus: a structured literature review. April 10, 2013
The randomized AMBORA trial: impact of pharmacological/pharmaceutical care on medication safety and patient-reported outcomes during treatment with new oral anticancer agents. April 21, 2021
Outbreak investigation of COVID-19 among residents and staff of an independent and assisted living community for older adults in Seattle, Washington. June 10, 2020
A Department of Medicine infrastructure for patient safety and clinical quality improvement. December 20, 2017
Effect of a pediatric early warning system on all-cause mortality in hospitalized pediatric patients. March 7, 2018
Implementation of a mandatory checklist of protocols and objectives improves compliance with a wide range of evidence-based intensive care unit practices. July 29, 2009
A multistep approach to improving biopsy site identification in dermatology: physician, staff, and patient roles based on a Delphi consensus. March 26, 2014
Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention program. February 1, 2023
Trends in opioid use in commercially insured and Medicare Advantage populations in 2007–16: retrospective cohort study. August 29, 2018
A standardized handoff simulation promotes recovery from auditory distractions in resident physicians. July 11, 2018
Opioid prescribing for opioid-naive patients in emergency departments and other settings: characteristics of prescriptions and association with long-term use. October 25, 2017
Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes. January 25, 2012
The relationship between registered nurses and nursing home quality: an integrative review (2008–2014). November 18, 2015
Structure and outcomes of interdisciplinary rounds in hospitalized medicine patients: a systematic review and suggested taxonomy. September 28, 2016
Assessing the effectiveness of engaging patients and their families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit: an implementation science study. March 27, 2019
Opportunities for improvement in nursing homes: variance of six patient safety climate factor scores across nursing homes and wards—assessed by the Safety Attitudes Questionnaire. July 17, 2019
Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective randomised clinical evaluation. October 5, 2011
Patient safety measures in burn care: do national reporting systems accurately reflect quality of burn care? February 3, 2010
Why do hospital prescribers continue antibiotics when it is safe to stop? Results of a choice experiment survey. September 2, 2020
A World Health Organization field trial assessing a proposed ICD-11 framework for classifying patient safety events. November 15, 2017
Deriving ICD-10 codes for patient safety indicators for large-scale surveillance using administrative hospital data. October 12, 2016
ICD-11 for quality and safety: overview of the WHO Quality and Safety Topic Advisory Group. January 29, 2014
Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care innovation. July 13, 2022
Telemedicine vs telephone consultations and medication prescribing errors among referring physicians: a cluster randomized crossover trial. March 13, 2024
Do patients who read visit notes on the patient portal have a higher rate of "loop closure" on diagnostic tests and referrals in primary care? A retrospective cohort study. January 17, 2024
Pilot testing of a model for insurer-driven, large-scale multicenter simulation training for operating room teams. December 11, 2013
Recommended guidelines for monitoring, reporting, and conducting research on medical emergency team, outreach, and rapid response systems: an Utstein-style scientific statement. February 13, 2008
Teamwork and team performance in multidisciplinary cancer teams: development and evaluation of an observational assessment tool. June 29, 2011
Description and evaluation of an interprofessional patient safety course for health professions and related sciences students. January 10, 2007
Factors that affect opioid quality improvement initiatives in primary care: insights from ten health systems. December 14, 2022
Identifying modifiable barriers to medication error reporting in the nursing home setting. December 5, 2007
Society of Critical Care Medicine Guidelines on Recognizing and Responding to Clinical Deterioration Outside the ICU: 2023. February 7, 2024
Mixed-methods evaluation of real-time safety reporting by hospitalized patients and their care partners: the MySafeCare application. June 13, 2018
Operating room–to-ICU patient handovers: a multidisciplinary human-centered design approach. August 31, 2016
Creating an infrastructure for safety event reporting and analysis in a multicenter pediatric emergency department network. April 3, 2013
Quality improvement initiative to reduce serious safety events and improve patient safety culture. August 1, 2012
Can we make postoperative patient handovers safer? A systematic review of the literature. May 30, 2012
Handoff communication between hospital and outpatient dialysis units at patient discharge: a qualitative study. February 6, 2013
Society of Interventional Radiology IR Pre-Procedure Patient Safety Checklist by the Safety and Health Committee. June 15, 2016
Using a quantitative risk register to promote learning from a patient safety reporting system. February 4, 2015
Laboratory medicine handoff gaps experienced by primary care practices: a report from the Shared Networks of Collaborative Ambulatory Practices and Partners (SNOCAP). December 3, 2014
Tall Man lettering and potential prescription errors: a time series analysis of 42 children's hospitals in the USA over 9 years. December 2, 2015
Examining the effects of an obstetrics interprofessional programme on reductions to reportable events and their related costs. December 5, 2018
Reported medication events in a paediatric emergency research network: sharing to improve patient safety. November 28, 2012
Introducing new technology into the operating room: measuring the impact on job performance and satisfaction. June 8, 2005
Oral outpatient chemotherapy medication errors in children with acute lymphoblastic leukemia. August 23, 2006
The anatomy of health care team training and the state of practice: a critical review. October 20, 2010
Pediatric patient safety in emergency departments: unit characteristics and staff perceptions. August 19, 2009
A pilot study examining undesirable events among emergency department–boarded patients awaiting inpatient beds. April 8, 2009
Interview In Conversation with... Joan Stanley about The Role of Undergraduate Nursing Education in Patient Safety November 27, 2023
Perspectives on Safety The Role of Undergraduate Nursing Education in Patient Safety November 27, 2023
Using in situ simulation to identify latent safety threats in emergency medicine: a systematic review. November 8, 2023
Journal Article Study A standardized marking procedure for ENT operations to prevent wrong-site surgery: development, establishment and subsequent evaluation among patients and medical personnel. March 29, 2023
High-fidelity simulation’s impact on clinical reasoning and patient safety: a scoping review. March 29, 2023
In situ simulation: a strategy to restore patient safety in intensive care units after the COVID-19 pandemic? February 8, 2023
Survey results from pharmacists provide support to enhance the organizational response to codes. October 26, 2022
The effectiveness of improving healthcare teams' human factor skills using simulation-based training: a systematic review. August 3, 2022
Creating psychological safety in interprofessional simulation for health professional learners: a scoping review of the barriers and enablers. May 18, 2022
Effectiveness of using simulation in the development of clinical reasoning in undergraduate nursing students: a systematic review. December 1, 2021
Management of the deteriorating adult patient: does simulation-based education improve patient safety? November 24, 2021
Trauma Resuscitation Using in situ Simulation Team Training (TRUST) study: latent safety threat evaluation using framework analysis and video review. September 1, 2021
Multi-professional simulation-based team training in obstetric emergencies for improving patient outcomes and trainees' performance February 17, 2021
Does simulation training for acute care nurses improve patient safety outcomes: a systematic review to inform evidence-based practice. October 23, 2019
PEARLS for systems integration: a modified PEARLS framework for debriefing systems-focused simulations. July 31, 2019
Delivering high reliability in maternity care: in situ simulation as a source of organisational resilience. July 10, 2019
Potential consequences of patient complications for surgeon well-being: a systematic review. April 17, 2019
Association between surgical trainee daytime sleepiness and intraoperative technical skill when performing septoplasty. October 24, 2018
Using clinical simulation to study how to improve quality and safety in healthcare. September 29, 2018
The application of system dynamics modelling to system safety improvement: present use and future potential. September 19, 2018
Safety, performance, and satisfaction outcomes in the operating room: a literature review. July 11, 2018