Related Experiment Video
Updated: Jun 29, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
Defining team performance for simulation-based training: methodology, metrics, and opportunities for emergency
Marc J Shapiro1, Roxane Gardner, Steven A Godwin
1Department of Emergency Medicine, Warren Alpert School of Medicine, Brown University, Providence, RI, USA. mshapiro@mvhospital.org
Simulation-based training (SBT) offers a promising approach to enhance healthcare teamwork, drawing lessons from aviation and military successes. This paper outlines a methodology for designing and evaluating SBT, focusing on leadership to improve team performance in emergency medicine.
Area of Science:
- Healthcare Teamwork
- Medical Simulation
- Emergency Medicine Training
Background:
- Effective teamwork is crucial for patient care, but current training programs often fall short.
- Aviation and military sectors have demonstrated success with simulation-based training (SBT) for team development.
- There is a need for evidence-based methods to improve teamwork in healthcare settings.
Purpose of the Study:
- To propose a scientific methodology for designing and evaluating simulation-based training (SBT) for healthcare teams.
- To review and recommend team performance metrics applicable to healthcare.
- To highlight leadership as a key focus for SBT to enhance team processes and performance.
Main Methods:
- Development of a scientifically grounded methodology for SBT design and evaluation.
- Comprehensive review of existing team performance metrics within the healthcare context.
- Identification of leadership as a critical target for SBT interventions.
Main Results:
- A proposed framework for scientifically designing and evaluating SBT for healthcare teams.
- Recommendations for utilizing and refining team performance metrics.
- Evidence supporting leadership development through SBT as a means to improve team functioning.
Conclusions:
- Simulation-based training (SBT) provides a viable strategy for improving healthcare teamwork.
- A structured approach to SBT design, evaluation, and a focus on leadership can enhance team performance.
- This methodology can guide emergency medicine and other healthcare fields in developing effective teamwork training.
Related Concept Videos
Cardiopulmonary Resuscitation III: AED Use
Cardiopulmonary Resuscitation IV: Pharmacological Management

