How to integrate findings from simulation exercises to improve obstetrics care in the institution

The opening of a new facility often brings teams from different backgrounds who have previously never worked together. Organizational goals of safety and high reliability from the first day of operations would be impossible to attain without testing. Simulation is now being used to test new services, departments, and entire facilities before opening. This has been accomplished by establishing a well-developed program of in situ simulation with strong physician and nursing educator co-leads and simulation teams. This article describes a process for testing through simulation and the systemic findings from testing existing and new facilities and services.