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The Scope of Hospital-Based Simulation
Marie Gilbert1, K T Waxman, Gregory E Gilbert
1Author Affiliations: Director (Dr M. Gilbert), Central California Center for Excellence in Nursing, California State University, Fresno; Associate Professor and Director (Dr Waxman), Executive Leadership Doctor of Nursing Practice Program, School of Nursing & Health Professions, University of San Francisco, California; Director (Dr Waxman), California Simulation Alliance, HealthImpact, Oakland; Biostatistician (Dr G.E. Gilbert), ΣigmaΣtats Consulting, LLC, Charleston, South Carolina; Senior Statistical Analyst (Dr G.E. Gilbert), Biostatistics and Medical Writing, Real World Evidence Strategy & Analytics, ICON Commercialisation & Outcomes Services, North Wales, Pennsylvania; and System Simulation Education Specialist (Ms Congenie), Advocate Aurora Health, Downers Grove, Illinois.
Background:
Healthcare simulation has expanded dramatically; however, little is known about the scope of simulation in acute care hospitals.
Methods:
A descriptive, cross-sectional online survey was used. Participants included nurse executives from acute care hospitals in California.
Results:
Most organizations (96%) used simulation primarily for education, 37% used simulation for health system integration and systems testing, 30% used it for error investigation, 15% used it for research, and 15% used it for patient/family education.
Conclusions:
Organizations have a substantial opportunity to increase the scope of simulation beyond education to include systems integration, clinical systems testing, and other translational simulation activities. This targeted focus on patient safety and quality will allow hospitals to improve financial performance and maximize scarce resources.
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