Simulation Gone Sideways: Avoiding Common Design and Implementation Pitfalls

This manuscript focuses on mistakes and missteps that frequently occur in simulation-based learning. Using vignettes, problematic practices are highlighted and reviewed using current simulation standards and literature. Gaps in the literature are also addressed. Acknowledging and improving practices in simulation enhance learner outcomes, support novice educators, and assist individuals preparing for certification exams. Organizations that avoid deficiencies in simulation design and implementation, such as those presented in these vignettes, better align their simulation programs with core accreditation standards.