In situ simulation: Identification of systems issues

Jeanne Marie Guise, Jeanette Mladenovic

Research output: Contribution to journalReview articlepeer-review

31 Scopus citations


The Institute of Medicine's report, To Err is Human, concluded that "medical errors are not a result of isolated individual actions but rather faulty systems, processes, and conditions that lead people to make mistakes." In situ simulation offers the unique opportunity to train the teams of people who deliver healthcare while enhancing policies, evaluating new technologies, and improving the systems that support the delivery of safe healthcare. For this reason, the Institute of Medicine, the Joint Commission, and the Agency for Healthcare Research and Quality recommend medical simulation as one of the most important safe practice interventions to reduce errors and risks associated with the process of care. This review builds on other reports in this issue and discusses the application of in situ simulation to identify, address, and test systems improvements.

Original languageEnglish (US)
Pages (from-to)161-165
Number of pages5
JournalSeminars in Perinatology
Issue number3
StatePublished - Jun 2013


  • Dissemination & implementation research
  • Health care delivery
  • Patient safety
  • Quality improvement
  • Simulation
  • Systems science

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology


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