Improving reliability and safety

In-situ simulation training is a team-based training technique conducted on the patient care units using equipment and resources from that unit, and involving actual members of the healthcare team.

In-situ simulation takes place in the real world environment among teams during their regular work schedule with the goal of making the experience as close to reality as possible. 

With in-situ simulation, reliability and safety can be improved, especially in high-risk areas.

Debriefing is key. In-situ simulation has been found to positively impact healthcare providers' reactions, changes in safety attitudes, organisational performance, and teamwork. 

This type of training allows teams to review and reinforce their clinical problem-solving abilities in preparation for a crisis or for low frequency/high acuity events. 

Structured debriefing that is brief and concise is an essential component of in-situ training.