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In Situ Simulation: A Method of Experiential Learning to Promote Safety and Team Behavior

Miller, Kristi K. MS, RN; Riley, William PhD; Davis, Stanley MD; Hansen, Helen E. PhD, RN

The Journal of Perinatal & Neonatal Nursing: April-June 2008 - Volume 22 - Issue 2 - p 105–113
doi: 10.1097/01.JPN.0000319096.97790.f7
Feature Article

The healthcare system has an inconsistent record of ensuring patient safety. One of the main factors contributing to this poor record is inadequate interdisciplinary team behavior. This article describes in situ simulation and its 4 components-–briefing, simulation, debriefing, and follow-up—as an effective interdisciplinary team training strategy to improve perinatal safety. The purpose of this manuscript is to describe the experiential nature of in situ simulation for the participants. Involved in a pilot study of 35 simulations in 6 hospitals with over 700 participants called, “In Situ Simulation for Obstetric and Neonatal Emergencies,” conducted by Fairview Health Services in collaboration with the University of Minnesota's Academic Health Center.

Fairview Health Services, Minneapolis, Minnesota (Ms Miller and Dr Davis); Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, Minnesota (Dr Riley); and University of Minnesota School of Nursing, Minneapolis, Minnesota (Dr Hansen).

Corresponding Author: Kristi K. Miller, MS, RN, Office of Clinical Affairs, Fairview Health Services, 2450 Riverside Avenue, Minneapolis, MN 55454 (

The authors thank the perinatal teams at University of Minnesota Medical School—Fairview, Fairview Southdale Hospital, Fairview Ridges Hospital, Fairview Lakes Regional Medical Center, Fairview Northland Hospital and Fairview Redwing Regional Medical Center for their contributions, leadership and participation in the “In situ simulation” project.

Submitted for publication: November 8, 2007

Accepted for publication: February 15, 2008

© 2008 Lippincott Williams & Wilkins, Inc.