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The 100 Most Cited Articles on Healthcare Simulation: A Bibliometric Review

Walsh, Chloe, MSc; Lydon, Sinéad, PhD; Byrne, Dara, MMEd Ed; Madden, Caoimhe, MSc; Fox, Susan, PhD; O'Connor, Paul, PhD

Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare: June 2018 - Volume 13 - Issue 3 - p 211–220
doi: 10.1097/SIH.0000000000000293
Review Article

Summary Statement This article provides an overview and synthesis of the 100 most cited healthcare simulation publications to provide insight into the articles that have shaped current knowledge and practice. Searches of the Scopus and Web of Science databases were conducted in July 2017. Most articles were concerned with medical education and training (86%) and were most often published in surgical journals (33%). Manikins (20%), standardized patients (16%), inanimate part-task trainers (16%), fully simulated environments (17%), and virtual reality part-task trainers (14%) were the most commonly featured types of simulators. Healthcare simulation research has matured and grown during the preceding decades. There has been a move away from research questions focused on “does simulation work?” to an assessment of the conditions under which simulation is most effective. It is hoped that providing an overview of highly cited works will help identify topics for further research.

From the School of Medicine (C.W., S.L., D.B., C.M., S.F., P.O.), National University of Ireland Galway; Galway University Hospital Galway (D.B.); and The Irish Centre for Applied Patient Safety and Simulation (C.W., S.L., D.B., C.M., S.F., P.O.), Galway, Ireland.

Reprints: Paul O'Connor, PhD, Department of General Practice, 1 Distillery Rd, National University of Ireland, Galway, Ireland H91 TK33 (e-mail:

The authors declare no conflict of interest.

This research was partially supported by funding from the National Doctor Training and Planning, Health Services Executive, Republic of Ireland.

Ethical approval was not sought for this article, as we were not collecting data from any individuals but reviewing existing research studies.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s Web site (

© 2018 Society for Simulation in Healthcare