In-situ simulation is used in healthcare for four mapped purposes: assessment, system readiness and safety culture, clinical skills and patient outcomes, and non-technical skills, knowledge and confidence¶

Claim · All claims
Evidence · 1 study · review r3 · q3
Currency · newest study 2022 · not yet checked against its sources · not reviewed by a person

Subclaims¶

q3 i? A systematic mapping review of published ISS literature organised findings into four categories reflecting the aims of included studies: assessment, system readiness/safety cultures, clinical skills and patient outcomes, and NTS, knowledge and confidence. → Evans Kerry 2022

Evidence¶

Evans Kerry 2022¶

Evans Kerry, Woodruff Jenny, Cowley Alison, Bramley Louise, Miles Giulia, Ross Alastair, Cooper Joanne, Baxendale Bryn. (2022). GENESISS 2—Generating Standards for In-Situ Simulation project: a systematic mapping review. BMC Medical Education. https://doi.org/10.1186/s12909-022-03401-y

q3 · i? · review · r3

Systematic mapping review searching seven databases from inception to October 2020; 69 papers included and synthesised descriptively and tabularly into four purpose categories. The review reports that "Findings were organised into categories to reflect the aims and objectives of the included studies using ISS".

"Findings were organised into categories to reflect the aims and objectives of the included studies using ISS: 1) as an assessment tool; 2) to assess and promote system readiness and safety cultures; 3) to improve clinical skills and patient outcomes; 4) to improve NTS, knowledge and comfort and confidence."

Discussion¶

Related Claims¶

• ISS used to assess performance and identify risks: eighteen studies, mostly observational, reported positive benefits for identifying hazards, latent safety threats and guideline non-adherence — a narrower finding that bears on this claim
• All nine studies using ISS to assess and promote system readiness and safety cultures reported improvements in readiness scores and safety attitudes — a narrower finding that bears on this claim
• Significant improvements in confidence, performance, management, communication, anxiety and knowledge scores were reported following ISS, but four controlled comparisons found no significant difference versus control or comparison training — a narrower finding that bears on this claim
• Evidence on transfer to clinical behavior and patient outcomes is scarce: only 2 studies reached Kirkpatrick level 3 and 1 reached level 4 — related
• In a theory-guided in-situ simulation programme, an interprofessional primary care team progressed through the expansive learning cycle from questioning current practice to consolidating new practices — related
• Regular ISS over longer periods was reported for complex practices and patient outcomes, while one to three sessions were reported effective for more easily defined or isolated tasks — related