After implementing collaboratively designed changes (emergency trolley, grab bags, orientation rules), the second in-situ simulation showed smoother, faster emergency care delivery¶

Claim · All claims
Evidence · 1 study · design r2 · q2
Currency · newest study 2025 · not yet checked against its sources · not reviewed by a person

Subclaims¶

q2 i? In the second ISS, participants reported that newly designed tools made equipment easily accessible and reduced the time needed to deliver care. → O'Hare 2025

Evidence¶

O'Hare 2025¶

O'Hare, S., Kajamaa, A., Conn, R., & Gormley, G. (2025). SimLab: an intervention to promote expansive learning and organisational change in team-based emergency care simulation. Instructional Science. https://doi.org/10.1007/s11251-025-09734-7

q2 · i? · design · r2

Participant self-report in the session 3 group interview following the second ISS (paediatric meningitis). The practice-based pharmacist reported the new emergency trolley layout "cut the time in half"; no timing measure was recorded.

"It was all very well laid out…I knew where the kit was now…I had the oxygen ready to go, you know. It cut the time in half…."

Discussion¶

Related Claims¶

• Participants reported increased confidence, readiness and teamwork after completing the SimLab programme — related
• A real-life paediatric emergency occurring after the intervention was managed well by staff who had not participated in SimLab, suggesting cascade of the transformed practices — 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
• The closer training content is to authentic clinical scenarios, the smoother its translation into practice — a broader claim this one bears on
• Three contradictions emerged in the SimLab process — individualised emergency response, excluded non-clinical staff, and outdated CPR training — and their collaborative resolution drove organisational change — related
• Four implementation themes emerged from UK process evaluations: intervention format, policy consistency, staff buy-in, and perceived effectiveness — related