Four-scenario in-situ simulation training package for outpatient hysteroscopy emergencies

Design · All designs
Evidence · 2 claims (2 for) · 1 study (1 design), q2 · 0 of 1 report an effect size · 2 claims rest on one study

Description

A training package of four simulation scenarios targeting oversedation, hemorrhage, local anesthetic systemic toxicity, and vasovagal reaction in the outpatient hysteroscopy setting. Each scenario "was designed to resolve within 15 minutes, with up to 45 minutes for debriefing." The package includes appendices with case progression tables, debriefing materials, a CRM primer, and a latent safety threats template.

Design Implications

Context

Requirements

• Minimum of 1 gynecologist and 1 nurse per scenario
• Patient simulator (ACLS manikin), monitors, hysteroscopy tray, venous access supplies, oxygen supplies, and crash cart

Constraints

• Requires physical material resources, though low-fidelity alternatives are described
• Small number of roles may restrict participant numbers, though actors and debriefers can be divided

Target Learners

• Interprofessional outpatient procedural teams including nurses, residents, and practicing gynecologists

Learning Goals

• Recognize presenting signs and symptoms of hysteroscopy complications
• Initiate management of complications in an outpatient surgical suite
• Apply crisis resource management principles
• Identify latent safety threats

Claims

• In Situ Simulation Improves Self Efficacy Outpatient Hysteroscopy Emergencies [+M]
• In Situ Simulation Identifies Latent Safety Threats [+M]

Related Designs

Examples

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Key Sources

• Warshafsky C, Singh SS, Garber AB. (2026). In-Situ Simulation for Enhancing Safety in Outpatient Hysteroscopy: Development and Evaluation of a Crisis Resource Management-Based Training Package. MedEdPORTAL. https://doi.org/10.15766/mep_2374-8265.11604

Page metadata

Field	Value
type	design
id	four-scenario-in-situ-simulation-package-outpatient-hysteroscopy
title	Four-scenario in-situ simulation training package for outpatient hysteroscopy emergencies
description	A training package of four simulation scenarios targeting oversedation, hemorrhage, local anesthetic systemic toxicity, and vasovagal reaction in the outpatient hysteroscopy setting.
status	review
generated	by process:settle-candidates on 2026-11-04
trust	unverified — no one has confirmed this page's content
sources	1 — warshafsky-c-2026

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