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  • Simulation

In-situ Simulation Training

During 2013 the team from the Simulation Suite expanded training to incorporate in situ training sessions. These range from in situ cardiac arrests involving the on call cardiac arrest team, to scenario based teaching in the Emergency Department resus room.  Sessions provide staff with the ability to train and learn together in the teams and environment they work in day in and day out, allowing attendees to immerse themselves into the simulated scenario. 

Simulation refers to the reproduction of a clinical event or set of conditions and it has four main purposes: education, assessment, research, and health system integration, in the improvement of patient safety. 

Simulation also adds to our understanding of human behaviour, the clinical environment in which healthcare professionals operate and the possible influences on individual and team performance. These possible effects on human behaviour, referred to as ‘human factors’, are categorised as non-technical skills. Non-technical skills can then be subdivided into either individual or organisational system effects and it is estimated that 70-80% of adverse clinical events occur because of deficiencies in these non-technical skills. 

The key human factors that are incorporated into our simulation training programmes include: situation awareness, decision making, communication, team work, leadership and followership, stress and fatigue, and organisational systems. 

Simulation training is a bridge between classroom learning and real life clinical experiences and at the Rotherham Simulation Suite, based on the PGME corridor at Rotherham Hospital, staff can recreate a wide range of clinical events and conditions that do not put actual patients at risk. 

Using computerised manikins which perform many realistic human functions, the team can recreate the general ward, accident and emergency, paediatric or community environment. Additionally, in situ simulation training can take place in the clinical setting, in areas such as theatres, recovery, coronary care, critical care, and outpatient departments. 

A simulation training session at the Rotherham Simulation Suite includes the following components:
  • An introduction to simulation and human factors
  • Customised aims and objectives for each specific clinical specialty or group of candidates
  • Orientation to the manikin and the simulation facilities
  • The simulation scenario (15-20 minutes)
  • Reflective debrief (30-40 minutes)
  • Feedback and session evaluations 


Simulation scenarios can include complex procedures and rare diseases that simply do not present enough opportunities for practice, even to established clinicians, or include situations identified through staff training or clinical incidents. Simulation scenarios run at the Rotherham Simulation Suite include: anaphylaxis, acute coronary syndrome, hypovolaemic shock, gastrointestinal bleed, pulmonary embolism, diabetic ketoacidosis, cardiac arrest and drug overdose. 

For more information about our in situ training sessions please view our courses or contact the Simulation Suite.

Simulation Suite Mission statement: To provide human factors, crisis management and non-technical skills for all healthcare professional disciplines within the Trust, through the pedagogy of clinical simulation and facilitated debrief. The overall goal is to achieve a high standard quality of care for all our patients, within a safe environment where teamwork, communication, open exchange and leadership are paramount. 
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