title: Transcending Competency Testing in Hospital-Based Simulation.
abstract: Simulation is a frequently used method for training students in health care professions and has recently gained acceptance in acute care hospital settings for use in educational programs and competency testing. Although hospital-based simulation is currently limited primarily to use in skills acquisition, expansion of the use of simulation via a modified Quality Health Outcomes Model to address systems factors such as the physical environment and human factors such as fatigue, reliance on memory, and reliance on vigilance could drive system-wide changes. Simulation is an expensive resource and should not be limited to use for education and competency testing. Well-developed, peer-reviewed simulations can be used for environmental factors, human factors, and interprofessional education to improve patients' outcomes and drive system-wide change for quality improvement initiatives.
authors.affiliation: Madeline Lassche is Assistant Professor, Executive Director of Simulation, University of Utah, College of Nursing, 10 South 2000 East, Salt Lake City, UT 84112 (madeline.lassche@nurs.utah.edu). Barbara Wilson is Associate Professor, Associate Dean of Academic Programs, University of Utah, College of Nursing, Salt Lake City, Utah.
authors.forename: Madeline
authors.initials: M
authors.lastname: Lassche
authors.forename: Barbara
authors.initials: B
authors.lastname: Wilson
mesh_terms: D002983:Clinical Competence; D003198:Computer Simulation / Q000592:standards*; D064648:Critical Care Nursing / Q000193:education*; D004509:Education, Nursing, Continuing / Q000458:organization & administration*; D004521:Educational Measurement; D006801:Humans; D009741:Nursing Staff, Hospital / Q000193:education*; D016544:Patient Simulation; D014481:United States