title: In situ simulation in emergency medicine: Moving beyond the simulation lab.
abstract: In situ simulation (ISS), a point of care training strategy that occurs within the patient care environment involving actual healthcare team members, provides additional benefits to centre-based simulation. ISS can serve several roles within emergency medicine (EM): improves provider/team performance, identifies and mitigates threats to patient safety and improves systems and infrastructure. The effective use of ISS fosters inter-professional team training and a culture of safety essential for high performance EM teams and resilient systems. Using a case example, this article addresses the uses of ISS in EM, strategies for implementation and mitigation strategies for ED-specific challenges.
authors.affiliation: Department of Emergency Medicine, St. Michael's Hospital, Toronto, Ontario, Canada.|Division of Emergency Medicine, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
authors.forename: Andrew
authors.initials: A
authors.lastname: Petrosoniak
authors.affiliation: Department of Paediatrics, Yale University School of Medicine, New Haven, Connecticut, USA.
authors.forename: Marc
authors.initials: M
authors.lastname: Auerbach
authors.affiliation: Department of Emergency Medicine, Yale University School of Medicine, New Haven, Connecticut, USA.
authors.forename: Ambrose H
authors.initials: AH
authors.lastname: Wong
authors.affiliation: Department of Emergency Medicine, St. Michael's Hospital, Toronto, Ontario, Canada.|Division of Emergency Medicine, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
authors.forename: Christopher M
authors.initials: CM
authors.lastname: Hicks
mesh_terms: D000328:Adult; D004635:Emergency Medicine / Q000193:education*; D005260:Female; D006801:Humans; D008297:Male; D005791:Patient Care / Q000379:methods; D000066908:Simulation Training / Q000379:methods* / Q000592:standards; D013337:Students, Medical / Q000706:statistics & numerical data; D013663:Teaching / Q000639:trends*
keywords: emergency medicine; in situ simulation; patient safety; team training