Translational Simulation: Not “Where?” But “Why?” A Functional View of In SITU Simulation

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Healthcare simulation has been widely adopted for health professional education at all stages of training and practice and across cognitive, procedural, communication and teamwork domains. Recent enthusiasm for in situ simulation—delivered in the real clinical environment—cites improved transfer of knowledge and skills into real-world practice, as well as opportunities to identify latent safety threats and other workplace-specific issues.

The term translational simulation describes healthcare simulation focused directly on improving patient care and healthcare systems, through diagnosing safety and performance issues and delivering simulation-based intervention, irrespective of the location, modality or content of the simulation. It offers a functional alignment with quality improvement activities in healthcare institutions, while encompassing those educational interventions targeting practice behavior or patient outcomes. Translational simulation requires close relationships with clinical governance and quality improvement services in healthcare institutions.

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