Characteristics of the in situ simulations performed during the first and the second study period at the two hospitals
| Hospital 1 | Hospital 2 | |||||
| First period* | Second period† | Total | First period† | Second period‡ | Total | |
| Number of simulations | 31 | 23 | 54 | 38 | 23 | 61 |
| Mean (min–max)§ | Mean (min–max)§ | |||||
| Staff participating (n) | 102 | 92 | 3.6 (3–19) | 54 | 96 | 2.5 (1–17) |
| Time spend/session (min)¶ | 439** | 1060†† | 50.3 (14–80) | 903 | 1375 | 37.3 (24–78) |
| Technical learning objectives of the simulation (n)‡‡ | ||||||
| Cardiac arrest | 8 | – | 8 | 8 | 5 | 13 |
| Intubation | 6 | 7 | 13 | 10 | 4 | 14 |
| Triage | 6 | 6 | 12 | – | – | – |
| Anaphylaxis | 2 | 6 | 8 | – | 4 | 4 |
| Bleeding | 5 | – | 5 | – | – | – |
| Respiratory insufficiency | – | – | – | 6 | 3 | 9 |
| Early warning scores | – | – | – | 6 | 2 | 8 |
| Managing the difficult airway | – | – | – | 10 | – | 10 |
| ABCDE approach§§ | – | – | – | – | 1 | 1 |
| Transportation | – | – | – | – | 3 | 3 |
| Non-technical learning objectives of the simulation (n)‡‡ | ||||||
| ISBAR¶¶ | 10 | 14 | 24 | 14 | 11 | 25 |
| Closed loops | 13 | 6 | 19 | 11 | 16 | 27 |
| Communication | 10 | 7 | 17 | 5 | 4 | 9 |
| Leadership | 6 | 7 | 13 | – | 5 | 5 |
| Resource management | 1 | – | 1 | – | – | – |
| Re-evaluation | 6 | – | 6 | – | – | – |
*Simulations performed on 25 April–27 August 2017.
†Simulations performed on 28 August 2017–9 January 2018.
‡Simulations performed on 10 January–8 May 2018.
§Mean time per session (minimum and maximum per session).
¶Time spend includes briefing, scenario and debriefing.
**Time spend based on recordings from 10 simulation sessions.
††Time spend based on recordings from 18 simulation sessions.
‡‡Learning purpose of simulation missing at four simulation sessions (both technical and non-technical).
§§Assessment of Airway, Breathing, Circulation, Disability, Exposure.
¶¶Structured communication: Identity, Situation, Background, Assessment, Recommendation.