Simulation Approaches to Enhance Team and System Resilience

Healthcare is recognised as a complex adaptive socio-technical system made up of multiple components which interact in unpredictable ways, creating ever-changing latent problems. There has been a growing interest in the role that resilience has in improving safety in complex systems such as healthcare. This chapter discusses the role of simulation in enhancing the resilient performance of healthcare teams and systems, and the implications this has for the way we deliver simulation. We elaborate on resilience in healthcare principles, how these principles can be integrated into simulation, and demonstrate how this has been put into practice with an in-situ simulation-based team training programme in an intensive care unit in New Zealand.

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