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Archivos de Medicina de Urgencia de México

2025, Number 1

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Arch Med Urg Mex 2025; 17 (1)

In-situ simulation as a tool in medical training and improvement

Cerón-Apipilhuasco A, Alvarado-Mena I, Loria-Castellanos J

Language: Spanish
References: 14
Page: 50-53
PDF size: 177.56 Kb.


ABSTRACT

In situ simulation is an educational tool that recreates clinical scenarios within a real care environment, allowing to train personnel, as well as to evaluate their technical and non-technical competencies within their own work area. The main difference between an in situ simulation and a traditional one is that the former uses the real equipment and resources of the institution and involves the interdisciplinary team, favoring a high level of realism, resulting in improved clinical performance.
Among the benefits is the improvement of teamwork, as well as the preparation for emergency situations or adverse effects, and at the institutional level it can be used to identify possible latent errors within the system, all this generating an increase in patient safety. The resources used range from simulators of different fidelities, standardized patients for the development of non-technical skills and the use of other technologies such as virtual reality, adapted to the situation and context of the institution where it is being carried out.
Another area of application for in situ simulation is competency assessment, using various tools (e.g., TEAM, NOTECHS, Ottawa GRS) and validated models (e.g., Kirkpatrick). It must be taken into account that in situ simulation presents challenges, which can vary between institutions, logistical, economic, availability of space and standardized protocols, which can lead to significant variability in the implementation of in situ simulation.


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