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Variation and adaptation: learning from success in patient safety-oriented simulation training

Dieckmann, Peter, Patterson, Mary, Lahlou, Saadi ORCID: 0000-0001-8114-7271, Mesman, Jessica, Nyström, Patrik and Krage, Ralf (2017) Variation and adaptation: learning from success in patient safety-oriented simulation training. Advances in Simulation, 2 (1). ISSN 2059-0628

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Identification Number: 10.1186/s41077-017-0054-1


Simulation is traditionally used to reduce errors and their negative consequences. But according to modern safety theories, this focus overlooks the learning potential of the positive performance, which is much more common than errors. Therefore, a supplementary approach to simulation is needed to unfold its full potential. In our commentary, we describe the learning from success (LFS) approach to simulation and debriefing. Drawing on several theoretical frameworks, we suggest supplementing the widespread deficit-oriented, corrective approach to simulation with an approach that focusses on systematically understanding how good performance is produced in frequent (mundane) simulation scenarios. We advocate to investigate and optimize human activity based on the connected layers of any setting: the embodied competences of the healthcare professionals, the social and organizational rules that guide their actions, and the material aspects of the setting. We discuss implications of these theoretical perspectives for the design and conduct of simulation scenarios, post-simulation debriefings, and faculty development programs.

Item Type: Article
Official URL:
Additional Information: © 2017 The Authors
Divisions: Psychological and Behavioural Science
Subjects: R Medicine > R Medicine (General)
H Social Sciences > HD Industries. Land use. Labor > HD61 Risk Management
Date Deposited: 07 Oct 2019 13:09
Last Modified: 16 May 2024 02:51

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