Table 1 Suggested timeline for development of simulation-based clinical systems testing (SbCST)
From: Simulation-based clinical systems testing for healthcare spaces: from intake through implementation
| Development phase | |
| • Stakeholder engagement (6–8 months) | |
| • Identification of multidisciplinary collaborative workgroup including hospital executive leadership, departmental, and service line leaders | |
| • Introduce goals and objectives of SbCST | |
| • Needs assessment, process mapping (3–4 months) | |
| • Brain storming sessions and process mapping of anticipated concerns related to process, workflow, use of equipment/technology in the new space | |
| • Scenario development (2–3 months) | |
| • Simulation team works clinical leaders to design and review simulated scenarios | |
| • Identification of front-line staff to participate in simulation | |
| • Simulation preparation (3 months) | |
| • Collation and organization of testing day materials: rosters, pre-brief presentations, facilitator guides, debrief guides, and FMEA template | |
| Implementation phase | |
| • Testing day preparation (1 week) | |
| • Simulation testing day walkthrough with stakeholders to review scenarios and walk through the testing space | |
| • SbCST testing day | |
| • Conduct simulation event | |
| • Conduct debriefings | |
| Evaluation phase | |
| • SbCST testing day | |
| • FMEA scoring | |
| • Reporting and follow-up (1 day–1 month post-testing) | |
| • Create FMEA summary report and follow up with leaders to review what corrective actions have taken place | |
| • Turnaround time should support leadership implementing changes prior to patient care |