66 – Advances in Simulation: Simulation Safety First

In this episode of our continuing collaboration with Advances in Simulation, Victoria takes the helm and interviews two brilliant guests about a high profile, multi-journal simultaneous publication:

Advances in Simulation

Raemer, D., A. Hannenberg and A. Mullen (2018). “Simulation safety first: an imperative.” Advances in Simulation 3(1): 25.

Journal of the Society for Simulation in Healthcare

Raemer, D., A. Hannenberg and A. Mullen (2018). “Simulation Safety First: An Imperative.” Simulation in Healthcare 13(6).

Journal of Surgical Simulation

Raemer, D., A. Hannenberg and A. Mullen (2018). “Simulation Safety First: An Imperative.” Journal of Surgical Simulation(5).


It is with great pleasure that we have Dan Raemer, one of the authors of the editorial ‘Simulation Safety First. An Imperative’ as guest today. Dan Raemer has had a long career in simulation and medical education spanning almost 40 years.  He is a bioengineer by training and been a member of a surgery or anesthesiology department for his entire working life.  Dan was the Chair of the Founding Board of Overseers for the Society for Simulation in Healthcare and was it’s first President.  Now in partial retirement, Dan, along with a nurse educator, Ann Mullen, and a renowned anesthesiologist, Alex Hannenberg, all from Boston, USA have started an education-oriented foundation to promote simulation safety.

We are also lucky to have Kara Allen along to discuss. Kara is an anaesthetist who in involved with inter professional simulation, including education and systems testing. She developed the CRASH and STAR courses which now run across Australia and New Zealand, helping critical care specialists navigate career transitions and return to work after leave. This has led her to work in a number of simulation settings, from stand-alone centres to simulation facilities embedded in clinical settings.

Victoria, Dan and Kara, traverse the unintended harms from simulation and discuss the equal harms of not using simulation as a translational tool.


If this sound familiar to Simulcast listeners, it is because Vic interviewed Ann Mullen (one of the authors of this article) back in October 2017 about hers and Dan’s project, Foundations for Healthcare Simulation Safety.

So read the article, think about your simulation safety and take the pledge to improve.

The Podcast

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3 thoughts on “66 – Advances in Simulation: Simulation Safety First

  • Dr MaryLeigh Moore

    I love the idea of Universal labeling – will suggest we use this at our Centre – and love the red color to signal “alarm!!”.

    As an educator working predominantly in undergraduate medical education I do worry about the risks to our learners from our SBE and from our learners (to patients) as a result of inadvertent negative learning – but so hard to measure both of these. I have anecdotal evidence from students of both these things occurring and agree with Vic that this is not specific to SBE but if good SBE is indeed a powerful learning tool then presumably bad SBE and bad consequences could be just as powerful. And of course SBE and educators can set an example of ‘considering’ itself more carefully than some other educational methodologies/educators.

  • Colette Laws-Chapman

    we loved this simulcast topic – really needed a refresh at our centre at Guys & St Thomas Hospital in London UK

    we have launched a sim litter campaign and fully implemented the drug and equipment labels for all insitu (inc patient charts) – thanks for making them freely available.

    we are reviewing our centre based practices too as we do have some colleagues who overlook or don’t adhere to PPE, and we pretend to do things when the simulations are about the social skills and not the clinical skills which could translate to poor clinical practice

    also use of out of date drugs often arises as we get donated packs etc – whilst we have had no errors that we know of we do not want too continue this poor practice

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