RT Journal Article
SR Electronic
T1 Hospex and Concepts of Simulation
JF Journal of the Royal Army Medical Corps
JO J R Army Med Corps
FD British Medical Journal Publishing Group
SP 202
OP 205
DO 10.1136/jramc-154-03-19
VO 154
IS 3
A1 Arora, S
A1 Sevdalis, Nick
YR 2008
UL http://militaryhealth.bmj.com/content/154/3/202.abstract
AB A conceptual three-level framework is presented for understanding the aims, scope and potential outcomes of simulation in healthcare contexts. At the first level, micro-simulation aims at honing basic technical skills of individual clinicians. At the second level, meso-simulation aims to train clinicians to work more effectively and efficiently as part of a clinical team. At the third level, macro-simulation aims to assess organisational fitness for purpose at large scale. We discuss HOSPEX as an exemplar macro-simulation and argue for needs- and evidence-based implementation of simulation-based training at micro, meso and macro levels.