Theatre LISTS: Learning from Incidents, finding Safety Threats with Simulation

David Colvin*, Sarah Gallagher, Simon Marcus, Grainne Fitzpatrick, Irene Milliken, Andrew Thompson, Thomas Bourke

*Corresponding author for this work

Research output: Contribution to journalArticle


Serious adverse incidents (SAIs) are events in healthcare that justify a heightened level of response as their impact on patients, staff or systems is so great.1 The National Health Service has a framework for reporting of SAIs, never events and near misses.2 Individual healthcare trusts are responsible for investigating these incidents and delivering recommendations to staff to avoid recurrence.1 These recommendations typically include education and training of staff. Immersive, in situ simulation is an effective interprofessional educational model3 that can lead to improvements in patient safety,4 and we believe it is the ideal tool to learn from SAI investigations.

The aim of this project was to develop a more robust and educationally sound system to rapidly disseminate interprofessional learning, to minimise the risk of recurring errors.
Original languageEnglish
Article number000538
JournalBMJ Simulation and Technology Enhanced Learning
Early online date02 Dec 2019
Publication statusEarly online date - 02 Dec 2019


  • high fidelity simulation
  • in situ simulation
  • multi-professional training
  • patient safety

ASJC Scopus subject areas

  • Modelling and Simulation
  • Education
  • Health Informatics

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