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Table 1 Summary of the Strengths and Limitations of Simulation as a Research Tool

From: The role of simulation in mixed-methods research: a framework & application to patient safety

Strengths

Can be linked to other patient safety research methods to deepen understanding

Can be used to recreate events that are difficult to observe due to rarity or complexity

The environment is controlled and cases are standardized and reproducible

Hypotheses related to patient safety events can be tested while reducing confounding

Outcomes can be measured using validated tools

Challenges and Limitations

The spectrum of events that can be studied is limited to the fidelity of the mannequins

Technical problems with simulation equipment are possible and can invalidate a study scenario

Technical expertise with the equipment and common simulation problems is needed

Practical Tips for Success

The fidelity of the equipment and environment need to be carefully considered in study design

Scenario fidelity can be greatly enhanced by using trained confederates

Cases should be prepared with the assistance of an experienced simulation technician

Cases should be pilot tested to identify weaknesses in the scenario and equipment