ePlasty: Vol. 14
The Use of In-Situ Simulation to Improve Safety in the Plastic Surgery Office: A Feasibility Study
Fred E. Shapiro, DO,a John B. Pawlowski, MD, PhD,a Noah M. Rosenberg, MD,b Xiaoxia Liu, PhD,c David M. Feinstein, MD,a and Richard D. Urman, MD, MBAc

aHarvard Medical School, Beth Israel Deaconess Medical Center, Boston, Mass; bUniversity of Massachusetts Memorial Medical Center, Worcester; and cHarvard Medical School, Brigham and Women's Hospital, Boston, Mass

Correspondence: rurman@partners.org
Keywords: in-situ simulation, simulation training, office-based surgery, plastic surgery, patient safety

Objective: Simulation-based interventions and education can potentially contribute to safer and more effective systems of care. We utilized in-situ simulation to highlight safety issues, regulatory requirements, and assess perceptions of safety processes by the plastic surgery office staff. Methods: A high-fidelity human patient simulator was brought to an office-based plastic surgery setting to enact a half-day full-scale, multidisciplinary medical emergency. Facilitated group debriefings were conducted after each scenario with special consideration of the principles of team training, communication, crisis management, and  .......