In situ simulation for systems testing in newly constructed perinatal facilities.

Macro-systems simulation is a methodology to assess existing services and support major culture shift to a new healthcare environment. Given credible local precedent, simulation can be effective for orienting staff, identifying process gaps and enabling their refinement prior to the transition. Select strategies enable staged process translation in an intensive care unit without exposing patients to potential risk. Orchestrating immersive, realistic in-situ simulations minimizes surprises at transition and enhances patient satisfaction. Such endeavors substantially elevate the perception of the value of simulation within an institution.