In situ simulation as a quality improvement initiative.

Simulation-based learning has gained recent recognition as a means of improving patient safety. In situ simulation, that is conducting simulation training in actual clinical environment, is a novel approach to detecting deficiencies in healthcare systems, termed as latent safety threats (LSTs). We implemented in situ simulation training as a quality improvement initiative and were able to detect several LSTs, thus improving patient safety. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.