Variation and adaptation: learning from success in patient safety-oriented simulation training

Peter Dieckmann, Mary Patterson, Saadi Lahlou, Jessica Mesman, Patrik Nyström and Ralf Krage

LSE Research Online Documents on Economics from London School of Economics and Political Science, LSE Library

Abstract: Simulation is traditionally used to reduce errors and their negative consequences. But according to modern safety theories, this focus overlooks the learning potential of the positive performance, which is much more common than errors. Therefore, a supplementary approach to simulation is needed to unfold its full potential. In our commentary, we describe the learning from success (LFS) approach to simulation and debriefing. Drawing on several theoretical frameworks, we suggest supplementing the widespread deficit-oriented, corrective approach to simulation with an approach that focusses on systematically understanding how good performance is produced in frequent (mundane) simulation scenarios. We advocate to investigate and optimize human activity based on the connected layers of any setting: the embodied competences of the healthcare professionals, the social and organizational rules that guide their actions, and the material aspects of the setting. We discuss implications of these theoretical perspectives for the design and conduct of simulation scenarios, post-simulation debriefings, and faculty development programs.

JEL-codes: G32 (search for similar items in EconPapers)
Pages: 14 pages
Date: 2017-10-31
New Economics Papers: this item is included in nep-cmp
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

Published in Advances in Simulation, 31, October, 2017, 2(1). ISSN: 2059-0628

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Persistent link: https://EconPapers.repec.org/RePEc:ehl:lserod:101889

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