Original Publication
Open Access

A Simulation-Based Resource for Improving Patient Safety and Improving the Patient Experience

Published: January 25, 2013 | 10.15766/mep_2374-8265.9322

Included in this publication:

  • Case 1.docx
  • Case 2.docx
  • Case 3.docx
  • Overview.docx

To view all publication components, extract (i.e., unzip) them from the downloaded .zip file.

Editor's Note: This publication predates our implementation of the Educational Summary Report in 2016 and thus displays a different format than newer publications.


This simulation-based resource is designed to increase patient safety and improve the patient experience through standardized communication between staff members and between staff and patients. It teaches the principles of Crew Resource Management (CRM) and a service-focused patient care environment using a Structured Patient Encounter (SPE). It uses a simulation-based teaching format with a series of three cases. The medical care and decision-making involved with these cases is straightforward. The focus of these simulations should not be on the medical care, but should be on the principles of CRM and refining the patient experience using the SPE. These cases are intended for a multidisciplinary team of staff members that include techs, nurses, and physicians. This module was taught to 70 physicians (residents and attendings) and 143 nurses and support staff.  Surveys were administered to trainees before and after training that assessed two key components: (1) the quality of communication between staff members and (2) the quality of the communication between staff and patients. We found significant improvement in staff’s perception of the quality of communication between staff members and with patients and family.

Educational Objectives

By the end of this session, learners will be able to Crew Resource Management principles to: 

  1. Resolve conflict.
  2. Manage low risk chest pain.
  3. Manage ventricular fibrillation.
  4. Manage unstable atrial fibrillation.

Author Information

  • Warren Upson Otis, MD: The Warren Alpert Medical School of Brown University
  • Lynn Sweeney, MD: The Warren Alpert Medical School of Brown University
  • Adam Rojek, RN, BSN: Rhode Island Hospital
  • David Lindquist, MD: The Warren Alpert Medical School of Brown University

None to report.

None to report.


Otis W, Sweeney L, Rojek A, Lindquist D. A simulation-based resource for improving patient safety and improving the patient experience. MedEdPORTAL. 2013;9:9322. https://doi.org/10.15766/mep_2374-8265.9322