In situ Simulation with multiple scenarios: experience report^a

Objective  to describe the planning, organization, and execution of an in situ simulation involving multiple critical situations in a hospital.

Method  an experience report based on a short circuit that caused a fire, involving the following scenarios: care for a fall during work on the electrical system; care for an anxiety crisis; evacuation of a patient undergoing hemodialysis; removal of two critically ill patients from the Intensive Care Unit; and transfer of a trauma victim to another hospital. The in situ simulation took place in 2024, in collaboration with the Civil Defense and the university, and involved 110 participants. Structured briefing and debriefing sessions were conducted.

Results  satisfactory results were obtained, highlighting the potential of in situ simulation across multiple scenarios as a training strategy for victim care, patient transport, and professional preparation in hospital settings.

Conclusions and implications for practice  the experience demonstrated the potential of in situ simulation for training in crisis situations, identifying institutional weaknesses, improving care flows, and strengthening the patient safety culture.

Keywords:
Fires; Hospitals; Patients; Patient safety; Simulation training