Medicine, as an industry in which human lives depend on the skill and performance of operators, must create and maintain a culture of safety, in addition to designing systems to mitigate errors.

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Evidence gathered from systematic reviews, although low, shows a positive transfer of simulation skills acquisitions from “model to model.” This effect is more pronounced for VR, although its superiority over video trainer is not conclusive.

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Decision support tools are an important adjunct to medical resuscitation. We initiated a study comparing the use of the traditional code book method versus a computerized decision support system. However, appropriate use of the tools requires correct initial recognition of the dysrhythmia.

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A nurse residency program that incorporates human patient simulation increases new graduates’ readiness for independent clinical practice and provides a more predictable process for the acquisition of skills. This structured residency program decreased orientation time and increased clinical productivity.

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