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Table 1 Suggested timeline for development of simulation-based clinical systems testing (SbCST)

From: Simulation-based clinical systems testing for healthcare spaces: from intake through implementation

Development phase
 • Stakeholder engagement (6–8 months)
  • Identification of multidisciplinary collaborative workgroup including hospital executive leadership, departmental, and service line leaders
  • Introduce goals and objectives of SbCST
 • Needs assessment, process mapping (3–4 months)
  • Brain storming sessions and process mapping of anticipated concerns related to process, workflow, use of equipment/technology in the new space
 • Scenario development (2–3 months)
  • Simulation team works clinical leaders to design and review simulated scenarios
  • Identification of front-line staff to participate in simulation
 • Simulation preparation (3 months)
  • Collation and organization of testing day materials: rosters, pre-brief presentations, facilitator guides, debrief guides, and FMEA template
Implementation phase
 • Testing day preparation (1 week)
  • Simulation testing day walkthrough with stakeholders to review scenarios and walk through the testing space
 • SbCST testing day
  • Conduct simulation event
  • Conduct debriefings
Evaluation phase
 • SbCST testing day
  • FMEA scoring
 • Reporting and follow-up (1 day–1 month post-testing)
  • Create FMEA summary report and follow up with leaders to review what corrective actions have taken place
  • Turnaround time should support leadership implementing changes prior to patient care