Action Research, Simulation, Team Communication and Bringing the Tact into Voice Society for Simulation in Healthcare

Forsythe, L. (2009). Action Research, Simulation, Team Communication, and Bringing the Tacit Into Voice Society for Simulation in Healthcare: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare, 4(3), 143–148.

My notes from the article.

“The safe space is defined by the encouragement of open communication within an environment that protects the
discussion from any punitive actions, redefines the hierarchically focused communication, and also removes the
concerns of caring for a real patient.

– Can the simulation environment be used to improve team communication, by helping the team to bring what are normally tacit activities into voice, making the tacit explicit?
– Will the team use the simulation space to make changes for task, process, and language?
– Can this simulation experience be developed as a model for improving healthcare team communication and interactions?


  • considered the cost : benefit ratio prior to starting
  • 2 hours of staff training. Utilized late start of the OR
  • Engaged team for ideas to be sure the content was relevant.
  • Used “action heuristic” LU4T2 described by Dr. Barnett Pearce.
  • Video recorded by 2 cameras.


  • found numerous items that required change to improve processes and patient care.
  • found the benefit of slowing things down to discuss processes using simulation. Also, gave the team a chance to connect with the other team members.
  • Noted multiple times that process problems should be reviewed and altered to improve patient care.
  • Described URP (unwanted repetitive patterns) in communication.
  • Discussed assertive adjustments between nurses and physicians.

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