Please use this identifier to cite or link to this item:
Appears in Collections:Management, Work and Organisation Journal Articles
Peer Review Status: Refereed
Title: Success and Failure in the Simulation of an Accident and Emergency Department
Author(s): Bowers, John
Ghattas, Mikhail
Mould, Gillian
Contact Email:
Keywords: health service
emergency departments
Emergency Service, Hospital Scotland
Emergency medical services Scotland
Issue Date: Sep-2009
Date Deposited: 18-May-2009
Citation: Bowers J, Ghattas M & Mould G (2009) Success and Failure in the Simulation of an Accident and Emergency Department. Journal of Simulation, 3 (3), pp. 171-178.;
Abstract: Healthcare simulation has the potential to offer many benefits but the implementation is often problematic. This paper describes the development of a simulation of an Accident and Emergency Department in an NHS hospital. The early experience of the client provoked great enthusiasm but ultimately the simulation failed to meet all expectations. The simulation delivered a number of benefits, notably in terms of stimulating constructive debate and helping the stakeholders appreciate the complete Accident and Emergency system. The project produced a technically proficient tool that was delivered too late to have the desired impact. This mixed record of success appears typical of many simulations. Important lessons were learned, both technically and in the management of client expectations, which have contributed to subsequent successful implementation in other departments of the hospital. The experience suggests that both potential clients and analysts need to establish realistic expectations and appreciate the particular challenges of simulation in a healthcare environment.
DOI Link: 10.1057/jos.2009.5
Rights: This is a post-peer-review, pre-copyedit version of an article published in the Journal of Simulation (doi:10.1057/jos.2009.5). The definitive publisher-authenticated version is in the Journal of Simulation, online at:

Files in This Item:
File Description SizeFormat 
AE simulation SF.pdfFulltext - Accepted Version425.88 kBAdobe PDFView/Open

This item is protected by original copyright

Items in the Repository are protected by copyright, with all rights reserved, unless otherwise indicated.

The metadata of the records in the Repository are available under the CC0 public domain dedication: No Rights Reserved

If you believe that any material held in STORRE infringes copyright, please contact providing details and we will remove the Work from public display in STORRE and investigate your claim.