Simulation societies and researchers | • Promulgate simulation | • Research, position papers, standards, guidelines |
• Improve care and patient safety |
| | |
Professional schools | • Improve learning | • Curricula |
| • Competition with other schools | • Instructor training |
| | |
Professional societies | • Improve performance | • Guidelines/standards |
| • Avoid government regulation | • Curricula, research |
| | |
Professional or subspecialty licensing or accrediting organisation | • Improve performance | • Required curricula |
• Assure maintenance of competency | • Simulation based testing |
• Respond to public pressure | • Guidelines/standards |
| | |
Health care organisations | • Improve care and patient safety | • Required curricula |
| • Improve efficiency, reduce cost | • Internal testing |
| • Competition with other organisations | |
| | |
Funders of medical care | • Reduce costs | • Required curricula |
| • Reduce errors | • Guidelines/standards |
| | |
Liability insurers | • Reduce claims payout | • Discounts on premiums |
| • Reduce claims | • Required curricula to receive coverage |
| | |
Accrediting organisations | • Improve and ensure uniformity of care and patient safety | • Voluntary programs |
| • Standards |
| | |
Government | • Same as funders | • Laws and regulations |
| • Respond to pressure from public | • Oversight of voluntary programmes |
| | |
Public | • Improve care and patient safety | • Media attention |
| • Reduce “training” on patients | • Acceptance of voluntary programs |
| • Ensure uniform competence and proficiency of clinicians | • Pressure for government action |