RT Journal Article SR Electronic T1 The simulated operating theatre: comprehensive training for surgical teams JF Quality and Safety in Health Care JO Qual Saf Health Care FD BMJ Publishing Group Ltd SP i27 OP i32 DO 10.1136/qshc.2004.010009 VO 13 IS suppl 1 A1 R Aggarwal A1 S Undre A1 K Moorthy A1 C Vincent A1 A Darzi YR 2004 UL http://qualitysafety.bmj.com/content/13/suppl_1/i27.abstract AB Surgical excellence is traditionally defined in terms of technical performance, with little regard for the importance of interpersonal communication and leadership skills. Studies in the aviation industry have stressed the role of human factors in causing error and, in an attempt to reduce the occurrence of adverse events, led to the organisation of simulation based training scenarios. Similar strategies have recently been employed for the surgical team with the development of a simulated operating theatre project. This enables technical and non-technical performance of the surgeon and circulating staff to be assessed by experts situated in an adjacent control room, and provides an opportunity for constructive feedback. The scenarios have good face validity and junior surgeons can benefit from the process of learning new technical skills in a realistic environment. The effect of external influences such as distractions, new technology, or a crisis scenario can also be defined, with the ultimate aim of reducing the number of adverse events arising in the real operating room.