Testing with simulation before a big move at Women & Infants Hospital.

Simulation can identify process gaps prior to major institutional change. NICU staff found simulation very beneficial for facilities orientation; the majority of providers considered patient safety enhanced by scenario-based training. TESTPILOT identified problems that could not have been identified by committees. This information improved processes and was used to tailor staff training workshops, all of which led to better preparedness and patient safety. The impact has been recognized as so beneficial that we are now collaborating with the Rhode Island Hospital Medical Simulation Center to build a simulation facility at Women & Infants Hospital.