Simulation training as part of clinical risk management. A health economic view

Journal article

Publication Details

Author(s): Speer T, Muehlbradt T, Fastner C, Schöffski O, Schroeder S
Journal: Anaesthesist
Publication year: 2019
Volume: 68
Journal issue: 3
Pages range: 161-170
ISSN: 0003-2417


Working in anesthesiology is characterized by acomplex environment in which effective teamwork with different disciplines as well as other professions (e.g. nursing staff and surgical assistants) is crucial. Clinical risk management includes all steps to prevent incidents and patient harm. An example for this is simulation training based on crisis resource management (CRM). This training course focuses on teaching non-medical skills using simulation manikins in order to enable employees to maintain patient safety under the adverse, ever-changing and unfamiliar conditions of amedical emergency. In detail, this involves skills, such as situation awareness, teamwork, decision making, task management and communication, whereby all elements must be taken equally into account to be effective in terms of CRM. Asustainable training aims to build up, promote and permanently establish amindset within the team. Positive effects of these could be demonstrated for long-term training that addressed the entire patient care team and that was implemented along with various other patient safety measures. In addition, other positive aspects of simulation training, such as stronger employee retention or more effective task management in critical situations are described; however, hospitals are often found to have difficulties in financing these training sessions. This article shows possible health economic considerations in the discussion about financing CRM-based simulation training. Cost-benefit and cost-effectiveness analyses are difficult to perform. They require an individual planning. Regardless of this, simulation training enables participants to experience (simulation) and reflect their own actions in critical situations (debriefing). With the help of specially trained CRM instructors, deviations from expected behavior can be detected. This non-conformity can be used as astarting point for the establishment and further development of patient safety by astructural analysis of possible failures within the system. The decision to finance CRM-based simulation training remains afundamental decision of the management of the respective hospital. In the near future, pressure from liability insurers to prevent incidents might increase. The inclusion of CRM-based simulation training as an integral component of clinical risk management could provide key benefits in contract negotiation.

FAU Authors / FAU Editors

Schöffski, Oliver Prof. Dr.
Lehrstuhl für Betriebswirtschaftslehre, insbesondere Gesundheitsmanagement

External institutions with authors

FOM Hochschule für Oekonomie & Management gemeinnützige Gesellschaft mbH
Krankenhaus Düren GmbH
Philipps-Universität Marburg
Ruprecht-Karls-Universität Heidelberg

How to cite

Speer, T., Muehlbradt, T., Fastner, C., Schöffski, O., & Schroeder, S. (2019). Simulation training as part of clinical risk management. A health economic view. Anaesthesist, 68(3), 161-170.

Speer, T., et al. "Simulation training as part of clinical risk management. A health economic view." Anaesthesist 68.3 (2019): 161-170.


Last updated on 2019-22-03 at 00:08