A patient safety escape room simulation for internal medicine learners, based on hazards identified in local incident reports

Authors

  • Chad Kimmitt University of Calgary
  • Jennifer Ngo University of Calgary
  • Jolene Haws University of Calgary
  • Alejandra Boscan University of Calgary

DOI:

https://doi.org/10.36834/zxbc2h12

Abstract

Implication Statement

Physicians at our centre have enthusiastically supported a Quality Improvement initiative aimed at achieving a high proportion of physician-submitted incident reports. We uncovered some serious safety incidents and recurring safety themes based on review of these physician-submitted reports and decided to embed these local data in a realistic simulation scenario. Our innovative escape room format for the simulation was an engaging and effective way to teach medical learners about patient safety concepts and how to recognize and respond to safety incidents. We encourage colleagues at other centres to try this strategy for delivering patient safety education!

References

1. Canadian Institute for Health Information. Hospital harm. https://www.cihi.ca/en/indicators/hospital-harm. [Accessed on Sept 27, 2025].

2. Sawaya RD, Mrad S, Rajha E, et al. Simulation-based curriculum development: lessons learnt in global health education. BMC Med Educ. 2021;21:33. https://doi.org/10.1186/s12909-020-02430-9

3. Guckian J, Eveson L, May H. The great escape? The rise of the escape room in medical education. Future Healthc J. 2020;7(2):112-115. https://doi.org/10.7861/fhj.2020-0032

4. Jaffe R, Zavodnick J, Papanagnou D, Zhang XC, Diemer G. Patient safety escape room: a team simulation in recognizing and reporting patient safety hazards. Am J Med Qual. 2022;37(2):166-172. https://doi.org/10.1097/01.JMQ.0000753252.29933.8d

5. Ngo J, Lau D, Ploquin J, et al. Improving incident reporting among physicians at South Health Campus Hospital. BMJ Open Qual. 2022;11:e001945. https://doi.org/10.1136/bmjoq-2022-001945

6. Davis K, Lo H, Lichliter R, et al. Twelve tips for creating an escape room activity for medical education. Med Teach. 2022;44(4):366-371. https://doi.org/10.1080/0142159X.2021.1909715

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Published

2026-04-08

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