LAUSR

Feedback from participants reported that they felt more prepared and equipped to deliver safer care after the PESSI. Based on feedback, the process was adapted to include drills concentrating on fine-tuning sections staff felt most challenging. This changed our perspective, realising that PESSI was useful for broad systems integration but finetuning drills were essential for staff preparedness. In line with social constructivism, many valued the video-link to observe the respective teams, shared learning and collaborate best practice into one unified process. The simulation faculty reflected on the debrief. In future an allocated chairperson will support the facilitator by observing the room to ensure inclusivity and engagement. Similarly, a timekeeper and notetaker will keep the group united and ensure we are encompassing all safety threats. Although effects on patient safety have not yet been evaluated, PESSI can be used in the ioMRI setting to detect and mitigate risky situations prior to patient involvement. Through feedback, our process has improved staff preparedness when using new equipment in transition to new hospital sites. Our hope is this template will be adopted for other novel procedures and processes in which children and adults pose different physiological, behavioural and logistical challenges.