Problems arise when clinicians or educators encounter situations that are error-prone, complex, or distracting. Trigger films (TF) are 2-4 minute vignettes simulating real-life situations that finish abruptly, stimulating participants to analyze situations in a safe environment. We report on a natural evolution of the TF, the patient safety vignette (PSV), a multimedia tool that advantages the human characteristic of vicariousness by inviting stakeholders into an unfolding patient misadventure. PSVs are produced in our high fidelity simulation lab and are based on actual patient events. We have previously demonstrated the validity and reliability of the approach in the healthcare setting, a multidimensional, dynamic and stressful environment where complex, critical, and risky decision making and interventions occur. PSVs offer a systematic approach to facilitating patient safety activity by engaging clinicians in a range of complex scenarios in what we term the “living laboratory.” Initial outcome measures examining efficacy and clinician acceptance are reported.




Submission Location


To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.