A Multisite Study Demonstrates Positive Impacts to Systems Thinking Using a Table-top Simulation Experience

Background Systems thinking (ST) is the ability to recognize, understand, and synthesize interactions and interdependencies in a set of components designed for a purpose. Systems thinking has been shown to improve systems and decrease error. Despite these benefits, ST has not yet been consistently integrated into all health care education programs. Purpose This study examined the impact of Friday Night at the ER (FNER), a table-top simulation designed to teach ST to a variety of prelicensure and postlicensure health care students. Methods A multisite study was conducted in 5 academic institutions targeting both graduate and prelicensure students enrolled in nursing, medicine, physical therapy, public health, psychology, and pharmacy programs. Results The FNER simulation was followed by statistically significant improvements in ST scores. Conclusions The FNER table-top simulation was found to improve ST in a wide variety of health-related majors