Use the links below to access our reports, or scroll down to use the search function to explore all of our publications including peer-reviewed papers and briefing papers.

Browse all publications


BibTex format

author = {Aufegger, L and Soane, E and Darzi, A and Bicknell, C},
doi = {10.1136/bmjstel-2020-000627},
journal = {BMJ Simulation & Technology Enhanced Learning},
pages = {216--222},
title = {Shared leadership in tertiary care: design of a simulation for patient safety decision-making in healthcare management teams},
url = {},
volume = {7},
year = {2021}

RIS format (EndNote, RefMan)

AB - Introduction Simulation-based training (SBT) on shared leadership (SL) and group decision-making (GDM) can contribute to the safe and efficient functioning of a healthcare system, yet it is rarely incorporated into healthcare management training. The aim of this study was design, develop and validate a robust and evidence-based SBT to explore and train SL and GDM.Method Using a two-stage iterative simulation design approach, 103 clinical and non-clinical managerial students and healthcare professionals took part in an SBT that contained real-world problems and opportunities to improve patient safety set within a fictional context. Self-report data were gathered, and a focus group was conducted to address the simulation’s degree of realism, content, relevance, as well as areas for improvement.Results Participants experienced the simulation scenario, the material and the role assignment as realistic and representative of real-world tasks and decision contexts, and as a good opportunity to identify and enact relevant tasks, behaviours and knowledge related to SL and GDM. Areas for improvement were highlighted with regard to involving an actor who challenges SL and GDM; more preparatory time to allow for an enhanced familiarisation of the content; and, video debriefs to reflect on relevant behaviours and team processes.Conclusions Our simulation was perceived as an effective method to develop SL and GDM within the context of patient safety and healthcare management. Future studies could extend this scenario method to other areas of healthcare service and delivery, and to different sectors that require diverse groups to make complex decisions.
AU - Aufegger,L
AU - Soane,E
AU - Darzi,A
AU - Bicknell,C
DO - 10.1136/bmjstel-2020-000627
EP - 222
PY - 2021///
SN - 2056-6697
SP - 216
TI - Shared leadership in tertiary care: design of a simulation for patient safety decision-making in healthcare management teams
T2 - BMJ Simulation & Technology Enhanced Learning
UR -
UR -
UR -
VL - 7
ER -