Resolving latent safety threats identified through in situ simulation: a multicentre mixed-methods study

While in situ simulation effectively identifies latent safety threats, threat resolution remains limited. Our findings highlight the need to align institutional processes with frontline clinicians' insights. Effective threat mitigation depends on both threat characteristics and organisational context. To fully realise the opportunity presented by in situ simulation to improve patient safety, healthcare systems must move beyond threat identification to actively support resolution-by empowering clinicians, enabling multidisciplinary collaboration, and embedding clear processes for follow-up and accountability.