**6. Benefits of simulation**

Simulation is used to train and familiarize providers with how to respond to emergency situations. By using team approaches to problem solving and utilizing root cause analysis, patient outcomes can be continuously improved [34]. Such methods are highlighted in the *Joint Commission Sentinel Alert* publication that recommends the adoption of protocols to address, for example, morbidity and mortality associated with maternal hemorrhage [35].

There are many advantages to developing high-fidelity simulations. They include establishing a safe environment for patients and trainees, the opportunity for multidisciplinary team training, and the rehearsal of specific behavioral skills. In addition, simulations allow the difficulty levels of scenarios to escalate, providing multiple exposures to complex clinical scenarios. Simulators also allow the testing and learning of new technologies without exposing the patients to learning-associated risk [36]. High-fidelity simulators also allow individuals to train on demand rather than waiting for an uncommon or very specific situation to occur. Simulations allow for pause, discussion, feedback, and reflection in response to certain circumstances, as well as the opportunity to identify and correct recurrent mistakes in an expedited manner [37].
