This presentation is introduces the purpose, structure, and value of in-hospital stroke simulations within the Angels consultancy process. It outlines how simulations are used to safely analyze current practice, test improved stroke pathways, and support patient safety and performance improvement.

The resource provides a high-level, practical overview of how to prepare, run, and debrief a simulation, helping consultants apply a consistent and effective approach when delivering simulation activities in hospitals.

A two-minute video explaining the process and objectives of in-hospital simulations. Filming a simulated case of acute stroke is one of our most important tools to lower DTN times and increase the impact of priority actions. 

This checklist gives an overview of all steps of a simulation and which actions and materials need to be considered in each phase. Tick boxes for Planning, Briefing, First Simulation, First Debriefing, Second Simulation and Second Debriefing help to standardise our most important tool and make sure that nothing is forgotten.

A PPT file on "How to run an effective debriefing". It will give you some important knowledge and key points to keep in mind for your simulation debriefings in hospitals. The presentation can be printed as an A5 booklet and distributed to everyone involved in the debriefing meeting.

A table to be used during a simulation. It lists all required priority actions, and tracks whether they were performed or not, and at which time point after start of the simulation. It also includes fields for Action points and Training for each item, as well as a field to note general objectives and corrective actions discussed during the debriefing.

An excel sheet where the initial time, length and total duration of each action done during the simulation can be tracked. The inserted values are automatically plotted on a bar graph. This provides a comprehensive overview of the timing of each action item, and where life-saving minutes could be saved and the overall pathway improved. 

The Simulation Observation or Short Observer Checklist is a practical tool designed for use during in‑hospital simulation sessions. It is intended for participants who are not taking an active role in the scenario.

Observers can use the checklist to focus on specific tasks or team actions—for example, monitoring steps in the pre‑hospital phase or tracking all actions performed by the nursing team. Assigning different tasks to different observers helps ensure that key behaviors and procedures are captured consistently.

Download the checklist below and share it with your simulation observers before the start of the simulation.