Challenges in using high-fidelity simulation to improve learning and patient safety

In this issue of Resuscitation, Walker et al.1 describe the use of high-fidelity simulation to evaluate a novel resuscitation trolley. Using a randomised design, they demonstrate the ‘Resus:Station’ as safe to use, and show its potential for improving team performance during resuscitations. Alongside showing these potential benefits, the study is notable for providing an innovative use of high-fidelity simulation. Specifically, through its design and application, it indicates pathways for researchers and educators to overcome some of the challenges associated with using simulation to improve healthcare delivery. We consider these below, and reflect on the article's contribution to the simulation literature.