Background
Research has shown recovery room incidents after Surgery to approach 5%. Of these, human factors, including error of judgement and communication failure were the major contributing factors(1). We are currently implementing a high fidelity multidisciplinary simulation program at Barking, Havering and Redbridge University Hospitals which has been successful in addressing human factor errors in the post recovery period. 

Summary of Work
8 doctors and 15 nurses have so far been through high fidelity simulation training. Scenarios include common post anaesthetic incidents such as Morphine overdose and Major haemorrhage. These start with the recovery nurse assessing the patient and eventual escalation to the anaesthetics team, who further assess and treat appropriately. A 15 minute de-brief is conducted after the scenario. Qualitative and Quantitative feedback is received through questionnaires, with focus on human factors. 

Summary of Results
• 100% of participants felt more confident in dealing with crisis situations after the simulation. 
• 100% of nurses felt more knowledgeable about communicating through an SBAR approach and escalating earlier, an important human factor. 
• 100% of doctors felt the training useful in helping them communicate with the recovery team. 

Discussion and Conclusions 
High fidelity simulation has shown to significantly improve communication within recovery during adverse events in both doctors and nurses. By practicing these situations in a safe environment, errors in communication have been addressed, potentially leading to improvements in patient safety. Further sessions and long term follow-up is needed to observe whether high fidelity simulation has lasting effects in improving major causes of human factor errors in recovery rooms. 

Take Home Messages
In-situ simulation is highly effective in reducing communication errors within the recovery room. This potentially could have bigger implications on patient safety considering the major contribution of communication lapses to recovery room error.