ºÚ°µ±¬ÁÏÍø these scenarios
The scenarios hosted here were developed as part of the (Study of Communication and Adaptive Capacity using in-situ Learning Environments based on real-life risks in ENDOscopy) study. This is a collaboration between the University of Leicester, Kettering General Hospital, the University of Leicester and Royal Wolverhampton Hospitals. The original research project was funded by the MPS Foundation. Each scenario was constructed to reflect the complexity of real-world endoscopy incidents based on a human factors analysis of endoscopy-related incidents reported to NHS England over a five-year period. Scenarios incorporate challenges to team communication, situational awareness, and adaptive decision-making under organisational pressure.
All scenarios were developed in accordance with ASPiH standards for simulation-based education. Many of those scenarios were delivered as part of the SCALE-ENDO research study. The Chief Investigator on the study is Dr Farhad Peerally, and the scenarios are designed by Dr Sam Little with inputs from communications expert Dr Matthew Butler and the wider research team.
How to use these scenarios
These scenarios are designed for multi-professional endoscopy teams including endoscopists, nurses, healthcare assistants, and administrative staff. They are most effective when delivered within your own clinical environment (in-situ), where the familiar setting surfaces the organisational pressures and team dynamics that other simulation formats cannot replicate. Each scenario should be followed by a structured debrief using an established framework such as Gather–Analyse–Summarise (GAS) or PEARLS. Facilitators are encouraged to move discussion beyond individual performance toward team and system levels of analysis, drawing on a Safety-II lens — exploring not only what went wrong, but how teams ordinarily sustain safe care under pressure. Where available, short video clips from the scenario can be used as anchors for discussion, deepening collective reflection. The goal is to create a psychologically safe space in which teams examine the conditions shaping their practice, rather than attributing outcomes to individual error.
