1 Department of Health in Disasters and Emergencies, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran, Management and Economics Research Center, Health Management Research Institute, Iran University of Medical Sciences, Tehran, Iran

2 Department of Health in Disasters and Emergencies, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran, Emergency Management Research Center, Iran University of Medical Sciences (IUMS), Tehran, Iran Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation (USWR), Tehran, Iran

3 Department of Health in Disasters and Emergencies, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran


BACKGROUND: The emergency department is one of the most important parts of all hospitals. For
this reason, many simulation programs are performed in this department to increase the knowledge,
skills, and productivity of health‑care workers. The purpose of this study was to identify the benefits
of simulation in hospital emergency departments.
MATERIALS AND METHODS: In the present systematic study, using “AND” and “OR” operators, we
searched for the keywords “benefits,” “simulation,” and “hospital emergency department” in PubMed,
Web of Science, Scopus, Google Scholar as well as Persian language databases such SID, Magiran,
Irandoc, and Iran Medex. Then, a three‑step screening process was used to select studies relevant
to simulation and hospital emergency from 2005 to 2021 using the PRISMA checklist, and finally,
the obtained data were analyzed.
RESULTS: A total of three main groups, each with several subgroups, were extracted and identified
as the benefits of using simulation in hospital emergency departments. They included improving
the diagnosis of the disease (rapid prediction of the disease, rapid diagnosis, and patient triage),
improving the treatment process (improvement of treatment results, anticipation of admission and
discharge of patients, acceleration of interventions, and reduction of medical errors), and improving
knowledge and skills (improvement of the speed of decision‑making, staff’s acquisition of knowledge
and skills, simple, convenient, and low‑cost training, improvement of staff’s preparedness in crisis).
CONCLUSION: Based on the results of the present study, it is suggested to develop some training
programs in order to help staff upgrade their knowledge and performance as well as acquire practical
skills and also to improve the diagnosis and treatment process in hospital emergency departments.
Virtual methods are also proposed to be applied as potential and cost‑effective platforms for learning,
teaching, and evaluating the staff of hospital emergency departments.


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