OUR IMPACT in action
We don’t just run simulations—we elevate how teams communicate, lead, and deliver care. From small rural hospitals to large urban centers, Dynamic Simulation has helped clinicians build confidence, sharpen teamwork, and deliver safer care across Ontario.
The Numbers
Behind the Work.
Dynamic Simulation is Ontario's leading in-situ simulation and performance optimization program. Every session is documented. Every finding is tracked. Every partner site receives a clear picture of where their teams are strong and where the system is fragile.
Where We've Been.
From Southwest to Northern Ontario — rural community hospitals, regional centres, academic sites, and community health teams. Dynamic Simulation goes where the need is.
Our Partner Organizations
Latent Safety Threats.
Documented.
Through structured clinical optimization reports completed at Ontario hospital sites, Dynamic Simulation surfaces the safety threats that traditional audits miss — embedded in team behaviour, system design, and clinical environment. These are not near-misses. These are gaps that exist right now.
across 10 hospital sites
observed across multiple sites
by pediatric medication gaps
Documented Threats by Category
Recurring System Patterns
Delays in Critical Interventions
Recurring delays in vasopressor initiation, fluid resuscitation, and antibiotic administration — driven by unclear escalation pathways and inconsistent order set use.
Breakdowns in Team Communication
Closed-loop communication failures, absent structured handovers, and orders directed to the group rather than a named individual — consistently identified as contributors to resuscitation errors.
Lack of Role Clarity Under Pressure
Teams frequently lacked a designated documenter, a defined team lead, and clear task delegation — resulting in duplicated effort, missed interventions, and cognitive overload.
Pediatric Medication & Equipment Gaps
Weight-based dosing errors, absent pediatric syringe pumps, outdated reference binders, and IV pump library mismatches — identified across multiple sites and representing the most widespread systemic risk.
How We Work.
Dynamic Simulation delivers across multiple program formats — from full-day interprofessional simulation to physician-only sessions, critical ventilation training, and skills days. Every format is tailored to the team, the environment, and the clinical priorities of the site.
Every session. Every finding. Every outcome.
The full data dashboard is publicly available — sessions logged, safety threats documented, simulation types tracked, and debriefs recorded in real time.
the feedback
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"Working with the team from Dynamic Simulation was superb! They were very organized and considered all aspects of our learning needs as the preparation unfolded. We had the pleasure of having the simulation days in our brand-new unoccupied ED and Dynamic Simulation easily incorporated this into the experience as we figured out where our critical equipment should be placed and how staff could become comfortable in the new environment. All those who attended had an excellent first-time simulation experience with the MRHA. The staff are excited to host Dynamic Simulation again this year! The simulation exercises definitely instilled confidence in all participants with managing complex patient situations, especially the less common ones! Everyone loved the cooperative and relaxed atmosphere that enhanced their learning experience."
Lianne Learmonth
Vice-President of Patient/Resident Care, Pharmacy & Chief Nursing, Mississippi River Health Alliance -
"The Dynamic Simulation team provided a challenging and unique simulation program for the physicians and nurses in our community emergency department. (The Team’s) expertise and knowledge, coupled with their equipment and techniques created a valuable and impactful session. They did all of the preparation and brought their own supplies, making the whole process seamless. The session was highly immersive and realistic, allowing our team to fully engage and practice critical scenarios and skills. They expertly facilitated the session, providing guidance and support, while promoting teamwork and communication. The impact of the session was significant on our ED, and has helped us identify areas for improvement and enhance our emergency response protocols, leading to better patient care. I highly recommend Dynamic Simulation for their exceptional experience and value."
Dr Juliet Veens MD BSc CCFP-EM FAWM
Education Lead, Stratford General Hospital -
"The hands-on simulation day provided by Dynamic Simulation was very productive for our ED team. Bringing the simulation experience into our own hospital environment was incredibly useful for troubleshooting our unique logistical challenges. Working through high acuity ED cases as a team has not only enhanced our clinical skills but also served as a bonding experience. The collaborative environment created during these simulations has strengthened our cohesion and communication. The hands-on skills stations provided by Dynamic Simulation offer real-time experience and the opportunity to troubleshoot various scenarios, all while obtaining immediate feedback. This practical approach to learning boosted my confidence and competence in handling critical situations. Dr. Segeren’s expertise, approachability, and openness to questions and discussions made the learning experience not only informative but also engaging and enjoyable. I would highly recommend Dynamic Simulation as a resource for community ED professional development."
Dr. Jennifer Pierce
Chief of Emergency Medicine, Perth & Smiths Falls District Hospital -
"The learning experience with Dynamic Simulation was exceptional. (The team) presented well thought out and executed HALO (high acuity, low occurrence) practice scenarios that allowed our team time to collaborate and debrief after each case. The session allowed for valuable feedback from team members throughout the experience and assisted with many quality improvement initiatives in the following weeks. Campbellford Memorial Hospital is looking forward to collaborating with Dynamic Simulation regularly in the future to continue to enhance team skills and dynamics with the ultimate goal of bringing better care to our community."
Jackie Forget, RN
Professional Practice Lead, Campbellford Memorial Hospital -
"At a time of physician and nursing shortages, we have struggled to create our own simulation opportunities. Our team in Mindemoya recently enjoyed an excellent day of work-placed learning from Dynamic Simulation. The customizable topics, pre-reading material, the engaged and enthusiastic instruction delivered in our workplace was a powerful combination. We look forward to bringing the Dynamic Simulation team back again."
Maurianne Reade, MD, CCFP(EM), FCFP
Associate Professor, Clinical Sciences Division
NOSM University and Manitoulin Central Family Health Team
will you be next?
Whether you’re a hospital leader looking to strengthen your department or a clinician ready to sharpen your skills, Dynamic Simulation is here to help you take the next step.