Healthcare Simulation, Artificial Intelligence and Interprofessional Collaboration

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Artificial Intelligence in Medicine".

Deadline for manuscript submissions: 29 May 2026 | Viewed by 5280

Special Issue Editors


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Guest Editor
Department of Medicine and Surgery, University of Parma, 43126 Parma, Italy
Interests: critical care; clinical simulation; wearable devices; artificial Intelligence; holistic nursing; spirituality

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Guest Editor

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Guest Editor
Centre for Pain Research, School of Health, Leeds Beckett University, Leeds LS6 3QL, UK
Interests: pain education; community pain services; pain research

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Guest Editor
School of Social Sciences and Humanities, University of Suffolk, Ipswich IP4 1QJ, UK
Interests: health promotion; psychophysiology; positive psychology

Special Issue Information

Dear Colleagues,

The rapidly evolving landscape of health and social care demands innovative approaches to education, training, and clinical practise. Integrating artificial intelligence with simulation-based training offers a promising pathway to improve interprofessional collaboration among health and social care services providers. This Special Issue will cover various aspects including the development and application of AI tools in simulations, the effectiveness of simulation techniques in fostering teamwork, and case studies illustrating successful interprofessional collaborations driven by AI and simulation in improving patients’ outcomes. We invite empirical research, systematic reviews, and innovative case studies that address these themes.

This Special Issue seeks to explore the convergence of simulation, artificial intelligence (AI), and interprofessional collaboration to enhance patient care, health, and social care outcomes. It aims to bring together multidisciplinary research that demonstrates how AI-driven simulations can support the training and collaboration of diverse healthcare teams. Contributions may include studies on AI algorithms for simulation training, case studies on simulation in interprofessional education, and analyses of AI's role in facilitating teamwork in clinical settings. These contributions are aimed at advancing patient care and optimizing healthcare services.

We look forward to receiving insightful contributions.

Dr. Antonio Bonacaro
Prof. Dr. Mark I. Johnson
Dr. Kate Thompson
Dr. Manos Georgiadis
Dr. Serena Barello
Guest Editors

Manuscript Submission Information

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Keywords

  • simulation
  • artificial intelligence
  • interprofessional collaboration
  • patient outcomes
  • education
  • social care
  • healthcare
  • nursing
  • psychology
  • social work

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Published Papers (4 papers)

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Research

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14 pages, 243 KiB  
Article
Building Safe Emergency Medical Teams with Emergency Crisis Resource Management (E-CRM): An Interprofessional Simulation-Based Study
by Juan Manuel Cánovas-Pallarés, Giulio Fenzi, Pablo Fernández-Molina, Lucía López-Ferrándiz, Salvador Espinosa-Ramírez and Vanessa Arizo-Luque
Healthcare 2025, 13(15), 1858; https://doi.org/10.3390/healthcare13151858 - 30 Jul 2025
Viewed by 406
Abstract
Background/Objectives: Effective teamwork is crucial for minimizing human error in healthcare settings. Medical teams, typically composed of physicians and nurses, supported by auxiliary professionals, achieve better outcomes when they possess strong collaborative competencies. High-quality teamwork is associated with fewer adverse events and [...] Read more.
Background/Objectives: Effective teamwork is crucial for minimizing human error in healthcare settings. Medical teams, typically composed of physicians and nurses, supported by auxiliary professionals, achieve better outcomes when they possess strong collaborative competencies. High-quality teamwork is associated with fewer adverse events and complications and lower mortality rates. Based on this background, the objective of this study is to analyze the perception of non-technical skills and immediate learning outcomes in interprofessional simulation settings based on E-CRM items. Methods: A cross-sectional observational study was conducted involving participants from the official postgraduate Medicine and Nursing programs at the Catholic University of Murcia (UCAM) during the 2024–2025 academic year. Four interprofessional E-CRM simulation sessions were planned, involving randomly assigned groups with proportional representation of medical and nursing students. Teams worked consistently throughout the training and participated in clinical scenarios observed via video transmission by their peers. Post-scenario debriefings followed INACSL guidelines and employed the PEARLS method. Results: Findings indicate that 48.3% of participants had no difficulty identifying the team leader, while 51.7% reported minor difficulty. Role assignment posed moderate-to-high difficulty for 24.1% of respondents. Communication, situation awareness, and early help-seeking were generally managed with ease, though mobilizing resources remained a challenge for 27.5% of participants. Conclusions: This study supports the value of interprofessional education in developing essential competencies for handling urgent, emergency, and high-complexity clinical situations. Strengthening interdisciplinary collaboration contributes to safer, more effective patient care. Full article
21 pages, 1892 KiB  
Article
Development, Implementation, and Evaluation of a ‘Virtual Patient’ with Chronic Low Back Pain: An Education Resource for Physiotherapy Students
by Kate Thompson, Steven Bathe, Kate Grafton, Niki Jones, David Spark, Louise Trewern, Thomas van Hille and Mark I. Johnson
Healthcare 2025, 13(7), 750; https://doi.org/10.3390/healthcare13070750 - 27 Mar 2025
Viewed by 1059
Abstract
Background: The management of chronic pain is inherently multidisciplinary, requiring collaboration across health and care professions because pain is multidimensional, involving psychological, social, biomedical, cultural, and environmental factors. However, pain education has often focused more on biomedical aspects, limiting the capacity of professionals [...] Read more.
Background: The management of chronic pain is inherently multidisciplinary, requiring collaboration across health and care professions because pain is multidimensional, involving psychological, social, biomedical, cultural, and environmental factors. However, pain education has often focused more on biomedical aspects, limiting the capacity of professionals to deliver integrated, person-centred care. Shifting pain education away from biomedically driven curricula may better prepare graduates for meaningful consultations and biopsychosocial care. Objective: This manuscript reports the development and pilot evaluation of a virtual patient simulation designed to help physiotherapy students develop person-centred pain assessment skills. Methods: We developed and piloted a virtual patient with complex pain scenarios for physiotherapy students. To evaluate the simulation, students completed a self-reported questionnaire assessing their ability, self-confidence in person-centred assessment skills, and their attitudes and beliefs regarding the simulation. Results: Frequency and confidence in person-centred inquiry ranged from 100% to 16.3%, depending on the complexity of information. Inductive thematic analysis revealed four themes: (1) Environmental factors & preferences—students’ preference for the learning environment; (2) Learning experience—including engagement, feedback, discussions, and a ‘safe’ space for building confidence; (3) Professional development—insights into person-centred inquiry, personal biases, and emotional challenges; (4) Limitations—including the desire for more complexity, and technical challenges noted. Conclusions: The development of this virtual patient simulation enabled healthcare students to engage with a multidimensional perspective on pain, fostering skills essential for biopsychosocial pain assessment and patient-centred care. Although designed and piloted with physiotherapy students, this model holds potential for broader application across healthcare disciplines. Full article
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14 pages, 220 KiB  
Article
Arterial Blood Gas Analysis and Clinical Decision-Making in Emergency and Intensive Care Unit Nurses: A Performance Evaluation
by Arian Zaboli, Chiara Biasi, Gabriele Magnarelli, Barbara Miori, Magdalena Massar, Norbert Pfeifer, Francesco Brigo and Gianni Turcato
Healthcare 2025, 13(3), 261; https://doi.org/10.3390/healthcare13030261 - 28 Jan 2025
Viewed by 2469
Abstract
Background: This study aimed to evaluate Emergency Department and Intensive Care Unit nurses’ skills in interpreting blood gas analysis results and to use those interpretations in clinical decision-making. Methods: In this prospective, multicenter, simulation-based study, nurses from the Emergency Department (ED) of Merano [...] Read more.
Background: This study aimed to evaluate Emergency Department and Intensive Care Unit nurses’ skills in interpreting blood gas analysis results and to use those interpretations in clinical decision-making. Methods: In this prospective, multicenter, simulation-based study, nurses from the Emergency Department (ED) of Merano Hospital and the Intensive Care Unit (ICU) of Bolzano Hospital, Italy, were presented with 16 clinical vignettes based on real patient cases. These vignettes were designed to evaluate the nurses’ ability to identify patients with time-dependent conditions and recommend appropriate therapeutic interventions. Outcomes measured included sensitivity, specificity, and agreement with physician-assigned urgency levels and therapy recommendations. Results: Among the 43 participants (26 ICU and 17 ED nurses), specificity in excluding patients without time-dependent conditions or organ replacement needs was high. However, sensitivity in identifying time-dependent conditions was less than 50%. Agreement with physician-assigned urgency levels was low, with Cohen’s kappa values of 0.139 for ICU nurses and 0.218 for ED nurses. Nurses with lower self-confidence in interpreting BGA results made more errors, while other personal or professional factors did not significantly impact performance. Conclusions: Although critical care nurses can effectively rule out patients without time-dependent conditions, their ability to identify such conditions requires improvement. These findings underscore the need for targeted training programs to enhance nurses’ BGA interpretation skills and clinical decision-making in high-pressure, time-sensitive situations. Full article

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16 pages, 1758 KiB  
Case Report
3D Printing Today, AI Tomorrow: Rethinking Apert Syndrome Surgery in Low-Resource Settings
by Maria Bajwa, Mustafa Pasha and Zafar Bajwa
Healthcare 2025, 13(15), 1844; https://doi.org/10.3390/healthcare13151844 - 29 Jul 2025
Viewed by 341
Abstract
Background/Objectives: This case study presents the first documented use of a low-cost, simulated, patient-specific three-dimensional (3D) printed model to support presurgical planning for an infant with Apert syndrome in a resource-limited setting. The primary objectives are to (1) demonstrate the value of 3D [...] Read more.
Background/Objectives: This case study presents the first documented use of a low-cost, simulated, patient-specific three-dimensional (3D) printed model to support presurgical planning for an infant with Apert syndrome in a resource-limited setting. The primary objectives are to (1) demonstrate the value of 3D printing as a simulation tool for preoperative planning in low-resource environments and (2) identify opportunities for future AI-enhanced simulation models in craniofacial surgical planning. Methods: High-resolution CT data were segmented using InVesalius 3, with mesh refinement performed in ANSYS SpaceClaim (version 2021). The cranial model was fabricated using fused deposition modeling (FDM) on a Creality Ender-3 printer with Acrylonitrile Butadiene Styrene (ABS) filament. Results: The resulting 3D-printed simulated model enabled the surgical team to assess cranial anatomy, simulate incision placement, and rehearse osteotomies. These steps contributed to a reduction in operative time and fewer complications during surgery. Conclusions: This case demonstrates the value of accessible 3D printing as a simulation tool in surgical planning within low-resource settings. Building on this success, the study highlights potential points for AI integration, such as automated image segmentation and model reconstruction, to increase efficiency and scalability in future 3D-printed simulation models. Full article
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