2016 Volume 36 Issue 3 Pages 329-333
Around 1990, malpractice caused by anesthesia occurred frequently and became a public issue. The high performance patient simulator (HPS) was introduced as a systematic way of preventing these incidents. In training using HPS, understanding of human errors, latent error factors, trigger events for activating these latent error factors, and defense mechanisms to prevent their activation hide in the event background at first, and handling of these events is based on human behavior analysis (dynamic decision making model). Many HPS symposiums and workshops were held at anesthesiology-related scientific meetings in Japan, and the recognition of HPS as a social infrastructure for medical safety spread gradually. With the establishment of the Japanese Association for Medical Simulation in 2005, a place for further educational activities was born. In this paper, we discuss the progress that has been made and argue for a future plan.
