Hazard Assessment and Remediation Tool for Simulation-Based Healthcare Facility Design Testing.

Objectives: To develop an objective, structured observational tool to enable identification and measurement of hazards in the built environment when applied to audiovisual recordings of simulations by trained raters.

Background: Simulation-based facility design testing is increasingly used to optimize safety of healthcare environments, often relying on participant debriefing or direct observation by human factors experts.

Methods: Hazard categories were defined through participant debriefing and detailed review of pediatric intensive care unit in situ simulation videos.