Transformative forms of simulation in health care - the seven simulation-based 'I's: a concept taxonomy review of the literature

Simulation for non-pedagogical purposes has begun to emerge. Examples include quality improvement initiatives, testing and evaluating of new interventions, the co-designing of new models of care, the exploration of human and organizational behaviour, comparing of different sectors and the identification of latent safety threats. However, the literature related to these types of simulation is scattered across different disciplines and has many different associated terms, thus making it difficult to advance the field in both recognition and understanding. This paper, therefore, aims to enhance and formalize this growing field by generating a clear set of terms and definitions through a concept taxonomy of the literature.