Advanced life simulation: High-fidelity simulation without the high technology

•Patient safety can be promoted through realistic resuscitation simulation.•An innovative simulation combined tablet technology and humanistic simulation.•Learners engaged deeply in the learning.•It is a cost-effective, portable, effective simulation learning approach.•The innovation is humanistic, believable and real simulation.

Simulation-based resuscitation education has emerged as a key to improving patient safety and numerous healthcare organisations have invested in high-fidelity simulation training centres. However, the high purchasing cost, limited portability, technical expertise and organisational skills required to coordinate these high-fidelity simulation centres are factors that limit their use as a wide-spread teaching and learning method. Creative innovation is required. The aim of this study was to pilot an inexpensive, portable, novel high fidelity humanistic simulation modality, for educating nurses and doctors in recognising and responding to the deteriorating patient. Analysis of five focus group discussions revealed the main theme of engagement in the simulation experience with three main subthemes of realism of the character, believability of the experience and being more connected. In conclusion, this innovative simulation modality offers a viable alternative for resuscitation training.