Played across industries and in 40+ countries

Four managers in business attire play a tabletop simulation game as a team building activity and to break down silo thinking

How will teams manage their busy hospitals?

Friday Night at the ER® challenges teams of four to manage a hospital during a simulated 24-hour period. What they learn will surprise them!

Successful teams apply three core strategies—moving from silo thinking to systems thinking—to improve their organization’s performance.

How It Works

How is the game used?

The hospital scenario in the game is a metaphor; the simulation experience is designed to resemble any organization where the parts must work together to achieve system goals.

Learn about the diverse objectives, settings and outcomes spanning groups at all levels and across industries.

How It’s Used

We support trainers, educators, consultants and organizational leaders. Here’s what they think.

“Friday Night at the ER is a great game – brilliantly created. We leverage it very effectively to depict the interdependence across all departments and emphasize some of the core skills we want to infuse into our program…” Read more

Kathleen Winningham, MBA, Senior Manager of Disney University Operations and Leadership Programs, The Walt Disney Company

“[We] took learning to the next level by gamifying strategy through the “Friday Night in the ER” simulation. Our HR leaders stepped into the shoes of department managers for a 24-hour sprint—navigating patient care, staff decisions, and quality outcomes while…” Read more

Hendrik van der Merwe, MBA, Director of Leadership and Organizational Development, HCA Healthcare

“The ultimate benefit of Friday Night at the ER comes when groups of people who actually work together play the game. Because then they collectively can start to discover that all my smart ideas and all the good stuff I’m doing might actually be part of the cause of the problems. And when a group of…” Read more

Peter Senge, PhD, MS, Senior Lecturer, MIT School of Management

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