Featured Research

Cover of Healthcare Management Forum Volume 34, No 1, 2021

Healthcare Management ForumJanuary 2021


Implementing a New Capstone Leadership Clinical Course

Nurse Educator • March 2021

Faculty at an undergraduate nursing program in the Midwest integrated Friday Night at the ER and other simulation experiences into a new capstone leadership clinical course in an effort to build student capacity for leadership and ease student transition into professional practice. The game is one of five types of eclectic experiences that comprise the new course.

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Applied systems thinking: The impact of system optimization strategies on financial and quality performance in a team-based simulation

Healthcare Management Forum • Jan 2021

Researcher Phil Cady led two rounds of game play with senior executives from 16 countries to find that those who applied core systems thinking strategies in round two demonstrated substantial improvements in financial and quality performance of the system. The implications for practice are clear and actionable, he writes.

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Participation in a System-Thinking Simulation Experience Changes Adverse Event Reporting

Society for Simulation in Healthcare • June 2020

Researchers’ findings suggest that using Friday Night at the ER or other systems thinking skill-building activities improves error reporting leading to enhanced error prevention strategies.

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A Multisite Study Demonstrates Positive Impacts to Systems Thinking Using a Table-top Simulation Experience

Nurse Educator • April 2020

Researchers analyzed pre- and post-game data from health care students in six different disciplines at five universities to find that those who play Friday Night at the ER demonstrate improved systems thinking skills.

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Enhancing Systems Thinking for Undergraduate Nursing Students Using Friday Night at the ER

Journal of Nursing Education • Nov 2018

Researchers offer a thorough explanation of how systems thinking is foundational to QSEN competencies, how Friday Night at the ER teaches it and how the game produced measurable improvements in systems thinking skills using the Systems Thinking Scale.

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Using a Role-Play Simulation Game to Promote Systems Thinking

Journal of Continuing Education in Nursing • Jan 2019

Educator Judith Young details her experience with Friday Night at the ER in this peer-reviewed piece.

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What a Board Game Reveals about Fighting COVID-19

Shannon G. Taylor Blog • April 2020

Friday Night at the ER illustrates how systems thinking can help hospitals fight pandemics like COVID-19, writes Shannon G. Taylor, an associate professor of management from the University of Central Florida.

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Developing Essential Leadership Skills through Simulation

Organization Development Review • April 2019

Founder Bette Gardner details how simulation is no longer limited to technical skills, and can advance essential leadership skills such as critical thinking, prioritization and effective communication.

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Play to Train: Seriously Fun Medical Board Games for Clinical Learning

HealthySimulation.com • Oct 2019

Friday Night at the ER tops this list of critical thinking board games in healthcare compiled by simulation journalist Lance Baily.

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Friday Night at the ER: Fun Learning Through a Tabletop Simulation

Mark Graban’s Lean Blog • Dec 2018

Lean leadership expert, Mark Graban, describes his experience playing Friday Night at the ER and its compatibility with Lean concepts.

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Health Care Change Agents: Bette Gardner, CEO and Founder, Breakthrough Learning

Medical Training Magazine • Dec 2017

Founder Bette Gardner explains how systems thinking can solve complex problems in healthcare – and any industry.

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‘Friday Night at the ER’ teaches teamwork

Portland Business Journal • Nov 2017

Founder Bette Gardner and CEO Jeff Heil talk about the universality of our team-learning game.

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Rx for Rural Health Care: Friday Night at the ER

Training Magazine • September 2017

Nurse educators from UNC Chapel Hill are using our game to improve communication and collaboration in rural hospitals.

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