Murray, J and Gough, S and Yohannes, A (2016)Using video-reflexive ethnography and simulation-based education to explore patient management and error recognition by pre-registration physiotherapists. Advances in Sim-

Background Upon graduation, physiotherapists are required to manage clinical caseloads involving deteriorating patients with complex conditions. In, particular, emergency on-call physiotherapists are required to provide respiratory/cardiorespiratory/cardiothoracic physiotherapy, out of normal working hours, without senior physiotherapist support. To optimise patient safety, physiotherapists are required to function within complex clinical environments, drawing on their knowledge and skills (technical and non-technical) to maintain situational awareness to function efficiently whilst optimally managing the patient and filtering unwanted stimuli from the environment. Prior to this study, the extent to which final year physiotherapy students were able to manage a deteriorating patient and recognise errors in their own simulated practice was unknown. Methods A focused video-reflexive ethnography study was undertaken to explore behaviours, error recognition abilities and personal experiences of 21 final year (pre-registration) physiotherapy students from one Higher Education Institution. Social constructivism and complexity theoretical perspectives informed the methodological design of the study. Video and thematic analysis of 12 simulation scenarios and video reflexive interviews were undertaken. Results Participants worked within the expected professional standards of physiotherapy practice expected of entry-level physiotherapists. Students reflected appropriate responses to their own and others’ actions in the midst of uncertainly of the situation