“…Articles that used simulation to test concepts, practices, or in which simulation was detailed in recommendations were also included. Excluded articles with examples from IU included studies such as computer-generated depictions of disease spread, 44 pharmacologic actions, 45 physiological human performance, 46 or other predictive computer models, 47 computer-based simulations for designing patient treatments in areas such as radiation oncology, 48 simulated cells or organs, 49 and biological genetic modifications for laboratory testing 50 ; simulation studies without humans as learners 51 ; simulations for nonmedical procedures such as crash tests 52 ; and other studies that were not related to the goals of learning, assessment, systems integration, or process improvement. In addition, author affiliations were reviewed to ensure that all included articles had at least one author who at the time of publication was from Indiana University, Riley Hospital for Children, or IU Health.…”