Simulation based training (SBT) plays a pivotal role in quality improvement and patient safety. Simulation is not only for training health care professionals but also an excellent tool for systems and facility changes which will potentially improve patient safety and ultimately outcomes. SBT is already established both as a training modality, and as a quality improvement tool in high income countries. It’s use in low and middle-income countries (LMIC), including India, however, is sporadic and variable because of multiple barriers. The barriers for establishment of simulation are lack of knowledge about benefits of simulation, psychological resistance, cost, and lack of trained faculty. PediSTARS (Pediatric Simulation Training and Research Society), a simulation society was founded in August 2013 to spread the simulation across India and thus improve the quality and safety of health care using SBT. In this article we discuss various barriers for healthcare simulation in India and also our attempts to overcome some of these barriers by collaborative practice.

基于模拟的培训 (SBT) 在质量改进和患者安全方面发挥着关键作用。模拟不仅用于培训医疗保健专业人员，而且还是系统和设施变更的绝佳工具，这将潜在地改善患者安全并最终改善结果。SBT 在高收入国家既是一种培训方式，也是一种质量改进工具。然而，由于多重障碍，它在包括印度在内的低收入和中等收入国家 (LMIC) 的使用是零星的和多变的。建立模拟的障碍是缺乏关于模拟的好处、心理阻力、成本和训练有素的教师的知识。PediSTARS（儿科模拟培训和研究协会），一个模拟协会成立于 2013 年 8 月，旨在将模拟传播到整个印度，从而提高使用 SBT 的医疗保健质量和安全性。在本文中，我们讨论了印度医疗保健模拟的各种障碍，以及我们通过协作实践克服其中一些障碍的尝试。