Send a text What if the most powerful fix for a bad clinical outcome isn’t another skills refresher, but a simulation that tests your actual system under real constraints? We sit down with Dr. Sarah Beebe—nurse midwife, educator, and founder of 2Bs Consulting—to unpack how translational simulation turns training into measurable change. From a teen birth scenario that ignited curiosity and clarity to a clinic code that exposed equipment gaps and role confusion, Sarah shows how reenacting real cases can reveal the truth that root cause summaries often miss. We dig into the nuts and bolts: moving beyond individual blame to examine carts, defibrillators, room layout, staffing, and communication flows. Sarah explains why language matters, how psychological safety unlocks honest reflection, and what “good” debriefing looks like when the goal is system redesign. Then we zoom out to strategy. Hospitals already track length of stay, sepsis bundle compliance, code frequency, and time-to-shock—so use that data to script scenarios. When dashboards drive training, simulation aligns with current risks, and teams can watch metrics improve as workflows are fixed, roles are clarified, and equipment is streamlined. AI is changing the game, too. We explore practical, near-term uses: generating scenario variants that match caseload trends, creating virtual standardized patients, and supporting debriefs with timing and communication analytics. Sarah’s research in screen-based simulation highlights how digital tools can assess diagnostic reasoning at scale, while preserving the facilitator’s judgment at the bedside. The throughline is clear: treat simulation as continuous quality improvement—measure, simulate, fix, remeasure—and watch confidence return after tough events. If you care about safer care, faster recognition, and teams that trust their processes, this conversation offers a roadmap you can start using today. Subscribe, share with your quality and education leads, and leave a review with one question you want simulation to answer next. Innovative SimSolutions. Your turnkey solution provider for medical simulation programs, sim centers & faculty design.