The Hannaford Center for Safety, Innovation and Simulation is part of Maine Medical Center’s Department of Medical Education and is the only center of its kind in the state. The facility features three distinct learning environments: the Simulation Lab, the Standardized Patient Lab, and the Skills Lab. Each provides a realistic, high-tech setting that allows clinicians to build or enhance their clinical skills and team communication through repeated practice.
The Hannaford Center for Safety, Innovation and Simulation is located in Portland at Maine Medical Center’s Brighton campus.
Our mission is to research and advance the delivery of high-quality, safe, and effective patient care throughout the institution and the region by integrating cutting-edge simulation technologies and educational practices into the training of all learners in a safe, interactive, and transformative environment.
The Hannaford Center for Safety, Innovation, and Simulation at Maine Medical Center will strive to become a highly-regarded, nationally-accredited, multi-disciplinary learning environment. Using sophisticated simulation technologies and educational practices, we will enhance the quality of care and patient safety at Maine Medical Center and throughout Maine.
Providing a safe, learner-focused, and patient-oriented environment, the Center will promote the inclusion of simulation into the training of all healthcare providers.
By active engagement in simulation-based research, the Center will become a laboratory that discovers and disseminates the highest standards of medical education and clinical care. We will serve as a unique resource to other healthcare providers and educators in the region.
The Simulation Center opened its doors on October 5th, 2010. The 18,000 square-foot facility is a fully dedicated facility for conducting both courses and research related to Standardized Patient and Simulation-based training, with emphasis on improving patient safety.
Equipped with the latest computer technology as well as a state-of-the-art software system, the Simulation Center provides educators and learners with a high degree of flexibility when it comes to designing and playing out new scenarios within the Center. We have the ability to start a scenario in the Standardized Patient Lab (with students and actors) and have it progress so that the “patient” (now a patient simulator) is brought to the Trauma room, then the OR, and then the ICU, finally ending the scenario in the Patient Room.
Hannaford joined the effort in early 2010 with a generous donation. The company’s commitment to economic empowerment, youth development, community support, and a healthy Maine is strongly aligned with Maine Medical Center’s vision of creating a pipeline of well-educated, highly-skilled Maine physicians and nurses. Together, we are creating a training center that will provide the vital resources for medical students and continuing learners, who will, in turn, bring the very best care to the bedside.
The Simulation Lab includes three fully-equipped, accurate representations of MMC clinical environments: an Operating Room, a Trauma Bay/Intensive Care Room, and a Medical/Surgical Patient Room. These rooms are equipped and furnished in much the same fashion as MMC’s actual clinical settings.
The Operating Room is an exact replica of an operating room in MMC’s recently- constructed Scarborough Surgery Center. The Trauma Bay, which will also support intensive care scenarios, resembles the trauma bays in MMC’s newly expanded Emergency Department. The Medical/Surgical Patient Room is comparable to recently refurbished and equipped patient care rooms.
These high-fidelity simulation rooms contain sophisticated mannequins, known as patient simulators. Patient simulators are designed to mimic human physiology, from blinking and breathing to accurately responding to medication. The simulators come in preemie, newborn, infant, pediatric, and adult models and can have either male or female anatomies.
Adjacent to each high-fidelity room is a dedicated Control Room. From here, the simulation specialists operate the patient simulator from several dedicated computers within the room. The Control Rooms also house the wireless microphone receivers and video recorders. The educator (instructor) works in concert with the staff to call up and modify simulation scenarios, watch the performance of the simulation participants (learners), direct the surgeon and clinicians (actors), and even provide the patient’s “voice” through a speaker in the mannequin’s head.
The Hannaford Simulation Center has two sections dedicated to hands-on skills: the General Skills Lab and the Surgical Skills Lab.
The General Skills Lab is designed to be a highly flexible and multi-functional space. The room can be set up for practicing on a variety of airway trainers, arterial access trainers, or IV trainers.
We can easily clear out the room and use it as a staging area for a trauma situation. The room is equipped with an integrated audio-video system so that it can be used as a classroom.
As with all the rooms at the Simulation Center, there is the capability in the General Skills Lab to view and record a situation occurring in any other room in the Center. A scenario might begin in General Skills and migrate to the OR, Trauma/ICU, or even the Standardized Patient Lab and be seamlessly recorded as one hybrid event.
The Surgical Skills Lab focuses on providing the training aids necessary to support MMC’s Surgery Programs. The room currently contains six laparoscopic trainers, and we have plans to expand and acquire additional interventional equipment. As with all the other training rooms in the Center, the video feeds from this room can be viewed from any other computer in the facility.
The Standardized Patient (SP) program at MMC uses people of all demographics from the community to help teach and evaluate medical students, residents, faculty, and other allied healthcare providers at MMC. The program was created in 2002 to provide a learning and assessment resource for undergraduate medical education. Since then, the program has expanded beyond medical students to help teach and evaluate residents and multi-disciplinary staff in multiple functions of their profession, including physical examinations, counseling, interviewing, history-taking, communication skills, and personal interaction with patients. Faculty members at MMC have found the SP methodology to be an innovative way to teach and assess a learner’s clinical skills.
The Standardized Patient Lab at the Hannaford Simulation Center takes the SP program to a new and exciting level. We now partner with Tufts University and host hybrid events that combine work with SPs and high-fidelity simulators!
On a more basic level, the new facility at Brighton Medical Center now incorporates state-of-the-art audio-visual capabilities with the latest software technology especially designed for the Standard Patient program. With these advancements, developing, designing, changing, and executing Objective Structured Clinical Examinations (OSCEs) and Observed Structured Teaching Exercises (OSTEs) will be a much more efficient and streamlined process for the instructors, faculty, and learners.
To learn more about work as a standardized patient, please visit our Frequently Asked Questions document
To become a standardized patient, please e-mail us
for the date of our next Standardized Patient Information Session.
The Hannaford Simulation Center uses commercially available simulators and state-of- the-art trainers for teaching and research.
In the Simulation Lab we use several mannequins to support high-fidelity scenarios: the Human Patient Simulator (METI), SimMan (Laerdal), and Noelle (Gaumard). These are life-size, computer-model-driven mannequins that mimic many elements of human physiology, such as a heartbeat, pulse, and breathing. They can also accurately respond to procedures such as ventilation, CPR, intravenous medication, and catheterization. The METI HPS model is equipped with the additional capability of being able to inhale oxygen and nitrogen, exhale carbon dioxide, and accurately respond to medication.
Our high-fidelity simulators include the following:
- Adult patient simulators: Used in the Operating Room for high-fidelity training. These mannequins can “breathe,” meaning they take in oxygen/nitrogen and exhale carbon dioxide.
- A pediatric patient simulator (representing a five-year-old child): Used for high- fidelity training
- Wireless patient simulators
- Birthing simulators: These mannequins can be programmed to represent a mother in varying stages of pregnancy and can simulate the delivery of a baby. They are wireless and have elaborate monitoring systems.
- A 12 lead/lung compliance high-fidelity simulator with advanced cardiovascular capabilities
- An infant patient simulator
- A premature-infant patient simulator
- A cardiopulmonary simulator: Used for training on cardiovascular diseases. It allows for very fine listening of 30 different heart sounds, ranging from common conditions to rare diseases.
The General Skills Lab currently features a wide variety of different trainers and equipment, including:
- A 3-D TEE/TTE training simulator
- Ultrasound-capable skills trainers for FAST training, central-line-access training, and nerve-block training
- An extrication simulator
- Adult difficult-airway trainers
- Adult airway trainers
- Pediatric airway trainers (representing a six-year-old child)
- Infant airway trainers (representing newborn and premature babies)
- Adult arterial access trainers: Used to practice IV insertions
- A pediatric IV access arm
- A venous IV trainer
- A scrub sink, where students are evaluated on their pre-surgery preparations
The Surgical Skills Lab is focused on providing equipment to support our surgery training programs. Six laparoscopic surgery skills training machines. These allow students and surgeons to practice and refine their surgical skills using laparoscopic surgical tools. An upper GI/lower GI and bronchoscopy simulator