NSI is the most frequently reported incident in simulation.

There is a call for a systematic risk assessment protocol.

Increase awareness of risks associated with simulation learning.

All healthcare workplace activities contain inherent safety threats; however, these may be potentially unique within the context of a simulation center. Simulation prioritises safety yet introduces risks.

This scoping review aims to map the existing literature on risk assessment in healthcare simulation centers and identify how risk is assessed, measured and mitigated in these spaces.

The review adhered to the Joanna Briggs Population, Concept and Context (PCC) mnemonic, was reported using the Preferred Reporting Items for Systematic Reviews and Meta Analysis extension for Scoping reviews (PRISMA-ScR) guidelines and registered with Open Science Framework.

A total of 490 articles were found, however only 8 studies met the inclusion criteria. The review highlights a lack of literature regarding the proactive assessment of risks in simulation learning.

There is a need for the development and implementation of standardized risk assessment frameworks to ensure the safety of nursing faculty and students during simulation-based learning activities.

Education

Nursing

Risk

Safety

Simulation

© 2025 The Authors. Published by Elsevier Inc. on behalf of Organization for Associate Degree Nursing.