**5. Conclusions**

This manuscript describes our unit's experience with implementing a simulation and debriefing program in a NICU QI collaborative setting. Our overall objective was to integrate an in-situ simulation and debriefing program in the context of our local unit and achieve widespread interprofessional simulation and debriefing experiences. Once we achieve consistent and sustained in-situ simulations and debriefings (conducting two simulations monthly for six months), our future goals include: (1) integrating CAPE's debriefing techniques into debriefings following actual clinical events; (2) continuing to train the current members of our simulation team and recruit new members; and (3) using patient outcome data from the CPQCC database to inform future QI projects, using simulation as a method for evaluation and feedback.

**Author Contributions:** Conceptualization, H.C.L. and J.Q.; Data curation, M.E. and T.Z.; Formal analysis, M.E. and T.Z.; Funding acquisition, H.C.L.; Investigation, M.E.; T.Z., H.C.L., J.B., N.Y., J.F., R.C., and J.Q.; Methodology, M.E., T.Z., H.C.L., J.B., L.P.H., N.Y., J.F., R.C., and J.Q.; Project administration, J.B. and J.Q.; Resources, L.P.H., N.Y., J.F. and R.C.; Supervision, H.C.L. and L.P.H.; Validation, M.E., T.Z., and J.Q.; Visualization, M.E., T.Z., and J.B.; Writing—original draft, M.E., T.Z., and J.Q.; Writing—review and editing, H.C.L., J.B., L.P.H., R.C., and J.F. All authors have read and agreed to the published version of the manuscript.

**Funding:** Research reported in this paper was supported by the Eunice Kennedy Shriver National Institute of Child Health and Human Development of the National Institutes of Health under award number 1R01HD087425 (PI: Lee, Stanford). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Research reported in this paper was also supported by the Endowment for the Center for Advanced Pediatric and Perinatal Education.

**Acknowledgments:** The authors wish to thank CPQCC, CAPE, NeoQIP, and St. Jude's Nursing and Neonatology Leadership, NICU team, and Respiratory Therapy Department for their participation in *Simulating Success*. The dedication demonstrated by these teams during this collaborative shows their commitment to improving patient safety and neonatal outcomes.

**Conflicts of Interest:** The authors declare no conflict of interest.
