**3. Results**

Aim 1: Between January 2019 and December 2019, the team conducted 15 in-situ simulations (goal 24) in our Maternal and Newborn Services Division, averaging roughly one simulation per month. The main challenge to conducting in-situ simulations was a persistently high census in the NICU that limited the ability of sta ff to participate without potentially compromising the care of actual patients.

Aim 2: In 2019, 70% of our sta ff (goal 80%) attended two or more simulated scenarios. Seven of the sta ff (26%) attended only one simulation during that time. We fell short of our goal primarily due to medical leave or per diem schedules.
