Systems-Focused Simulation to Prepare for COVID-19 Intraoperative Emergencies.

Although intraoperative emergencies are uncommon,1 we need to develop evidence-informed and contextualized guidance for intraoperative emergencies involving patients with COVID-19. At our academic pediatric hospital, we assembled a multi-disciplinary team to examine and adapt intraoperative emergency workflows to ensure safety for patients with suspected COVID-19 infection, and limit exposure for healthcare providers, with a focus on system improvement (rather than individual performance).