區域醫院在醫療體系中承擔急重症照護與醫療品質維持的重要角色，然在人力與教育資源相對有限的情況下，建立穩定且可靠的醫療團隊運作模式具挑戰性。本院以高擬真模擬為核心，將團隊訓練由單次教學活動轉化為制度化運作機制，並結合醫療團隊資源管理與高可靠組織理念，發展跨專業之模擬訓練架構。透過風險導向情境設計、標準化流程、實地模擬及結構化回饋，逐步建立以模擬為核心之訓練制度，並藉由教師培育、跨職類合作與行政整合，確保長期穩定運作。同時，持續參與財團法人醫院評鑑暨醫療品質策進會（醫策會）擬真情境類競賽，透過外部標竿學習與回饋，促進制度持續精進。本文提供具實務性與可轉移性的模式，說明在資源受限之區域醫院中，如何透過模擬訓練建構高可靠醫療團隊。

Regional hospitals play a critical role in providing acute care and maintaining the quality of healthcare services. However, under constraints of limited human resources and educational capacity, establishing stable and reliable team‑based operational models remains a significant challenge. This hospital adopts high-fdelity simulation as a core strategy, transforming team training from one-time educational activities into a structured and institutionalized training mechanism. By integrating team resource management and the principles of high reliability organizations, a multidisciplinary simulation training framework has been developed. Through risk‑based scenario design, standardized training processes, in-situ simulation, and structured debriefng, a simulation-centered team training system was gradually established. In addition, sustained operation is ensured through faculty development, interprofessional collaboration, and administrative integration. The hospital also actively participated in national simulation competitions organized by the Joint Commission of Taiwan, using external benchmarking and feedback to continuously refne and improve the training system. This article presents a practical and transferable model, illustrating how regional hospitals with limited resources can develop high‑reliability healthcare teams through simulation‑based training.