title: Web-based hazard and near-miss reporting as part of a patient safety curriculum.
abstract: As part of a patient safety curriculum, we developed a Web-based hazard and near-miss reporting system for postbaccalaureate nursing students to use during their clinical experiences in the first year of their combined BS-MS advanced practice nurse program. The 25-week clinical rotations included 2 days per week for 5 weeks each in community, medical-surgical, obstetrics, pediatrics, and psychiatric settings. During a 3-year period, 453 students made 21,276 reports. Of the 10,206 positive (yes) responses to a hazard or near miss, 6,005 hazards (59%) and 4,200 near misses (41%) were reported. The most common reports were related to infection, medication, environmental, fall, and equipment issues. Of the near misses, 1,996 (48%) had planned interceptions and 2,240 (52%) had unplanned interceptions. Types of hazards and near misses varied by rotation. Incorporating hazard and near-miss reporting into the patient safety curriculum was an innovative strategy to promote mindfulness among nursing students.
authors.affiliation: Columbia University School of Nursing, New York, NY 10032, USA. lmc2007@columbia.edu
authors.forename: Leanne M
authors.initials: LM
authors.lastname: Currie
authors.forename: Karen S
authors.initials: KS
authors.lastname: Desjardins
authors.forename: Ellen Sunni
authors.initials: ES
authors.lastname: Levine
authors.forename: Patricia W
authors.initials: PW
authors.lastname: Stone
authors.forename: Rebecca
authors.initials: R
authors.lastname: Schnall
authors.forename: Jianhua
authors.initials: J
authors.lastname: Li
authors.forename: Suzanne
authors.initials: S
authors.lastname: Bakken
mesh_terms: D000328:Adult; D001364:Awareness; D003162:Competency-Based Education / Q000379:methods*; D003479:Curriculum; D004282:Documentation; D004511:Education, Nursing, Graduate / Q000379:methods*; D005260:Female; D006801:Humans; D020407:Internet; D008297:Male; D019300:Medical Errors / Q000517:prevention & control* / Q000706:statistics & numerical data; D008875:Middle Aged; D017751:Safety Management; D014481:United States