Error identification and recovery by student nurses using human patient simulation: opportunity to improve patient safety.
This study examined types of errors that occurred or were recovered in a simulated environment by student nurses. Errors occurred in all four rule-based error categories, and all students committed at least one error. The most frequent errors occurred in the verification category. Another common error was related to physician interactions. The least common errors were related to coordinating information with the patient and family. Our finding that 100% of student subjects committed rule-based errors is cause for concern. To decrease errors and improve safe clinical practice, nurse educators must identify effective strategies that students can use to improve patient surveillance.
Henneman
Elizabeth A
EA
School of Nursing, University of Massachusetts, Amherst, MA 01003, USA. bethann953@aol.com
Roche
Joan P
JP
Fisher
Donald L
DL
Cunningham
Helene
H
Reilly
Cheryl A
CA
Nathanson
Brian H
BH
Henneman
Philip L
PL
D015984:Causality; D016009:Chi-Square Distribution; D002983:Clinical Competence / Q000592:standards; D003144:Communication Barriers; D004508:Education, Nursing, Baccalaureate / Q000458:organization & administration; D006184:Habits; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007400:Interprofessional Relations; D008348:Manikins; D019300:Medical Errors / Q000145:classification / Q000451:nursing* / Q000517:prevention & control* / Q000706:statistics & numerical data; D016294:Models, Nursing; D024802:Nurse's Role / Q000523:psychology; D009730:Nursing Assessment; D015402:Nursing Education Research; D015403:Nursing Evaluation Research; D010355:Patient Identification Systems; D012189:Retrospective Studies; D017751:Safety Management / Q000458:organization & administration*; D013338:Students, Nursing / Q000523:psychology*; D013997:Time Factors; D017749:Total Quality Management / Q000458:organization & administration