Nursing Students' Error and Recovery in Transfusion Simulation for Safety Competency / 기본간호학회지

ABSTRACT

PURPOSE: The purpose of this study was to identify the types of errors that occurred and were recovered in a simulated transfusion scenario by nursing students. METHODS: Twenty-eight teams of a total of 89 nursing students participated in a transfusion simulation using a high fidelity simulator. Data were collected by observing rule based errors and built in errors recovered according to the framework of Eindhoven model. Reflective journaling was used to identify perceived safety-threatening errors and commitment to improvement. Data were analyzed using descriptive statistics. RESULTS: All teams committed the rule based errors in the scenario. The most common errors occurred in the coordination category related to communication with physician. Most of students perceived the transfusion reaction as a safety-threatening error. CONCLUSION: The findings indicate that students lack patient safety competence. The simulation training to decrease errors and improve safe practice provides nursing students with an effective strategy to develop patient safety competence.