J Korean Acad Fundam Nurs.  2015 May;22(2):180-189. 10.7739/jkafn.2015.22.2.180.

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

• Kim EJ

• KMID: 2295846
• DOI: http://doi.org/10.7739/jkafn.2015.22.2.180

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.

Keyword

Blood transfusion; Nursing education; Patient safety; Patient simulation

MeSH Terms

Blood Group Incompatibility
Blood Transfusion
Education, Nursing
Humans
Mental Competency
Nursing*
Patient Safety
Patient Simulation
Students, Nursing