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How Do Simulated Error Experiences Impact Attitudes Related to Error Prevention?

Karen R Breitkreuz1, Renae L Dougal, Melanie C Wright

  • 1From the School of Nursing (K.R.B.), Boise State University; Nursing Research and Education Specialist (R.L.D.), Saint Alphonsus Health System; and Patient Safety Research (M.C.W.), Saint Alphonsus Health System and Trinity Health, Boise, ID.

Simulation in Healthcare : Journal of the Society for Simulation in Healthcare
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PubMed
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Simulated error experiences and educational movies both improved nursing students' caution in medication administration. Simulation heightened awareness of error occurrence, while movies emphasized consequences, with both methods showing lasting effects on error prevention behaviors.

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Area of Science:

  • Nursing Education
  • Patient Safety
  • Healthcare Simulation

Background:

  • Error prevention behaviors are crucial in healthcare.
  • Understanding how educational interventions impact these behaviors is essential for improving patient safety.
  • Simulated learning environments offer a novel approach to error education.

Purpose of the Study:

  • To investigate if simulated exposure to error situations alters attitudes favorably for error prevention.
  • To compare the effectiveness of simulated error experiences versus traditional movie-based education on nursing students' attitudes.

Main Methods:

  • A quasi-randomized experiment design was employed with nursing students.
  • The experimental group underwent simulated error experiences, while the control group received standard education (movies).
  • Attitudes measured included perceived error frequency, memorability, and caution in preventing errors.

Main Results:

  • Both simulation and movie interventions increased participants' intentions to be more cautious.
  • Perceived caution remained elevated 6 months post-intervention for both groups.
  • Simulation participants perceived errors as more frequent, while movie participants focused on consequences.

Conclusions:

  • Simulation offers limited advantages over movies in attitude manipulation for error prevention.
  • Both educational methods demonstrated long-term positive impacts on perceived caution in medication administration.
  • Simulated experiences enhance awareness of error ease, whereas movies highlight error consequences.