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Published on: September 20, 2018
Medical-Surgical Clinical Student Error and Near-Miss Event Reporting
Diane M Rudolphi1, Jessica Madiraca, Erlinda C Wheeler
1About the Authors Diane M. Rudolphi, MS, RN, and Jessica Madiraca, MSN, RN, CNS, CCRN-K, are continuing non-tenure-track faculty, School of Nursing, University of Delaware, Newark, Delaware. Erlinda C. Wheeler, DNS, RN, is professor emeritus, School of Nursing, University of Delaware. For more information, contact Diane Rudolphi at drudolph@udel.edu.
Abstract:
The aim of this study was to identify medical-surgical clinical error near-miss events (ENME) and causative factors as reported by senior-level nursing students. Qualitative and quantitative ENME data were obtained using a survey tool during clinical courses. Students identified cognitive and behavioral/performance issues, human factors, system issues, and communication as contributing factors, with 97 percent of the errors reported as preventable. Identifying ENMEs with causative factors may ultimately increase patient safety. The data provide feedback contributing to student and faculty growth while also identifying opportunities for programmatic and curricular change.
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