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Senior nursing students identified preventable medical-surgical errors and near-miss events (ENME). Key factors included cognitive issues, human factors, system flaws, and communication breakdowns, highlighting patient safety improvement opportunities.

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Area of Science:

  • Nursing Education
  • Patient Safety
  • Clinical Error Analysis

Background:

  • Medical-surgical nursing errors pose risks to patient safety.
  • Understanding near-miss events (ENME) is crucial for proactive safety measures.
  • Senior nursing students' perspectives offer valuable insights into clinical practice challenges.

Purpose of the Study:

  • To identify medical-surgical clinical error near-miss events (ENME) reported by senior nursing students.
  • To determine the causative factors contributing to these ENMEs.
  • To explore the potential for improving patient safety through ENME analysis.

Main Methods:

  • Qualitative and quantitative data collection using a survey tool.
  • Data gathered from senior-level nursing students during clinical courses.
  • Analysis of reported ENMEs and their associated contributing factors.

Main Results:

  • Students identified cognitive and behavioral/performance issues as significant factors.
  • Human factors, system issues, and communication were also reported as contributing causes.
  • A high percentage (97%) of identified ENMEs were deemed preventable.

Conclusions:

  • Identifying ENMEs and their causes can enhance patient safety.
  • The findings offer feedback for nursing student and faculty development.
  • Data can inform programmatic and curricular changes in nursing education.