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Participation in a System-Thinking Simulation Experience Changes Adverse Event Reporting
1From the University of Miami School of Nursing and Health Studies, Coral Gables, FL.
Summary
Exposure to system thinking (ST) simulation improved adverse event reporting in healthcare students. This suggests ST training can enhance safety monitoring behaviors and reduce system failures in patient care.
Area of Science:
- Healthcare education
- Patient safety
- Systems engineering
Background:
- System failures are a significant cause of adverse events in US healthcare annually.
- This study investigated the effect of a simulation-based system thinking (ST) intervention on adverse event reporting patterns.
Purpose of the Study:
- To determine if a simulation experience designed to improve system thinking (ST) impacts adverse event reporting patterns among healthcare students.
- To explore the relationship between ST development and safety monitoring behaviors.
Main Methods:
- An intervention-control study design was employed.
- Nursing and medical students participated in a simulation-based interprofessional patient safety course.
- Adverse event reporting data from a simulated system were analyzed for intervention and control groups.
Main Results:
- Statistically significant differences in reported adverse events were observed between intervention and control groups (P < 0.001).
- The intervention group reported more medication-related adverse events.
- The control group reported more failure to rescue and airway-related events.
Conclusions:
- Simulation designed to develop system thinking (ST) appears to influence adverse event reporting.
- Findings suggest that ST training may positively alter safety monitoring behaviors in healthcare professionals.
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