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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.

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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.