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Can a Checklist Facilitate Recognition of a Transfusion-Associated Adverse Event by Prelicensure Nurses?
Sue S Scott1, Marcia Scanlon, Michele McKelvey
1Author Affiliations: Associate Professor (Dr Scott) and Professor and Chairperson (Dr Scanlon), School of Nursing, Westfield State University, Westfield, Massachusetts; Associate Professor (Dr McKelvey), School of Nursing, Central Connecticut State University, New Britain; Chief Executive Officer (Dr Nathanson), OptiStaTim, Longmeadow, Massachusetts; and Medical Director (Dr Andrzejewski), Baystate Health Transfusion Medicine Services, Springfield, Massachusetts.
Background:
Early identification of a transfusion-associated adverse event (TAAE) is key to patient safety. Research has indicated that use of a TAAE checklist resulted in greater frequency of TAAE recognition behaviors.
Purpose:
To explore whether use of a TAAE checklist resulted in greater frequency of TAAE recognition behaviors among nursing students.
Methods:
A prospective, randomized controlled study was conducted with 62 nursing students playing the role of a registered nurse in a simulation of a patient exhibiting clinical indicators of a TAAE. Subjects were randomly assigned to have or not have a TAAE checklist. Time to recognition of the TAAE was measured.
Results:
The checklist group (CG) identified TAAEs on average 4 minutes sooner than the non-CG ( P < .001). CG subjects were also significantly less likely to miss TAAEs completely.
Conclusions:
A checklist may improve the safety of transfusions by promoting earlier recognition and treatment of TAAEs.
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