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환자 안전 역량을 위한 수혈 시뮬레이션에서 간호학부생의 오류 발생과 복구 수준

 Nursing Students’ Error and Recovery in Transfusion Simulation for Safety Competency

기본간호학회지 2015년 22권 2호 p.180 ~ 189
KMID : 0388320150220020180
김은정 ( Kim Eun-Jung ) - 한림대학교 간호학부

Abstract

Purpose: The purpose of this study was to identify the types of errors that occurred and were recovered in a simulated transfusion scenario by nursing students.

Methods: Twenty-eight teams of a total of 89 nursing students participated in a transfusion simulation using a high fidelity simulator. Data were collected by observing rule based errors and built in errors recovered according to the framework of Eindhoven model. Reflective journaling was used to identify perceived safety-threatening errors and commitment to improvement. Data were analyzed using descriptive statistics.

Results: All teams committed the rule based errors in the scenario. The most common errors occurred in the coordination category related to communication with physician. Most of students perceived the transfusion reaction as a safety-threatening error.

Conclusion: The findings indicate that students lack patient safety competence. The simulation training to decrease errors and improve safe practice provides nursing students with an effective strategy to develop patient safety competence.
KeyWords
수혈, 간호교육, 환자 안전, 시뮬레이션
Blood transfusion, Nursing education, Patient safety, Patient simulation
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학술진흥재단(KCI) KoreaMed