Learning From Simulation-Based Medication Event Reporting: A Mixed Methods Analysis

Sanko, Jill S.; Mckay, Mary; Santis, Joseph P. De; Solle, Natasha Schaefer

doi:10.1016/j.ecns.2015.04.003

Cited by 5 publications

(3 citation statements)

References 18 publications

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“…The literature review examined studies with nursing students who participated in a simulation and its effect of the first-tine passage rate of the dosage calculation exam. The high-fidelity simulation studies showed there is significant improvement in dosage calculation accuracy (Craig et al, 2021;Fusco et al, 2021;Kim & Lee, 2020;Kuo et al, 2020;Sanko et al, 2015). The results of the data analysis were consistent the literature findings for this research study.…”

Section: Research Questionsupporting

confidence: 86%

Using Simulation in First Year Nursing Student Curriculum to Improve Dosage Calculations

Dubs¹

2023

WJSSR

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Patient safety is of the upmost importance specifically when related to medication administration. Nurses are responsible for safe medication administration as a primary responsibility. Nursing education programs, especially associate degree nursing programs, use high-fidelity simulation to enhance medication administration and dosage calculation. First year nursing students are expected to pass a dosage calculation exam with accuracy to assess safe medication practices. The purpose of this quasi-experimental ex post facto design study was to examine the causal relationship between the medication administration simulation and the dosage calculation test scores in first year, associate degree nursing students. First year nursing students who participated in the high-fidelity medication administration had statistically significant differences in their dosage calculation test scores and the odds of passing the dosage calculation test on the first attempt than the students who did not participate. Age and gender demographic information of the students who participated in the high-fidelity simulation did not show any statistically significant information based on their participation. The study aims to examine which education intervention is effective in improving dosage calculation test scores in first year nursing students. Implementation of high-fidelity simulation experiences can improve dosage calculation exams scores and contribute to a safer nursing workforce.

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Section: Research Questionsupporting

confidence: 86%

Using Simulation in First Year Nursing Student Curriculum to Improve Dosage Calculations

Dubs¹

2023

WJSSR

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“…12 Simulations can be used to teach students how to identify, report, and communicate information regarding medication errors. [13][14][15] Faculty created three innovative medication error simulations highlighting teamwork, communication, the RCA process in an institutional setting, and use of the ISMP fact gathering worksheet in both long term care and community pharmacy settings. 16 Students' change in knowledge, skills, and attitudes regarding medication errors and patient safety were assessed before and after the simulations.…”

mentioning

confidence: 99%

Use of Simulations to Improve Pharmacy Students’ Knowledge, Skills, and Attitudes About Medication Errors and Patient Safety

Frenzel

Skoy

Eukel

2018

American Journal of Pharmaceutical Education

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Objective. To design and evaluate the use of simulations to prepare students to identify and reduce medication errors and promote patient safety.Methods. Third year pharmacy students used methods of root cause analysis to determine the cause of a medication error in three simulated pharmacy settings. Prior to and following the activity, students were invited to complete an anonymous survey. Students were asked to complete a modified Healthcare Professionals Patient Safety Assessment instrument to measure changes in knowledge, skills, and attitudes.Results. Ninety out of 165 students submitted complete data sets for analysis. Students demonstrated significant changes in knowledge, skills, and attitudes regarding medication errors. They felt they could find the cause of an error, identify factors leading to an error, and work with a team to prevent error recurrence. Students also demonstrated an increase in knowledge about medication related errors and the root cause analysis process.

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“…Simulation allows participants to make mistakes in a safe environment under supervision and to debrief after a scenario, helping to maximize learning; topics discussed during debriefing include leadership, crisis resource management, closed loop communication, and the ability to speak up (Norman, 2012;Sanko et al, 2015). Similarly, a series of case studies reported by Kelly et al (2016) found that implementing simulation scenarios among practicing nurses provides experiential learning and opportunity to improve both therapeutic and communication abilities.…”

Section: Role Of Simulationmentioning

confidence: 99%

Implementation of an in-hospital stroke simulation protocol

Ortega

González

Tantillo

et al. 2018

IJHCQA

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Purpose A major component of hospital stroke care involves prompt identification of stroke in admitted patients. Delays in recognizing stroke symptoms and initiating treatment for in-hospital stroke can adversely impact patient outcomes. This quality improvement intervention used simulation together with a traditional lecture to instruct nurses at a university hospital about a new stroke protocol being implemented to increase rapid recognition of stroke and meet Joint Commission National Hospital Inpatient Quality Measures. The paper aims to discuss these issues. Design/methodology/approach In total, 86 registered nurses from the neurology and cardiology units attended a lecture and participated in a simulation scenario with a standardized patient exhibiting stroke symptoms. Participants completed a ten-item pre-test to measure their knowledge of stroke care prior to the lecture; they repeated the test pre-simulation and once again post-simulation to evaluate changes in knowledge. Findings Overall mean stroke knowledge scores increased significantly from pre-lecture to pre-simulation, and from pre-simulation to post-simulation. Simulation plus lecture was more effective than lecture alone in increasing knowledge about hospital stroke protocol despite assigned unit (cardiology or neurology), years of experience, or previous exposure to simulation. Research limitations/implications All eligible nurses who agreed to participate received training, making it impossible to compare improvements in knowledge to those who did not receive the training. Originality/value A diverse array of nursing professionals and their patients may benefit from simulation training. This quality improvement intervention provides a feasible model for establishing new care protocols in a hospital setting.

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Learning From Simulation-Based Medication Event Reporting: A Mixed Methods Analysis

Cited by 5 publications

References 18 publications

Using Simulation in First Year Nursing Student Curriculum to Improve Dosage Calculations

Using Simulation in First Year Nursing Student Curriculum to Improve Dosage Calculations

Use of Simulations to Improve Pharmacy Students’ Knowledge, Skills, and Attitudes About Medication Errors and Patient Safety

Implementation of an in-hospital stroke simulation protocol

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