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Use of Clinical Faculty Input in Development of an Error and Near-Miss Reporting Form

Emerson, Christie, MSN, RN; Shabo, Rebecca, PhD, RN, PPCNP-BC; Jones, Jackie, EdD, RN

doi: 10.1097/NNE.0000000000000595
Nurse Educator: PDF Only

Background Nonreporting of medical errors is an impediment to error prevention and safety in the clinical environment. Many prelicensure nursing education programs do not have policies, procedures, or forms to support student reporting of errors or near misses during their clinical experiences.

Purpose The purpose of this study was to describe the experiences of clinical faculty with prelicensure nursing student errors or near misses in the clinical environment and to use this information to create a reporting form.

Methods Focus groups were used to obtain information about the experiences of clinical faculty (n = 28) with errors or near misses of students.

Results Clinical faculty reported students having safety issues with medication administration, being too task oriented, and modeling shortcut behaviors they had witnessed in clinical practice rather than performing skills as they had learned them. Using information obtained, a clinical error and near-miss reporting form was developed.

Conclusions This form has the potential to increase patient safety in the clinical environment by improving reporting.

Author Affiliations: Clinical Assistant Professor of Nursing and BSN Part-Time Faculty Coordinator and Clinical Agency Liaison (Ms Emerson), Associate Professor of Nursing and Interim Associate Director of Undergraduate Nursing Programs (Dr Shabo), and Professor of Nursing and Interim Assistant Director of Undergraduate Programs (Dr Jones), WellStar School of Nursing, Kennesaw State University, Georgia.

The authors declare no conflicts of interest.

Correspondence: Dr Jones, Kennesaw State University, 520 Parliament Garden Way, Room 3110, MD 4102, Kennesaw, GA 30144 (jjone229@kennesaw.edu).

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Accepted for publication: July 11, 2018

Published ahead of print: September 6, 2018

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