Available online 2 November 2022

Abstract

For over two decades, healthcare organizations have emphasized developing a culture of safety rather than simply focusing on preventing error. However, healthcare errors continue at great cost to patients and healthcare organizations. The recent high-profile conviction of a former nurse in a university medical center for a medication error highlights the need for deeper integration of just culture across all levels of healthcare. Nurse educators must embrace just culture and safety event reporting in didactic and competency-based learning. The literature is replete regarding the importance of just culture in nursing education, student errors, and the development of reporting systems, but there is no description of implementation of error and near miss reporting and integration of just culture in nursing programs. This article describes the implementation of successful error and near miss programs in two nursing programs and provides recommendations for promoting and sustaining just culture in nursing education through robust safety event reporting.

Section snippetsContext

ENM reporting was implemented at two unique nursing programs. School A is an associate degree nursing program in the Midwest. School B is a private, baccalaureate nursing program in the Southwest. Both nursing programs have an approximate enrollment of 450 students. The majority of students at both schools are female, white, and between the ages of 18 and 25.

Intervention

Implementing an ENM reporting system is more than developing a reporting tool and distributing it to students. To be successful, key

Discussion

This manuscript provides a detailed description of two schools’ parallel journeys implementing ENM reporting systems and aspects of just culture but does not provide generalizable standards or evidence. Unfortunately, current available literature also fails to describe implementation efforts, sustained impact, and implications of just culture within nursing education. The next step in integrating ENM reporting and just culture into nursing education are projects evaluating ENM reporting and

Declaration of Competing Interest

The authors of this manuscript have no conflict of interest to disclose.

References (27)D. Vrbnjak et al.Barriers to reporting medication errors and near misses among nurses: A systematic review

International Journal of Nursing Studies

(2016)

D. MarxPatient safety and the just culture

Obstetrics and Gynecology Clinics of North America

(2019)

J. Disch et al.Developing a reporting and tracking tool for nursing student errors and near misses

Journal of Nursing Regulation

(2014)

A.M. Abu Alrub et al.Barriers and enablers in implementing an electronic incident reporting system in a teaching hospital: A case study from Saudi Arabia

International Journal of Health Planning Management

(2022)

Agency for Healthcare and Quality. (2016). TeamSTEPPS®: Strategies and tools to enhance performance and patient safety....American Association of Colleges of Nursing (2021). AACN essentials....American Nurses Association. (2010). Position statement on just culture....J. Barnsteiner et al.Creating a fair and just culture in schools of nursing

The American Journal of Nursing

(2017)

N.P. Barkell et al.Just culture in healthcare: An integrative review

Nursing Forum

(2021)

S. Dennison et al.Benefits of reporting and analyzing nursing students' near-miss medication incidents

Nurse Educator

(2022)

S. Dionisi et al.Nursing students' experience of risk assessment, prevention and management: A systematic review

Journal of Preventive Medicine and Hygiene

(2021)

J. Disch et al.CE: Original research exploring how nursing schools handle student errors and near misses

The American Journal of Nursing

(2017)

C. Emerson et al.Use of clinical faculty input in development of an error and near-miss reporting form

Nurse Educator

(2019)

View full text

© 2022 Organization for Associate Degree Nursing. Published by Elsevier Inc. All rights reserved.