Development and Feasibility Testing of a Patient Safety Research Simulation

Published:December 11, 2017DOI:


      • Understanding nurse safety behavior in response to interventions is critical.
      • Nurse safety behavior is difficult to manipulate, observe, and analyze in situ.
      • Simulation allows intervention testing without risking patients or disrupting care.
      • A simulation platform was built to test the impact of patient safety interventions.
      • The simulation was found to be realistic and feasible for use in safety research.



      It is critical to understand but difficult to study nursing behavior in response to safety interventions.


      A common nursing scenario, evidence based on appropriate nursing actions in response to patient safety risks, and a corresponding measure of nursing behavior, the Safety Action Performance Scale, were developed. These tools were content validated and tested for feasibility.


      The scenario was low-cost, realistic, and successfully used in a mixed-method pilot study. The Safety Action Performance Scale was easy to use and revise for greater interrater reliability.


      Simulation provides a feasible means for testing safety interventions to improve safety-oriented behavior and subsequent patient outcomes.


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