Schubert Carolyn R
College of Nursing, The Ohio State University, Columbus, Ohio 43210, USA.
J Contin Educ Nurs. 2012 Oct;43(10):467-71. doi: 10.3928/00220124-20120904-27. Epub 2012 Sep 11.
Failure to rescue events are hospital deaths that result from human error and unsafe patient conditions. A failure to rescue event implies that the last and best chance to avoid tragedy is not acted on in time to avoid a disaster. Patient safety is often compromised by nurses who do not perform accurate assessments (vigilance), do not detect clinical changes (surveillance), or do not display critical thinking (recognition that something is wrong). This project used simulation as a teaching strategy to enhance nursing performance. Medical-surgical nurses took part in a simulated failure to rescue event in which the patient's clinical condition deteriorated rapidly. Nursing knowledge and critical thinking improved after the simulation and showed the effectiveness of simulation as a teaching strategy to address nursing knowledge and critical thinking skills.
未能成功挽救事件是指因人为失误和不安全的患者状况导致的医院内死亡。未能成功挽救事件意味着避免悲剧的最后也是最佳机会没有及时得到利用以避免灾难。患者安全常常因护士未进行准确评估（警觉性）、未察觉临床变化（监测）或未展现批判性思维（认识到出现问题）而受到损害。本项目将模拟作为一种教学策略来提高护理表现。内科-外科护士参与了一次模拟的未能成功挽救事件，其中患者的临床状况迅速恶化。模拟之后，护理知识和批判性思维得到了提高，这表明模拟作为一种解决护理知识和批判性思维技能的教学策略是有效的。
