*Corresponding author:Ruth Everett-Thomas, Assistant Professor of Clinicals, University of Miami School of Nursing and Health Studies, 5030 Brunson Drive suite 133,Coral Gables, Florida 33146, USA
Received: July 03, 2017; Published: July 14, 2017
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Root cause analysis (RCA) provides an important opportunity for healthcare workers to identify the underlying factors that may contribute to medical errors or sentinel events and subsequently prevent their recurrence. Because of its efficacy, The Joint Commission’s (TJC) recommended RCA framework together with In-situ simulation were used to assess nurses’ attitudes toward patient safety immediately after simulation training and six months later. Thirty-three nurses from a hospital setting participated in RCA sessions which included: a lecture, a simulated patient scenario and debriefing. A 36-item “Safety Attitudes: Frontline Perspectives” survey was given before and after each session and six months’ later. Twelve (39%) nurses responded favorably to patient safety initiatives on the first survey, and twenty-nine (89%) responded favorably after six months (p=0.001). A significant number (p=0.003) of nurses perceived that the institution still needs to improve some patient safety measures. Consequently, In-situ simulation may be an effective tool and have lasting benefits for guiding RCA sessions among nurses.