The effects of fundamental nursing practice education using ‘room of errors’ simulation on nursing students’ perception, knowledge, and activities related to patient safety management

Purpose: This study aims to develop a fundamental nursing practice education program using the room of errors simulation for second-year nursing students and to validate its effects on their perceptions, knowledge, and activities related to patient safety management.Methods: A non-equivalent control group pretest-posttest design was used. Participants were 68 nursing students (experimental group: 35, control group: 33) from two universities. The experimental group completed two 2-hour simulation sessions using the room of errors simulation. The study was conducted from December 9 to December 30, 2024.Results: After participating in the error simulation, the experimental group showed statistically significant improvements in knowledge (t=4.70, p<.001) and activities (t=3.60, p=.001) related to patient safety management compared with the control group. However, no significant difference was observed in perceptions of patient safety management between the groups (t= -0.70, p=.489).Conclusion: The room of errors simulation program effectively enhanced nursing students’ knowledge and activities related to patient safety management. These findings indicate that integrating “room of errors” simulation training strategies into second-year fundamental nursing practice is essential.