top of page

Second Victim

Just Culture, Medication Error Prevention, and Second Victim Support: A Better Prescription for Preparing Nursing Students for Practice


May 12, 2021

Just Culture, Medication Error Prevention, and Second Victim Support: A Better Prescription for Preparing Nursing Students for Practice is a white paper created by a team of academic professional nursing faculty in Georgia along with expert consultants, including ISMP. The white paper serves as a call to action to nursing programs to change the way they are preparing students for practice by:

  • Creating a Just Culture within the nursing program

  • Teaching nursing students about human fallibility and medication error prevention

  • Establishing a second victim response team within the nursing program

The competencies related to Just Culture, medication error prevention, and the second victim phenomenon overlap in significant ways and should be integrated seamlessly into the professional nursing curriculum, beginning with the first semester. While specific classes or courses may be developed to teach students the basic concepts associated with these critical competencies, they should not be taught in isolation. Although making medication errors, experiencing adverse events, witnessing or experiencing the second victim phenomena, and catching clear glimpses of the underlying culture of patient care are unpredictable, these topics should be included as part of the student’s clinical goals and captured spontaneously in teachable moments throughout the students’ educational experience.

Using the Quality and Safety Education for Nurses (QSEN) format, a set of new critical competencies for Just Culture, second victim support, and medication error prevention is provided in the white paper, as well as links to additional resources. Appendices also include tables that present the causes of medication errors and examples of student nurse-related medication errors.

How to Cite This Paper:

Jones J, Treiber L, Shabo R, et al. Just Culture, medication error prevention, and second victim support: a better prescription for preparing nursing students for practice [White paper]. Kennesaw, GA: WellStar School of Nursing, WellStar College of Health and Human Services, Kennesaw State University. 2021.


ISMP website publishing of second vic. report


Link to document below:


Recent Posts

See All

Education Competencies

American Association of Colleges of Nursing (AACN) Link: Additional competencies as it relates to clinical nurse specialists, advanced practice family and women’s nurse pract

Resources and Tools

This section includes useful websites, clinical practice guidelines (CPGs) and assessment/intervention tools related to quality and safety Websites: (in alphabetical order) 1. Advancing Excellence in


Advocacy: Article: Advocating for the elderly adult (attached to main page) Coalition of Geriatric Nursing Organizations (CGNO) Ombudsman Stems from the Older American Act of 1965 and provides federal


bottom of page