Abstract
BackgroundThe identification of transfusion-associated circulatory overload (TACO) relies heavily on the nurse's surveillance activities. Eye tracking can provide important information about nurses' surveillance behaviors as they carry out the blood transfusion process. The purpose of this study was to describe the eye movements of nurses who successfully identified TACO. SampleA convenience sample consisted of 20 acute and critical care nurses. MethodAn observational descriptive study using eye tracking was carried out in a simulated clinical setting. ResultsThe TACO identifying nurses had the longest duration of eye fixations on the nursing shift report, infusion pumps, bedside monitor, and documentation flow sheet. The shortest duration of eye fixations was on the patient and blood product label. ConclusionOur findings suggest that the nursing shift report was a key source of data for the TACO identifying nurses, lending support to the need for accurate and complete handoffs between nurses.
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