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October 31, 2025

Step Inside the Room of Errors: Playful Exploration, Serious Skills

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Debra Loop
DNP, MSN, RN, CNE, CHSE
UbiSim Nurse Educator
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Have you ever walked into a patient room and immediately sensed something was off—a cluttered bedside table, missing identifiers, or equipment that just didn’t look right? That instinct to notice the unnoticed is exactly what the Room of Errors scenario in UbiSim is designed to spark. It’s not your typical simulation—it’s an interactive, investigative experience where observation, curiosity, and teamwork take center stage.

Why I’m Excited About This Scenario

As a certified nurse educator and simulationist, I’ve spent years watching learners perfect clinical skills: assessing vital signs, administering medications, and managing complex patient conditions. But I’ve also seen how easily safety hazards can hide in plain sight. A mislabeled IV line, an elevated bed height, or missing side rails—these are the quiet risks that can turn into serious events if overlooked.

This is why UbiSim created the Room of Errors. It flips the script on traditional simulation. Instead of doing, learners are observing. Instead of performing care, they’re scanning for hidden threats. It’s an exercise in situational awareness, critical thinking, and system-based practice—the kind of deep learning that makes nurses safer and more mindful clinicians.

What Learners Can Expect

When learners step into the Room of Errors, they find themselves in a realistic, fully interactive patient care environment. Their mission? Identify as many safety hazards and clinical risks as they can before time runs out.

The scenario isn’t about memorizing checklists or performing procedures—it’s about thinking like a detective. Learners explore every corner of the virtual space, from medication orders to environmental hazards, and discuss what they find with peers.

Here are just a few examples of what might catch their eye:

  • A medication left unsecured at the bedside, posing a safety risk for patients or visitors.
  • Incorrect allergy information, creating potential for medication or treatment errors.
  • Incorrect siderail usage, increasing the likelihood of a patient fall.

Each detail tells a story, and each story opens a door for deeper reflection. Learners practice noticing environmental, procedural, and human-factor errors that often go unseen in the real world.

The energy in these sessions is contagious—students lean in, point things out, debate whether something’s an error, and sometimes even miss something obvious. And that’s part of the fun. Missing an error isn’t failure—it’s an opportunity for conversation, self-awareness, and growth.

A Different Kind of Simulation

Unlike task-based scenarios, the Room of Errors creates a psychologically safe space where learners can explore without fear of making a clinical mistake. They’re not “doing” patient care—they’re analyzing it. This shift in focus allows students at any level, from beginners to advanced practitioners, to engage meaningfully.

It’s also an excellent group activity. Teams can work together to spot as many hazards as possible. The sense of discovery makes it naturally engaging, while the debrief transforms it into a high-impact learning moment.

To get the most out of the Room of Errors, 

  • Set the tone early. Let learners know there’s no “perfect score.” The goal is exploration, not perfection.
  • Encourage thinking aloud. Hearing how learners reason through what they see makes invisible thought processes visible—and teachable.

Facilitator Tips: Using the Checklist

Facilitators have access to a Room of Errors checklist that helps guide observations and track findings. It’s designed to support—not control—the learning process. I often encourage faculty to use it flexibly. You can check off items as learners identify them or jot notes for discussion later.

Remember, the checklist isn’t the “answer key.” It’s a tool for reflection. The real learning happens in the discussion that follows. Learners who overlook certain hazards often make the richest insights once they realize what they missed.

Here’s one simple approach I like:

  1. Let learners explore freely for 20 minutes.
  2. Have them list all the errors they found. 
  3. Reveal any missed items gradually—each discovery becomes a mini teaching moment.

Debriefing: Where the Magic Happens

The debrief is where the Room of Errors truly shines. Once learners have finished their exploration, guide them through reflective discussion rather than correction. Use what’s found in the Room of Errors to connect back to the bigger picture by discussing safety culture, human factors, or quality improvement in healthcare. Ask open-ended questions like:

  • “Which error stood out to you as most critical—and why?”
  • “If you could fix only one issue immediately, which would it be?”
  • “How might this situation unfold in a real clinical setting?”
  • “What systems or communication gaps allowed these errors to exist?”

These questions help connect the dots between the virtual space and real-world nursing practice. They also highlight teamwork, communication, and prioritization—the soft skills that often matter most in patient safety.

And don’t forget to celebrate discoveries. Learners love realizing how their observations evolved over time. You might even end the session by having them share “one error they’ll never overlook again.” Those insights tend to stick long after the simulation ends. 

Stepping Back: Why the Room of Errors Matters

In healthcare, it’s often the small things that have the biggest impact on patient safety. The Room of Errors brings those “everyday” risks into focus, helping learners slow down, look closer, and strengthen the habits that keep patients safe.

What I love most about this scenario is how naturally it sparks awareness and teamwork. Learners are seeing how errors happen and thinking about how to prevent them. It’s an engaging, reflective experience that connects directly to real-world practice.

For educators, it’s also a reminder that learning doesn’t always come from high-stakes moments. Sometimes, the most powerful lessons emerge from simply noticing what’s right in front of us.

The Room of Errors is more than just another simulation—it’s an invitation to think differently, collaborate meaningfully, and build a stronger culture of safety, one observation at a time.

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UbiSim is used by all 1100 undergraduate nursing students and now accounts for 33% of simulation time in the BSN program

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What is the Room of Errors in nursing simulation?

The Room of Errors is an interactive virtual reality scenario in UbiSim that challenges learners to identify safety hazards in a realistic patient care environment. It promotes awareness, teamwork, and a deeper understanding of how small oversights can impact patient outcomes.

How does the Room of Errors simulation work?

Traditional simulations focus on performing care—administering medications, assessing patients, or making clinical decisions. The Room of Errors flips that model: learners observe and identify safety issues instead of performing tasks. It’s about situational awareness, not procedures, encouraging reflection, collaboration, and critical thinking.

How long does a Room of Errors session take?

The recommended simulation time for the Room of Errors is 20 minutes. Time will need to be added to include both a prebrief and debrief session. Educators can easily adjust timing based on group size, learning goals, and discussion depth.

Who can use the Room of Errors scenario?

The Room of Errors is flexible and engaging for all experience levels. Nursing students build foundational safety awareness, while experienced nurses use it to sharpen observation, teamwork, and system-thinking skills. Everyone benefits from practicing how to spot and prioritize hidden risks.

What errors do students find in Room of Errors?

Learners encounter environmental, procedural, and communication-related hazards such as unsecured medications, incorrect allergy information, and improper siderail use. By recognizing and discussing these issues, learners strengthen their ability to detect risks early and apply safer practices in real-world settings.

Interested in trying UbiSim in your healthcare institution?
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Debra Loop
DNP, MSN, RN, CNE, CHSE
UbiSim Nurse Educator

Debra "Debbie" Loop, DNP, RN, CNE, CHSE, is a Nurse Educator at UbiSim with 37+ years in nursing education and 18 years specializing in simulation. She creates immersive VR scenarios that equip faculty with innovative teaching tools and empower learners to think critically, observe carefully, and practice safely.

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