Identification of Transfusion-Associated Circulatory Overload: An Eye-Tracking Study

Elizabeth A. Henneman, Anna Gawlinski, Cheryl Nicholas, Kelley McAfee, Jenna L. Marquard, Chester Andrzejewski

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


Background: The 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. Sample: A convenience sample consisted of 20 acute and critical care nurses. Method: An observational descriptive study using eye tracking was carried out in a simulated clinical setting. Results: The 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. Conclusion: Our 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.

Original languageEnglish (US)
Pages (from-to)675-679
Number of pages5
JournalClinical Simulation in Nursing
Issue number12
StatePublished - Dec 2017
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2017 International Nursing Association for Clinical Simulation and Learning


  • adverse event
  • biovigilance
  • blood transfusion
  • eye tracking
  • hemotherapy
  • nursing
  • surveillance
  • transfusion-associated circulatory overload (TACO)


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