AHRQ Patient Safety Network

The Collection > Nurses

PATIENT SAFETY PRIMERS
Nursing and Patient Safety

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Safety Target

•Device-related Complications (48)

•Diagnostic Errors (6)

•Identification Errors (28)

•Discontinuities, Gaps, and Hand-Off Problems (105)

•Fatigue and Sleep Deprivation (22)

•Medication Safety (335)

•Medical Complications (83)

•Nonsurgical Procedural Complications (18)

•Surgical Complications (97)

•Transfusion Complications (1)

•Psychological and Social Complications (24)

Origin/Sponsor

•Asia (25)

•Australia and New Zealand (35)

•Central and South America (3)

Resource Types

•Clinical Guideline (5)

•Journal Article (734)

•Legislation/Regulation (15)

•Meeting/Conference (3)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (71)

•Press Release/Announcement (3)

•Special or Theme Issue (16)

•Tools/Toolkit (12)

•Web Resource (10)

Error Types

•Epidemiology of Errors and Adverse Events (138)

•Active Errors (113)

•Latent Errors (53)

•Near Miss (24)

Approach to Improving Safety

•Quality Improvement Strategies (215)

•Legal and Policy Approaches (33)

•Error Reporting and Analysis (188)

•Communication Improvement (208)

•Human Factors Engineering (122)

•Teamwork (99)

•Specialization of Care (43)

•Logistical Approaches (114)

•Culture of Safety (133)

•Technologic Approaches (126)

•Education and Training (176)

Clinical Areas

•Allied Health Services (3)

•Medicine (454)

•Nursing (528)

•Pharmacy (75)

Target Audience
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Nurses

Setting of Care

•Hospitals (567)

•Psychiatric Facilities (6)

•Residential Facilities (20)

•Ambulatory Care (43)

•Outpatient Surgery (4)

•Patient Transport (4)

1 - 20 of 892

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STUDY

No interruptions please: impact of a no interruption zone on medication safety in intensive care units.

Anthony K, Wiencek C, Bauer C, Daly B, Anthony MK. Crit Care Nurse. 2010;30:21-29.

STUDY

Empowering frontline nurses: a structured intervention enables nurses to improve medication administration accuracy.

Kliger J, Blegen MA, Gootee D, O'Neil E. Jt Comm J Qual Patient Saf. 2009;35:604-612.

STUDY

Nurse interruptions pre- and post-implementation of a point-of-care medication administration system.

Stamp KD, Willis DG. J Nurs Care Qual. 2010;25:231-239.

NEWSPAPER/MAGAZINE ARTICLE

Guidelines for timely medication administration: response to the CMS "30-minute rule."

ISMP Medication Safety Alert! Acute Care Edition. January 13, 2011;16:1-4.

STUDY

Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station.

Colligan L, Guerlain S, Steck SE, Hoke TR. BMJ Qual Saf. 2012;21:939-947.

STUDY

Medication Administration Time Study (MATS): nursing staff performance of medication administration.

Elganzouri ES, Standish CA, Androwich I. J Nurs Adm. 2009;39:204-210.

STUDY

Adverse drug events in hospitalized cardiac patients.

Fanikos J, Cina JL, Baroletti S, Fiumara K, Matta L, Goldhaber SZ. Am J Cardiol. 2007;100:1465-1469.

STUDY

Nursing care quality and adverse events in US hospitals.

Lucero RJ, Lake ET, Aiken LH. J Clin Nurs. 2010;19:2185-2195.

STUDY

Effects of technological interventions on the safety of a medication-use system.

Skibinski KA, White BA, Lin LI, Dong Y, Wu W. Am J Health Syst Pharm. 2007;64:90-96.

STUDY

Bar code medication administration technology: characterization of high-alert medication triggers and clinician workarounds.

Miller DF, Fortier CR, Garrison KL. Ann Pharmacother. 2011;45:162-168.

STUDY

Reducing interruptions to improve medication safety.

Freeman R, McKee S, Lee-Lehner B, Pesenecker J. J Nurs Care Qual. 2013;28:176-185.

NEWSPAPER/MAGAZINE ARTICLE

Design for reliability: barcoded medication administration.

Hayden AC, Lanoue ET, Still CJ. Patient Saf Qual Healthc. July/August 2011;8:12-20.

NEWSPAPER/MAGAZINE ARTICLE

Scanner beep only means the barcode has been scanned.

ISMP Medication Safety Alert! Acute Care Edition. June 30, 2011;16:1-2.

STUDY

Impact of barcode medication administration technology on how nurses spend their time providing patient care.

Poon EG, Keohane CA, Bane A, et al. J Nurs Adm. 2008;38:541-549.

STUDY

Incorrect surgical counts: a qualitative analysis.

Rowlands A, Steeves R. AORN J. 2010;92:410-419.

STUDY

Enhancing patient safety with intelligent intravenous infusion devices: experience in a specialty cardiac hospital.

Wood JL, Burnette JS. Heart Lung. 2012;41:173-176.

COMMENTARY

Is your hospital hospitable?: how physical environment influences patient safety.

Stichler JF. Nurs Womens Health. 2007;11:506-511.

COMMENTARY

Increasing patient safety and surgical team communication by using a count/time out board.

Edel EM. AORN J. 2010;92:420-424.

STUDY

Expanding what we know about off-peak mortality in hospitals.

Hamilton P, Mathur S, Gemeinhardt G, Eschiti V, Campbell M. J Nurs Admin. 2010;40:124-128.

REVIEW

Research on nursing handoffs for medical and surgical settings: an integrative review.

Staggers N, Blaz JW. J Adv Nurs. 2013;69:247-262.

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