AHRQ Patient Safety Network

The Collection > Nurses

PATIENT SAFETY PRIMERS
Nursing and Patient Safety

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Safety Target

•Device-related Complications (45)

•Diagnostic Errors (8)

•Identification Errors (29)

•Discontinuities, Gaps, and Hand-Off Problems (91)

•Fatigue and Sleep Deprivation (20)

•Medication Safety (340)

•Medical Complications (74)

•Nonsurgical Procedural Complications (14)

•Surgical Complications (101)

•Transfusion Complications (2)

•Psychological and Social Complications (21)

Origin/Sponsor

•Asia (20)

•Australia and New Zealand (24)

•Central and South America (3)

Resource Types

•Clinical Guideline (5)

•Journal Article (689)

•Legislation/Regulation (13)

•Meeting/Conference (2)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (68)

•Press Release/Announcement (8)

•Special or Theme Issue (11)

•Tools/Toolkit (15)

•Web Resource (11)

Error Types

•Epidemiology of Errors and Adverse Events (148)

•Active Errors (118)

•Latent Errors (47)

•Near Miss (19)

Approach to Improving Safety

•Quality Improvement Strategies (220)

•Legal and Policy Approaches (30)

•Error Reporting and Analysis (181)

•Communication Improvement (200)

•Human Factors Engineering (114)

•Teamwork (88)

•Specialization of Care (40)

•Logistical Approaches (95)

•Culture of Safety (107)

•Technologic Approaches (119)

•Education and Training (159)

Clinical Areas

•Allied Health Services (2)

•Medicine (467)

•Nursing (440)

•Pharmacy (74)

Target Audience
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Nurses

Setting of Care

•Hospitals (538)

•Psychiatric Facilities (4)

•Residential Facilities (13)

•Ambulatory Care (36)

•Outpatient Surgery (3)

•Patient Transport (2)

1 - 20 of 845

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STUDY

Detecting adverse drug reactions on paediatric wards: intensified surveillance versus computerised screening of laboratory values.

Haffner S, von Laue N, Wirth S, Thurmann PA. Drug Saf. 2005;28:453-464.

COMMENTARY

Improving safety throughout the medication use process in a neonatal intensive care unit.

Asdigha MN. Hosp Pharm. 2006;41:1067-1075.

STUDY

Child-specific risk factors and patient safety.

Woods DM, Holl JL, Shonkoff JP, Mehra M, Ogata ES, Weiss KB. J Patient Saf. 2005;1:17-22.

STUDY

High rates of adverse drug events in a highly computerized hospital.

Nebeker JR, Hoffman JM, Weir CR, Bennett CL, Hurdle JF. Arch Intern Med. 2005;165:1111-1116.

STUDY

Risk factors for adverse drug events: a 10-year analysis.

Evans RS, Lloyd JF, Stoddard GJ, Nebeker JR, Samore MH. Ann Pharmacother. 2005;39:1161-1168.

STUDY

ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2011.

Pedersen CA, Schneider PJ, Scheckelhoff DJ. Am J Health Syst Pharm. 2012;69:768-785.

STUDY

Epidemiology, comparative methods of detection, and preventability of adverse drug events.

Al-Tajir GK, Kelly WN. Ann Pharmacother. 2005;39:1169-1174.

REVIEW

How to avoid paediatric medication errors: a user's guide to the literature.

Walsh KE, Kaushal R, Chessare JB. Arch Dis Child. 2005;90:698-702.

NEWSPAPER/MAGAZINE ARTICLE

Patient safety in the ED.

Scalise D, Lazar C. Hosp Health Netw. May 2006:80:5,48,2.

STUDY

A human factors framework and study of the effect of nursing workload on patient safety and employee quality of working life.

Holden RJ, Scanlon MC, Patel NR, et al. BMJ Qual Saf. 2011;20:15-24.

NEWSPAPER/MAGAZINE ARTICLE

Manic for medication safety: bar codes and drug information databases are helping to reduce medication errors.

Rogoski RR. Health Manage Technol. February 2007;28:14, 16-18.

COMMENTARY

Surprise Wire

Pearl JM, Donaldson NE. AHRQ WebM&M [serial online]. July/August 2005.

COMMENTARY

Citrate Mix-Up

Weber RJ. AHRQ WebM&M [serial online]. May 2006.

STUDY

Medication errors involving pediatric patients.

Santell JP, Hicks R. Jt Comm J Qual Patient Saf. 2005;31:348-353.

FACT SHEET/FAQS

Medication safety issue brief. Counterfeit drug prevention and identification.

American Hospital Association, American Society of Health-System Pharmacists, Hospitals and Health Networks. Hosp Health Netw. August 2005;79.29-30.

COMMENTARY

Crossed Coverage

Kayser SR. AHRQ WebM&M [serial online]. February 2007.

STUDY

Drug administration errors and their determinants in pediatric in-patients.

Prot S, Fontan JE, Alberti C, et al. Int J Qual Health Care. 2005;17:381-389.

FACT SHEET/FAQS

Medication safety issue brief. Bar code implementation strategies.

American Hospital Association, American Society of Health-System Pharmacists, Hospitals and Health Networks. Hosp Health Netw. July 2005;79:65-66.

STUDY

A system factors analysis of "line, tube, and drain" incidents in the intensive care unit.

Needham DM, Sinopoli DJ, Thompson DA, et al. Crit Care Med. 2005;33:1701-1707.

STUDY

Simulation-based medical error disclosure training for pediatric healthcare professionals.

Wayman KI, Yaeger KA, Sharek PJ, et al. J Healthc Qual. 2007;29:12-19.

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