AHRQ Patient Safety Network

The Collection > Nurses

PATIENT SAFETY PRIMERS
Nursing and Patient Safety

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Safety Target

•Device-related Complications (38)

•Diagnostic Errors (6)

•Identification Errors (24)

•Discontinuities, Gaps, and Hand-Off Problems (96)

•Fatigue and Sleep Deprivation (21)

•Medication Safety (277)

•Medical Complications (80)

•Nonsurgical Procedural Complications (16)

•Surgical Complications (83)

•Transfusion Complications (2)

•Psychological and Social Complications (25)

Origin/Sponsor

•Asia (25)

•Australia and New Zealand (37)

•Central and South America (3)

Resource Types

•Clinical Guideline (2)

•Journal Article (673)

•Legislation/Regulation (9)

•Meeting/Conference (2)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (49)

•Press Release/Announcement (1)

•Special or Theme Issue (16)

•Tools/Toolkit (6)

•Web Resource (7)

Error Types

•Epidemiology of Errors and Adverse Events (132)

•Active Errors (102)

•Latent Errors (56)

•Near Miss (23)

Approach to Improving Safety

•Quality Improvement Strategies (166)

•Legal and Policy Approaches (26)

•Error Reporting and Analysis (180)

•Communication Improvement (181)

•Human Factors Engineering (109)

•Teamwork (93)

•Specialization of Care (42)

•Logistical Approaches (110)

•Culture of Safety (120)

•Technologic Approaches (106)

•Education and Training (155)

Clinical Areas

•Allied Health Services (3)

•Medicine (385)

•Nursing (516)

•Pharmacy (59)

Target Audience
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Nurses

Setting of Care

•Hospitals (513)

•Psychiatric Facilities (7)

•Residential Facilities (21)

•Ambulatory Care (38)

•Outpatient Surgery (4)

•Patient Transport (4)

1 - 20 of 785

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REVIEW

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

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

STUDY

Adoption of National Quality Forum safe practices by magnet hospitals.

Jayawardhana J, Welton JM, Lindrooth R. J Nurs Adm. 2011;41:350-356.

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.

COMMENTARY

A performance improvement plan to increase nurse adherence to use of medication safety software.

Gavriloff C. J Pediatr Nurs. 2012;27:375-382.

COMMENTARY

Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults.

Thornlow DK, Anderson R, Oddone E. Int J Nurs Stud. 2009;46:1528-1535.

STUDY

Why patient summaries in electronic health records do not provide the cognitive support necessary for nurses' handoffs on medical and surgical units: insights from interviews and observations.

Staggers N, Clark L, Blaz JW, Kapsandoy S. Health Informatics J. 2011;17:209-223.

COMMENTARY

Using simulation to teach nursing students and licensed clinicians obstetric emergencies.

Alderman JT. MCN Am J Matern Child Nurs. 2012;37:394-400.

STUDY

Adverse drug events caused by serious medication administration errors.

Kale A, Keohane CA, Maviglia S, Gandhi TK, Poon EG. BMJ Qual Saf. 2012;21:933-938.

STUDY

Do nurse and patient injuries share common antecedents? An analysis of associations with safety climate and working conditions.

Taylor JA, Dominici F, Agnew J, Gerwin D, Morlock L, Miller MR. BMJ Qual Saf. 2012;21:101-111.

COMMENTARY

Increasing the use of 'smart' pump drug libraries by nurses: a continuous quality improvement project.

Harding AD. Am J Nurs. 2012;112:26-35.

STUDY

The Daily Plan: including patients for safety's sake.

King BJ, Mills PD, Fore A, Mitchell C. Nurs Manage. 2012;43:15-18.

COMMENTARY

Smart pumps: implications for nurse leaders.

Kirkbride G, Vermace B. Nurs Adm Q. 2011;35:110-118.

STUDY

The effect of hospital electronic health record adoption on nurse-assessed quality of care and patient safety.

Kutney-Lee A, Kelly D. J Nurs Adm. 2011;41:466-472.

REVIEW

Fall prevention in hospitals: an integrative review.

Spoelstra SL, Given BA, Given CW. Clin Nurs Res. 2012;21:92-112.

NEWSPAPER/MAGAZINE ARTICLE

Results of ISMP survey on high-alert medications: differences between nursing, pharmacy, and risk/quality/safety perspectives.

ISMP Medication Safety Alert! Acute Care Edition. February 9, 2012;17:1-4.

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

The struggle to improve patient care in the face of professional boundaries.

Powell AE, Davies HT. Soc Sci Med. 2012;75:807-814.

STUDY

The application of Aronson's taxonomy to medication errors in nursing.

Johnson M, Young H. J Nurs Care Qual. 2011;26:128-135.

COMMENTARY

Cleaning up the discharge process: a number of components—and personnel—are crucial to success.

Huber C, Blanco M. Am J Nurs. 2010;110:66-69.

STUDY

Improving patient safety using the sterile cockpit principle during medication administration: a collaborative, unit-based project.

Fore AM, Sculli GL, Albee D, Neily J. J Nurs Manag. 2013;21:106-111.

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