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 (26)

•Discontinuities, Gaps, and Hand-Off Problems (97)

•Fatigue and Sleep Deprivation (22)

•Medication Safety (312)

•Medical Complications (79)

•Nonsurgical Procedural Complications (18)

•Surgical Complications (81)

•Transfusion Complications (1)

•Psychological and Social Complications (24)

Origin/Sponsor

•Asia (18)

•Australia and New Zealand (33)

•Central and South America (2)

Resource Types

•Clinical Guideline (5)

•Journal Article (675)

•Legislation/Regulation (14)

•Meeting/Conference (2)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (70)

•Press Release/Announcement (4)

•Special or Theme Issue (16)

•Tools/Toolkit (14)

•Web Resource (10)

Error Types

•Epidemiology of Errors and Adverse Events (121)

•Active Errors (105)

•Latent Errors (45)

•Near Miss (20)

Approach to Improving Safety

•Quality Improvement Strategies (211)

•Legal and Policy Approaches (33)

•Error Reporting and Analysis (169)

•Communication Improvement (191)

•Human Factors Engineering (110)

•Teamwork (89)

•Specialization of Care (42)

•Logistical Approaches (112)

•Culture of Safety (129)

•Technologic Approaches (116)

•Education and Training (167)

Clinical Areas

•Allied Health Services (2)

•Medicine (413)

•Nursing (513)

•Pharmacy (69)

Target Audience
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Nurses

Setting of Care

•Hospitals (511)

•Psychiatric Facilities (5)

•Residential Facilities (17)

•Ambulatory Care (39)

•Outpatient Surgery (4)

•Patient Transport (3)

1 - 20 of 831

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STUDY

Infants at risk: when nurse fatigue jeopardizes quality care.

Dean GE, Scott LD, Rogers AE. Adv Neonatal Care. 2006;6:120-126.

STUDY

Effect of antiseptic handwashing vs alcohol sanitizer on health care-associated infections in neonatal intensive care units.

Larson EL, Cimiotti J, Haas J, et al. Arch Pediatr Adolesc Med. 2005;159:377-383.

STUDY

Structural empowerment and patient safety culture among registered nurses working in adult critical care units.

Armellino D, Quinn Griffin MT, Fitzpatrick JJ. J Nurs Manag. 2010;18:796-803.

STUDY

Exploring performance obstacles of intensive care nurses.

Gurses AP, Carayon P. Appl Ergon. 2009;40:509-518.

STUDY

Intensive care unit nurse staffing and the risk for complications after abdominal aortic surgery.

Pronovost PJ, Dang D, Dorman T, et al. Eff Clin Pract. 2001;4:199-206.

COMMENTARY

Unreported errors in the intensive care unit: a case study of the way we work.

Henneman EA. Crit Care Nurse. 2007;27:27-34.

STUDY

Nurses' behaviors and visual scanning patterns may reduce patient identification errors.

Marquard JL, Henneman PL, He Z, Jo J, Fisher DL, Henneman EA. J Exp Psychol Appl. 2011;17:247-256.

STUDY

Strategies used by critical care nurses to identify, interrupt, and correct medical errors.

Henneman EA, Gawlinski A, Blank FS, Henneman PL, Jordan D, McKenzie JB. Am J Crit Care. 2010;19:500-509.

COMMENTARY

Preventing sentinel events caused by family members.

Wall Y, Kautz DD. Dimens Crit Care Nurs. 2011;30:25-27.

STUDY

Medical errors recovered by critical care nurses.

Dykes PC, Rothschild JM, Hurley AC. J Nurs Adm. 2010;40:241-246.

MEETING/CONFERENCE PROCEEDINGS

Safety in the NICU: preventing medical errors.

Stokowski LA. Highlights of the National Association of Neonatal Nurses 22nd Annual Conference [Medscape.com]. March 8, 2007.

REVIEW

A human factors engineering conceptual framework of nursing workload and patient safety in intensive care units.

Carayon P, Gürses AP. Intensive Crit Care Nurs. 2005;21:284-301.

STUDY

Frequency and type of errors and near errors reported by critical care nurses.

Balas MC, Scott LD, Rogers AE. Can J Nurs Res. 2006;38:24-41.

COMMENTARY

Surveillance: a strategy for improving patient safety in acute and critical care units.

Henneman EA, Gawlinski A, Giuliano KK. Crit Care Nurse. 2012;32:e9-e18.

STUDY

Moral distress, compassion fatigue, and perceptions about medication errors in certified critical care nurses.

Maiden J, Georges JM, Connelly CD. Dimens Crit Care Nurs. 2011;30:339-345.

COMMENTARY

Negotiating safety when staffing falls short.

Zolnierek CD, Steckel CM. Crit Care Nurs Clin North Am. 2010;22:261-269.

STUDY

Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration.

Yamamoto L, Kanemori J. Am J Emerg Med. 2010;28:588-592.

STUDY

A model of recovering medical errors in the coronary care unit.

Hurley AC, Rothschild JM, Moore ML, Snydeman C, Dykes PC, Fotakis S. Heart Lung. 2008;37:219-226.

STUDY

Orienting frames and private routines: the role of cultural process in critical care safety.

Hazlehurst B, McMullen C. Int J Med Inform. 2007;76(suppl 1):129-35.

COMMENTARY

Failure to rescue in neonatal care.

Gephart SM, McGrath JM, Effken JA. J Perinat Neonatal Nurs. 2011;25:275-282.

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