AHRQ Patient Safety Network

The Collection > Nurses

PATIENT SAFETY PRIMERS
Nursing and Patient Safety

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Safety Target

•Device-related Complications (40)

•Diagnostic Errors (7)

•Identification Errors (26)

•Discontinuities, Gaps, and Hand-Off Problems (79)

•Fatigue and Sleep Deprivation (14)

•Medication Safety (269)

•Medical Complications (60)

•Nonsurgical Procedural Complications (12)

•Surgical Complications (80)

•Transfusion Complications (2)

•Psychological and Social Complications (13)

Origin/Sponsor

•Asia (18)

•Australia and New Zealand (28)

•Central and South America (2)

Resource Types

•Clinical Guideline (5)

•Journal Article (537)

•Legislation/Regulation (11)

•Meeting/Conference (1)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (65)

•Press Release/Announcement (8)

•Special or Theme Issue (6)

•Tools/Toolkit (13)

•Web Resource (10)

Error Types

•Epidemiology of Errors and Adverse Events (111)

•Active Errors (94)

•Latent Errors (45)

•Near Miss (14)

Approach to Improving Safety

•Quality Improvement Strategies (203)

•Legal and Policy Approaches (27)

•Error Reporting and Analysis (141)

•Communication Improvement (168)

•Human Factors Engineering (93)

•Teamwork (73)

•Specialization of Care (38)

•Logistical Approaches (70)

•Culture of Safety (77)

•Technologic Approaches (100)

•Education and Training (147)

Clinical Areas

•Allied Health Services (3)

•Medicine (390)

•Nursing (291)

•Pharmacy (77)

Target Audience
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Nurses

Setting of Care

•Hospitals (467)

•Psychiatric Facilities (4)

•Residential Facilities (12)

•Ambulatory Care (29)

•Outpatient Surgery (3)

•Patient Transport (2)

1 - 20 of 673

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COMMENTARY

Preventing vincristine administration errors: does evidence support minibag infusions?

Schulmeister L. Clin J Oncol Nurs. 2006;10:271-273.

STUDY

Excess dosing of antiplatelet and antithrombin agents in the treatment of non–ST-segment elevation acute coronary syndromes.

Alexander KP, Chen AY, Roe MT, et al; CRUSADE Investigators. JAMA. 2005;294:3108-3116.

STUDY

Infant deaths associated with cough and cold medications—two states, 2005.

Centers for Disease Control and Prevention. MMWR Morb Mortal Wkly Rep. 2007;56:1-4.

STUDY

Effects of an automatic drug dispensing system on medication adverse event occurrences and cost containment at SAMSO.

Dib JG, Abdulmohsin SA, Farooki MU, et al. Hosp Pharm. 2006;41:1180-1184.

TOOLKIT

ISMP and FDA campaign to eliminate use of error-prone abbreviations.

Huntington Valley, PA: Institute for Safe Medication Practices.

NEWSPAPER/MAGAZINE ARTICLE

Clear liquids may place patients at risk.

PA-PSRS Patient Saf Advis. December 2005;2:29-31.

COMMENTARY

Medication reconciliation physician order form.

Lacy JL, Wilkinson ST. Hosp Pharm. 2006;41:1117-1120.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2005;40:556-557.

NEWSPAPER/MAGAZINE ARTICLE

Practitioners agree on medication reconciliation value, but frustration and difficulties abound.

ISMP Medication Safety Alert! Acute Care Edition. July 13, 2006;11:1-2.

COMMENTARY

Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge.

Rodehaver C. Jt Comm J Qual Patient Saf. 2005;31:406-413.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2007;42:675-679.

COMMENTARY

Surprise Wire

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

FACT SHEET/FAQS

Oral Dosage Forms that Should Not Be Crushed.

Mitchell JF. Institute for Safe Medication Practices.

COMMENTARY

Citrate Mix-Up

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

STUDY

Patient safety perceptions: a survey of Iowa physicians, pharmacists, and nurses.

Durbin J, Hansen MM, Sinkowitz-Cochran R, Cardo D. Am J Infect Control. 2006;34:25-30.

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.

NEWSPAPER/MAGAZINE ARTICLE

Promethazine conundrum: IV can hurt more than IM injection!

ISMP Medication Safety Alert! Acute Care Edition. November 2, 2006;11:1-3.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2006;41:725-728.

NEWSPAPER/MAGAZINE ARTICLE

Tablet splitting: Do it only if you "half" to, and then do it safely.

ISMP Medication Safety Alert! Acute Care Edition. May 18, 2006;11:1-2.

COMMENTARY

Getting to the Root of the Matter

Flanders SA, Saint S. AHRQ WebM&M [serial online]. June 2005.

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