AHRQ Patient Safety Network

The Collection > Nurses

PATIENT SAFETY PRIMERS
Nursing and Patient Safety

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Safety Target

•Device-related Complications (41)

•Diagnostic Errors (8)

•Identification Errors (26)

•Discontinuities, Gaps, and Hand-Off Problems (107)

•Fatigue and Sleep Deprivation (18)

•Medication Safety (305)

•Medical Complications (73)

•Nonsurgical Procedural Complications (14)

•Surgical Complications (103)

•Transfusion Complications (3)

•Psychological and Social Complications (20)

Origin/Sponsor

•Asia (10)

•Australia and New Zealand (23)

•Central and South America (1)

Resource Types

•Clinical Guideline (5)

•Journal Article (662)

•Legislation/Regulation (13)

•Meeting/Conference (2)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (66)

•Press Release/Announcement (8)

•Special or Theme Issue (14)

•Tools/Toolkit (15)

•Web Resource (11)

Error Types

•Epidemiology of Errors and Adverse Events (119)

•Active Errors (106)

•Latent Errors (47)

•Near Miss (19)

Approach to Improving Safety

•Quality Improvement Strategies (217)

•Legal and Policy Approaches (31)

•Error Reporting and Analysis (169)

•Communication Improvement (207)

•Human Factors Engineering (107)

•Teamwork (91)

•Specialization of Care (42)

•Logistical Approaches (91)

•Culture of Safety (106)

•Technologic Approaches (118)

•Education and Training (154)

Clinical Areas

•Allied Health Services (2)

•Medicine (457)

•Nursing (414)

•Pharmacy (73)

Target Audience
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Nurses

Setting of Care

•Hospitals (515)

•Psychiatric Facilities (2)

•Residential Facilities (15)

•Ambulatory Care (34)

•Outpatient Surgery (3)

•Patient Transport (2)

1 - 20 of 817

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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.

NEWSPAPER/MAGAZINE ARTICLE

Accuracy at every step: the challenge of medication reconciliation.

Institute for Healthcare Improvement Web site. March 20, 2006.

NEWSPAPER/MAGAZINE ARTICLE

Building a case for medication reconciliation.

Nurse Advise-ERR. April 2006;4:1-3.

NEWSPAPER/MAGAZINE ARTICLE

The consumer: and now, a warning about labels.

Franklin D. New York Times. October 25, 2005:F1.

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

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

ISMP medication error report analysis.

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

NEWSPAPER/MAGAZINE ARTICLE

Improving the safety of telephone or verbal orders.

PA-PSRS Patient Saf Advis. June 2006;3:1-5.

STUDY

Assessing and monitoring override medications in automated dispensing devices.

Kowiatek JG, Weber RJ, Skledar SJ, Frank S, DeVita M. Jt Comm J Qual Patient Saf. 2006;32:309-317.

FACT SHEET/FAQS

Oral Dosage Forms that Should Not Be Crushed.

Mitchell JF. Institute for Safe Medication Practices.

STUDY

Challenges in posthospital care: nurses as coaches for medication management.

Costa LL, Poe SS, Lee MC. J Nurs Care Qual. 2011;26:243-251.

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.

COMMENTARY

Preventing vincristine administration errors: does evidence support minibag infusions?

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

COMMENTARY

Citrate Mix-Up

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

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

How the US drug safety system should be changed.

Strom BL. JAMA. 2006;295:2072-2075.

NEWSPAPER/MAGAZINE ARTICLE

Do no harm: promoting patient safety.

Ellis K. Surgicenteronline.com [serial online]. May 1, 2006.

COMMENTARY

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

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

NEWSPAPER/MAGAZINE ARTICLE

To be safe, keep track of pills.

Foreman J. Los Angeles Times. September 4, 2006:F3.

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