AHRQ Patient Safety Network

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PATIENT SAFETY PRIMERS
Nursing and Patient Safety

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Safety Target

•Device-related Complications (28)

•Diagnostic Errors (5)

•Identification Errors (16)

•Discontinuities, Gaps, and Hand-Off Problems (61)

•Fatigue and Sleep Deprivation (19)

•Medication Safety (203)

•Medical Complications (56)

•Nonsurgical Procedural Complications (12)

•Surgical Complications (44)

•Transfusion Complications (2)

•Psychological and Social Complications (19)

Origin/Sponsor

•Australia and New Zealand (22)

•Central and South America (1)

•North America (435)

Resource Types

•Book/Report (14)

•Clinical Guideline (2)

•Journal Article (457)

•Legislation/Regulation (8)

•Meeting/Conference (2)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (42)

•Press Release/Announcement (3)

•Special or Theme Issue (13)

•Tools/Toolkit (4)

•Web Resource (5)

Error Types

•Epidemiology of Errors and Adverse Events (74)

•Active Errors (71)

•Latent Errors (56)

•Near Miss (9)

Approach to Improving Safety

•Quality Improvement Strategies (121)

•Legal and Policy Approaches (22)

•Error Reporting and Analysis (116)

•Communication Improvement (130)

•Human Factors Engineering (75)

•Teamwork (66)

•Specialization of Care (20)

•Logistical Approaches (84)

•Culture of Safety (124)

•Technologic Approaches (79)

•Education and Training (131)

Clinical Areas

•Allied Health Services (3)

•Medicine (223)

•Nursing (395)

•Pharmacy (48)

Target Audience
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Nurses

Setting of Care

•Hospitals (319)

•Psychiatric Facilities (3)

•Residential Facilities (18)

•Ambulatory Care (21)

•Outpatient Surgery (2)

•Patient Transport (2)

1 - 20 of 551

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COMMENTARY

Cups of Error

Blegen MA, Pepper GA. AHRQ WebM&M [serial online]. May 2006.

STUDY

An educational intervention to enhance nurse leaders' perceptions of patient safety culture.

Ginsburg L, Norton PG, Casebeer A, Lewis S. Health Serv Res. 2005;40:997-1020.

COMMENTARY

Wrong Route for Nutrients

Scott-Cawiezell JR, AHRQ WebM&M [serial online]. July 2008.

REVIEW

Work interruptions and their contribution to medication administration errors: an evidence review.

Biron AD, Loiselle CG, Lavoie-Tremblay M. Worldviews Evid Based Nurs. 2009;6:70-86.

STUDY

Using a multi-method, user centred, prospective hazard analysis to assess care quality and patient safety in a care pathway.

Dean J, Hutchinson A, Hamilton Escoto K, Lawson R. BMC Health Serv Res. 2007;7:89.

STUDY

The impact of nursing work environments on patient safety outcomes: the mediating role of burnout engagement.

Spence Laschinger HK, Leiter MP. J Nurs Adm. 2006;36:259-267.

STUDY

It's always something: hospital nurses managing risk.

Groves PS, Finfgeld-Connett D, Wakefield BJ. Clin Nurs Res. 2012 Dec 4; [Epub ahead of print].

STUDY

Patient safety culture and the association with safe resident care in nursing homes.

Thomas KS, Hyer K, Castle NG, Branch LG, Andel R, Weech-Maldonado R. Gerontologist. 2012;52:802-811.

STUDY

Expanding what we know about off-peak mortality in hospitals.

Hamilton P, Mathur S, Gemeinhardt G, Eschiti V, Campbell M. J Nurs Admin. 2010;40:124-128.

BOOK/REPORT classic

classic

Keeping Patients Safe: Transforming the Work Environment of Nurses.

Committee on the Work Environment for Nurses and Patient Safety, Board on Health Care Services, Page A, ed. Washington, DC: National Academies Press; 2004.

REVIEW

Impact of nursing on hospital patient mortality: a focused review and related policy implications.

Tourangeau AE, Cranley LA, Jeffs L. Qual Saf Health Care. 2006;15:4-8.

COMMENTARY

An education-service partnership to achieve safety and quality improvement competencies in nursing.

Fater KH, Ready R. J Nurs Educ. 2011;50:693-696.

COMMENTARY

A spotlight on strategies for increasing safety reporting in nursing education.

Cooper EE. J Contin Educ Nurs. 2012;43:162-168.

STUDY

The missing link: dedicated patient safety education within top-ranked US nursing school curricula.

Howard JN. J Patient Saf. 2010;6:165-171.

BOOK/REPORT

Addressing the quality and safety gap—parts I-II.

Princeton, NJ: Robert Wood Johnson Foundation; July 2009.

STUDY

Fostering patient safety competencies using multiple-patient simulation experiences.

Ironside PM, Jeffries PR, Martin A. Nurs Outlook. 2009;57:332-337.

COMMENTARY

Teaching patient safety in simulated learning experiences.

Jenkins S, Blake J, Brandy-Webb P, Ashe W. Nurs Educ. 2011;36:112-117.

STUDY

Creating an improvement culture for enhanced patient safety: service improvement learning in pre-registration education.

Christiansen A, Robson L, Griffith-Evans C. J Nurs Manag. 2010;18:782-788.

ORGANIZATIONAL POLICY/GUIDELINES

Hallmarks of quality and patient safety recommended baccalaureate competencies and curricular guidelines to ensure high-quality and safe patient care.

J Prof Nurs. 2006;22:329-330.

COMMENTARY

Integrating quality and safety content into clinical teaching in the acute care setting.

Day L, Smith EL. Nurs Outlook. 2007;55:138-143.

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