AHRQ Patient Safety Network

The Collection > Nurses

PATIENT SAFETY PRIMERS
Nursing and Patient Safety

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Safety Target

•Device-related Complications (47)

•Diagnostic Errors (7)

•Identification Errors (29)

•Discontinuities, Gaps, and Hand-Off Problems (109)

•Fatigue and Sleep Deprivation (22)

•Medication Safety (346)

•Medical Complications (84)

•Nonsurgical Procedural Complications (17)

•Surgical Complications (95)

•Transfusion Complications (2)

•Psychological and Social Complications (26)

Origin/Sponsor

•Asia (25)

•Australia and New Zealand (39)

•Central and South America (3)

Resource Types

•Clinical Guideline (4)

•Journal Article (753)

•Legislation/Regulation (15)

•Meeting/Conference (3)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (69)

•Press Release/Announcement (3)

•Special or Theme Issue (17)

•Tools/Toolkit (12)

•Web Resource (11)

Error Types

•Epidemiology of Errors and Adverse Events (152)

•Active Errors (117)

•Latent Errors (56)

•Near Miss (24)

Approach to Improving Safety

•Quality Improvement Strategies (214)

•Legal and Policy Approaches (33)

•Error Reporting and Analysis (197)

•Communication Improvement (212)

•Human Factors Engineering (122)

•Teamwork (98)

•Specialization of Care (46)

•Logistical Approaches (115)

•Culture of Safety (133)

•Technologic Approaches (124)

•Education and Training (181)

Clinical Areas

•Allied Health Services (3)

•Medicine (468)

•Nursing (531)

•Pharmacy (76)

Target Audience
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Nurses

Setting of Care

•Hospitals (569)

•Psychiatric Facilities (6)

•Residential Facilities (20)

•Ambulatory Care (45)

•Outpatient Surgery (4)

•Patient Transport (4)

1 - 20 of 912

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STUDY

Achieving quality improvement in the nursing home: influence of nursing leadership on communication and teamwork.

Vogelsmeier A, Scott-Cawiezell J. J Nurs Care Qual. 2011;26:236-242.

STUDY

Barriers and facilitators to communicating nursing errors in long-term care settings.

Wagner LM, Damianakis T, Pho L, Tourangeau A. J Patient Saf. 2013;9:1-7.

STUDY

Nurses relate the contributing factors involved in medication errors.

Tang FI, Sheu SJ, Yu S, Wei IL, Chen CH. J Clin Nurs. 2007;16:447-457.

COMMENTARY

A nurse-driven system for improving patient quality outcomes.

Johnson K, Hallsey D, Meredith RL, Warden E. J Nurs Care Qual. 2006;21:168-175.

STUDY

Medication administration errors for older people in long-term residential care.

Szczepura A, Wild D, Nelson S. BMC Geriatr. 2011;11:82.

COMMENTARY

Standardizing hand-off processes.

Crum Gregory BS. AORN J. 2006;84:1059-1061.

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.

COMMENTARY

Medication errors in nursing—part 1 and part 2.

Leufer T, Cleary-Holdforth J. Nurse Educ Pract. 2013;13:213-220.

STUDY

Interruptions and multitasking in nursing care.

Kalisch BJ, Aebersold M. Jt Comm J Qual Patient Saf. 2010;36:126-132.

STUDY

Safety culture of nursing homes: opinions of top managers.

Castle NG, Wagner LM, Ferguson JC, Handler SM. Health Care Manage Rev. 2011;36:175-187.

PRESS RELEASE/ANNOUNCEMENT

2007 Study of Injectable Medication Errors.

Silver Spring, MD: American Nurses Association; June 18, 2007.

REVIEW

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

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

COMMENTARY

Workaround Error

Pape T. AHRQ WebM&M [serial online]. Febuary 2006.

BOOK/REPORT

Focus on Patient Safety.

Fitzpatrick J, Stone P, Hinton-Walker P, eds. Annual Review of Nursing Research. New York, NY: Springer; 2006. ISBN: 0826141366.

STUDY

Risky procedures by nurses in hospitals: problems and (contemplated) refusals of orders by physicians, and views of physicians and nurses: a questionnaire survey.

de Bie J, Cuperus-Bosma JM, van der Jagt MAB, Gevers JKM, van der Wal G. Int J Nurs Stud. 2005;42:637-648.

STUDY

When the 5 rights go wrong: medication errors from the nursing perspective.

Jones JH, Treiber L. J Nurs Care Qual. 2010;25:240-247.

STUDY

Pediatric medication errors in the postanesthesia care unit: analysis of MEDMARX data.

Payne CH, Smith CR, Newkirk LE, Hicks RW. AORN J. 2007;85:731-740.

COMMENTARY

Implementing a systematic response to medication errors.

Larsen D, Cole R, Higton P. Nurs Stand. 2007;21:35-40.

STUDY

A human factors framework and study of the effect of nursing workload on patient safety and employee quality of working life.

Holden RJ, Scanlon MC, Patel NR, et al. BMJ Qual Saf. 2011;20:15-24.

NEWSPAPER/MAGAZINE ARTICLE

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ISMP Medication Safety Alert! Acute Care Edition. June 30, 2011;16:1-2.

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