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 (4)

•Identification Errors (22)

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

•Fatigue and Sleep Deprivation (17)

•Medication Safety (254)

•Medical Complications (76)

•Nonsurgical Procedural Complications (13)

•Surgical Complications (81)

•Transfusion Complications (2)

•Psychological and Social Complications (19)

Origin/Sponsor

•Asia (8)

•Australia and New Zealand (8)

•Central and South America (1)

Resource Types

•Clinical Guideline (4)

•Journal Article (588)

•Legislation/Regulation (13)

•Meeting/Conference (1)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (60)

•Press Release/Announcement (4)

•Special or Theme Issue (14)

•Tools/Toolkit (13)

•Web Resource (9)

Error Types

•Epidemiology of Errors and Adverse Events (98)

•Active Errors (85)

•Latent Errors (38)

•Near Miss (14)

Approach to Improving Safety

•Quality Improvement Strategies (176)

•Legal and Policy Approaches (29)

•Error Reporting and Analysis (149)

•Communication Improvement (165)

•Human Factors Engineering (95)

•Teamwork (82)

•Specialization of Care (42)

•Logistical Approaches (98)

•Culture of Safety (131)

•Technologic Approaches (100)

•Education and Training (139)

Clinical Areas

•Allied Health Services (1)

•Medicine (389)

•Nursing (415)

•Pharmacy (57)

Target Audience
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Nurses

Setting of Care

•Hospitals (462)

•Psychiatric Facilities (1)

•Residential Facilities (14)

•Ambulatory Care (29)

•Outpatient Surgery (3)

•Patient Transport (2)

1 - 20 of 727

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COMMENTARY

Creating high reliability in health care organizations.

Pronovost PJ, Berenholtz SM, Goeschel CA, et al. Health Serv Res. 2006;41:1599-1617.

COMMENTARY

Changing the work environment in ICUs to achieve patient-focused care: the time has come.

McCauley K, Irwin RS. Chest. 2006;130:1571-1578.

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

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.

STUDY

Recovery from medical errors: the critical care nursing safety net.

Rothschild JM, Hurley AC, Landrigan CP, et al. Jt Comm J Qual Patient Saf. 2006;32:63-72.

STUDY

Error, stress, and teamwork in medicine and aviation: cross sectional surveys.

Sexton JB, Thomas EJ, Helmreich RL. BMJ. 2000;320:745-749.

STUDY

Competence and certification of registered nurses and safety of patients in intensive care units.

Kendall-Gallagher D, Blegen MA. Am J Crit Care. 2009;18:106-113.

STUDY

A multicenter, phased, cluster-randomized controlled trial to reduce central line–associated bloodstream infections in intensive care units.

Marsteller JA, Sexton JB, Hsu YJ, et al. Crit Care Med. 2012;40:2933-2939.

STUDY

On the ball: leadership for patient safety and learning in critical care.

Tregunno D, Jeffs L, Hall LM, Baker R, Doran D, Bassett SB. J Nurs Adm. 2009;39:334-339.

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.

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.

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.

STUDY

Implementing and validating a comprehensive unit-based safety program.

Pronovost P, Weast B, Rosenstein B. J Patient Saf. 2005;1:33-40.

REVIEW

Patient safety in the NICU: a comprehensive review.

Samra HA, McGrath JM, Rollins W. J Perinat Neonatal Nurs. 2011;25:123-132.

SPECIAL OR THEME ISSUE

Safety.

Simmons D, ed. Crit Care Nurs Clin North Am. 2010;22:161-290.

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

Developing and testing a tool to measure nurse/physician communication in the intensive care unit.

Manojlovich M, Saint S, Forman J, Fletcher CE, Keith R, Krein S. J Patient Saf. 2011;7:72-76.

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.

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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