AHRQ Patient Safety Network

The Collection > Nurses

PATIENT SAFETY PRIMERS
Nursing and Patient Safety

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Safety Target

•Device-related Complications (48)

•Diagnostic Errors (8)

•Identification Errors (29)

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

•Fatigue and Sleep Deprivation (21)

•Medication Safety (335)

•Medical Complications (78)

•Nonsurgical Procedural Complications (17)

•Surgical Complications (103)

•Transfusion Complications (3)

•Psychological and Social Complications (25)

Origin/Sponsor

•Asia (24)

•Australia and New Zealand (40)

•Central and South America (3)

Resource Types

•Clinical Guideline (4)

•Journal Article (737)

•Legislation/Regulation (13)

•Meeting/Conference (3)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (66)

•Press Release/Announcement (8)

•Special or Theme Issue (14)

•Tools/Toolkit (15)

•Web Resource (9)

Error Types

•Epidemiology of Errors and Adverse Events (130)

•Active Errors (113)

•Latent Errors (49)

•Near Miss (23)

Approach to Improving Safety

•Quality Improvement Strategies (229)

•Legal and Policy Approaches (31)

•Error Reporting and Analysis (183)

•Communication Improvement (216)

•Human Factors Engineering (125)

•Teamwork (101)

•Specialization of Care (44)

•Logistical Approaches (107)

•Culture of Safety (121)

•Technologic Approaches (122)

•Education and Training (167)

Clinical Areas

•Allied Health Services (2)

•Medicine (473)

•Nursing (488)

•Pharmacy (71)

Target Audience
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Nurses

Setting of Care

•Hospitals (556)

•Psychiatric Facilities (6)

•Residential Facilities (16)

•Ambulatory Care (41)

•Outpatient Surgery (4)

•Patient Transport (4)

1 - 20 of 890

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STUDY

Improving handoff communications in critical care: utilizing simulation-based training toward process improvement in managing patient risk.

Berkenstadt H, Haviv Y, Tuval A, et al. Chest. 2008;134:158-162.

COMMENTARY

In situ simulation: a method of experiential learning to promote safety and team behavior.

Miller KK, Riley W, Davis S, Hansen HE. J Perinat Neonatal Nurs. 2008;22:105-113.

STUDY

In search of common ground in handoff documentation in an intensive care unit.

Collins SA, Mamykina L, Jordan D, et al. J Biomed Inform. 2012;45:307-315.

COMMENTARY

DNR in the OR and Afterwards

Lo B. AHRQ WebM&M [serial online]. September 2006.

NEWSPAPER/MAGAZINE ARTICLE

Health IT implementation stories: HANDS care plan tool seeks to improve nurse communication at handoff in AHRQ-funded study.

AHRQ National Resource Center for Health Information Technology.

COMMENTARY

The importance of simulation: preventing hand-off mistakes.

Clancy CM. AORN J. 2008;88:625-627.

STUDY

From the flight deck to the operating room: an initial pilot study of the feasibility and potential impact of true interdisciplinary team training using high-fidelity simulation.

Paige J, Kozmenko V, Morgan B, et al. J Surg Educ. 2007;64:369-377.

COMMENTARY

Crises in clinical care: an approach to management.

Runciman WB, Merry AF. Qual Saf Health Care. 2005;14:156-163.

STUDY

Nurses discuss bedside handover and using written handover sheets.

Johnson M, Cowin LS. J Nurs Manag. 2013;21:121-129.

COMMENTARY

On O.R. Off?

Leonard M. AHRQ WebM&M [serial online]. March 2005.

STUDY

Towards an understanding of the information dynamics of the handover process in aged care settings—a prerequisite for the safe and effective use of ICT.

Lyhne S, Georgiou A, Marks A, Tariq A, Westbrook JI. Int J Med Inform. 2012;81:452-460.

SPECIAL OR THEME ISSUE

Safety.

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

STUDY

Why patient summaries in electronic health records do not provide the cognitive support necessary for nurses' handoffs on medical and surgical units: insights from interviews and observations.

Staggers N, Clark L, Blaz JW, Kapsandoy S. Health Informatics J. 2011;17:209-223.

COMMENTARY

Around the Block.

Minichiello T. AHRQ WebM&M [serial online]. March 2005.

STUDY

Design and trial of a new ambulance-to-emergency department handover protocol: 'IMIST-AMBO.'

Iedema R, Ball C, Daly B, et al. BMJ Qual Saf. 2012;21:627-633.

STUDY

Attitudes toward safety and teamwork in a maternity unit with embedded team training.

Siassakos D, Fox R, Hunt L, et al. Am J Med Qual. 2011;26:132-137.

COMMENTARY

Discharge Against Medical Advice.

Hwang SW. WebM&M [serial online]. May 2005.

STUDY

Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods.

Payne CE, Stein JM, Leong T, Dressler DD. BMJ Qual Saf. 2012;21:925-932.

NEWSPAPER/MAGAZINE ARTICLE

Safety in ASCs: putting patients first.

Dix K. Today's Surgicenter. December 1, 2006.

REVIEW

Review: bringing patient safety to the forefront through structured computerisation during clinical handover.

Matic J, Davidson PM, Salamonson Y. J Clin Nurs. 2011;20:184-189.

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