AHRQ Patient Safety Network

The Collection > Nurses

PATIENT SAFETY PRIMERS
Nursing and Patient Safety

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Safety Target

•Device-related Complications (45)

•Diagnostic Errors (5)

•Identification Errors (28)

•Discontinuities, Gaps, and Hand-Off Problems (98)

•Fatigue and Sleep Deprivation (21)

•Medication Safety (322)

•Medical Complications (79)

•Nonsurgical Procedural Complications (16)

•Surgical Complications (106)

•Transfusion Complications (2)

•Psychological and Social Complications (26)

Origin/Sponsor

•Asia (23)

•Australia and New Zealand (35)

•Central and South America (3)

Resource Types

•Clinical Guideline (4)

•Journal Article (714)

•Legislation/Regulation (15)

•Meeting/Conference (2)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (71)

•Press Release/Announcement (1)

•Special or Theme Issue (17)

•Tools/Toolkit (12)

•Web Resource (11)

Error Types

•Epidemiology of Errors and Adverse Events (150)

•Active Errors (103)

•Latent Errors (46)

•Near Miss (22)

Approach to Improving Safety

•Quality Improvement Strategies (206)

•Legal and Policy Approaches (31)

•Error Reporting and Analysis (183)

•Communication Improvement (199)

•Human Factors Engineering (120)

•Teamwork (100)

•Specialization of Care (45)

•Logistical Approaches (112)

•Culture of Safety (132)

•Technologic Approaches (115)

•Education and Training (178)

Clinical Areas

•Allied Health Services (2)

•Medicine (445)

•Nursing (524)

•Pharmacy (68)

Target Audience
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Nurses

Setting of Care

•Hospitals (545)

•Psychiatric Facilities (6)

•Residential Facilities (18)

•Ambulatory Care (42)

•Outpatient Surgery (4)

•Patient Transport (3)

1 - 20 of 869

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STUDY

Nurse reports of adverse events during sedation procedures at a pediatric hospital.

Lightdale JR, Mahoney LB, Fredette ME, Valim C, Wong S, DiNardo JA. J Perianesth Nurs. 2009;24:300-306.

COMMENTARY

The normalization of deviance: a threat to patient safety.

Odom-Forren J. J Perianesth Nurs. 2011;26:216-219.

STUDY

Handoff checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit.

Boat AC, Spaeth JP. Paediatr Anaesth. 2013 May 18; [Epub ahead of print].

COMMENTARY

Safety huddles in the PACU: when a patient self-medicates.

Setaro J, Connolly M. J Perianesth Nurs. 2011;26:96-102.

STUDY

Improving patient safety by understanding past experiences in day surgery and PACU.

Ross J, Ranum D. J Perianesth Nurs. 2009;24:144-151.

COMMENTARY

Effects of extended work shifts and shift work on patient safety, productivity, and employee health.

Keller SM. AAOHN J. 2009;57:497-502.

COMMENTARY

Perioperative pharmacology: a framework for perioperative medication safety.

Hicks RW, Wanzer L, Goeckner B. AORN J. 2011;93:136-145.

COMMENTARY

The normalization of deviance: what are the perioperative risks?

McNamara SA. AORN J. 2011;93:796-801.

COMMENTARY

Patient safety: break the silence.

Johnson HL, Kimsey D. AORN J. 2012;95:591-601.

STUDY

Nurse staffing, burnout, and health care–associated infection.

Cimiotti JP, Aiken LH, Sloane DM, Wu ES. Am J Infect Control. 2012;40:486-490.

SPECIAL OR THEME ISSUE

Perianesthesia Safety.

Windle PE, ed. J Perianesth Nurs. 2007;22:365-448.

TOOLKIT

Perioperative Patient 'Hand-Off' Tool Kit.

Association of Perioperative Registered Nurses.

COMMENTARY

The perianesthesia nurse's role in the prevention of opioid-related sentinel events.

Pasero C. J Perianesth Nurs. 2013;28:31-37.

STUDY

Thirty-day outcomes support implementation of a surgical safety checklist.

Bliss LA, Ross-Richardson CB, Sanzari LJ, et al. J Am Coll Surg. 2012;215:766-776.

REVIEW

The effect of nurse staffing patterns on medical errors and nurse burnout.

Garrett C. AORN J. 2008;87:1191-1192, 1194, 1196-1200, 1202-1204.

NEWSPAPER/MAGAZINE ARTICLE

Exhausted workforce increases the risk of errors.

ISMP Medication Safety Alert. June 2, 2005.

COMMENTARY

Communication in the perioperative setting.

Cvetic E. AORN J. 2011;94:261-270.

STUDY

Longitudinal analyses of nurse staffing and patient outcomes: more about failure to rescue.

Seago JA, Williamson A, Atwood C. J Nurs Adm. 2006;36:13-21.

COMMENTARY

Implementing AORN recommended practices for laser safety.

Castelluccio D. AORN J. 2012;95:612-627.

COMMENTARY

Creating a culture of safety by using checklists.

Huang L, Kim R, Berry W. AORN J. 2013;97:365-368.

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