AHRQ Patient Safety Network

The Collection > Nurse Managers

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Safety Target

•Device-related Complications (25)

•Diagnostic Errors (2)

•Identification Errors (15)

•Discontinuities, Gaps, and Hand-Off Problems (69)

•Fatigue and Sleep Deprivation (22)

•Medication Safety (229)

•Medical Complications (74)

•Nonsurgical Procedural Complications (14)

•Surgical Complications (49)

•Transfusion Complications (1)

•Psychological and Social Complications (29)

Origin/Sponsor

•Asia (21)

•Australia and New Zealand (31)

•Central and South America (2)

Resource Types

•Journal Article (583)

•Legislation/Regulation (5)

•Meeting/Conference (4)

•Newspaper/Magazine Article (27)

•Press Release/Announcement (1)

•Special or Theme Issue (13)

•Tools/Toolkit (6)

•Web Resource (3)

Error Types

•Epidemiology of Errors and Adverse Events (106)

•Active Errors (84)

•Latent Errors (43)

•Near Miss (22)

Approach to Improving Safety

•Quality Improvement Strategies (114)

•Legal and Policy Approaches (22)

•Error Reporting and Analysis (125)

•Communication Improvement (135)

•Human Factors Engineering (91)

•Teamwork (79)

•Specialization of Care (34)

•Logistical Approaches (110)

•Culture of Safety (117)

•Technologic Approaches (74)

•Education and Training (135)

Clinical Areas

•Allied Health Services (1)

•Medicine (295)

•Nursing (523)

•Pharmacy (42)

Target Audience
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Nurse Managers

Setting of Care

•Hospitals (432)

•Psychiatric Facilities (6)

•Residential Facilities (19)

•Ambulatory Care (27)

•Outpatient Surgery (2)

•Patient Transport (3)

1 - 20 of 661

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STUDY

No interruptions please: impact of a no interruption zone on medication safety in intensive care units.

Anthony K, Wiencek C, Bauer C, Daly B, Anthony MK. Crit Care Nurse. 2010;30:21-29.

COMMENTARY

Medication room madness: calming the chaos.

Conrad C, Fields W, McNamara T, Cone M. J Nurs Care Qual. 2009;25:137-144.

STUDY

Association of interruptions with an increased risk and severity of medication administration errors.

Westbrook JI, Woods A, Rob MI, Dunsmuir WTM, Day RO. Arch Intern Med. 2010;170:683-690.

STUDY

Nurse interruptions pre- and post-implementation of a point-of-care medication administration system.

Stamp KD, Willis DG. J Nurs Care Qual. 2010;25:231-239.

NEWSPAPER/MAGAZINE ARTICLE

Guidelines for timely medication administration: response to the CMS "30-minute rule."

ISMP Medication Safety Alert! Acute Care Edition. January 13, 2011;16:1-4.

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

Effects of technological interventions on the safety of a medication-use system.

Skibinski KA, White BA, Lin LI, Dong Y, Wu W. Am J Health Syst Pharm. 2007;64:90-96.

STUDY

Nurses' satisfaction with medication administration point-of-care technology.

Hurley AC, Bane A, Fotakis S, et al. J Nurs Adm. 2007;37:343-349.

STUDY

Variations in nursing care quality across hospitals.

Lucero RJ, Lake ET, Aiken LH. J Adv Nurs. 2009;65:2299-2310.

STUDY

Nursing care quality and adverse events in US hospitals.

Lucero RJ, Lake ET, Aiken LH. J Clin Nurs. 2010;19:2185-2195.

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.

NEWSPAPER/MAGAZINE ARTICLE

Design for reliability: barcoded medication administration.

Hayden AC, Lanoue ET, Still CJ. Patient Saf Qual Healthc. July/August 2011;8:12-20.

COMMENTARY

Implementing a safe and reliable process for medication administration.

Richardson B, Bromirski B, Hayden A. Clin Nurse Spec. 2012;26:169-176.

STUDY

Bar code medication administration technology: characterization of high-alert medication triggers and clinician workarounds.

Miller DF, Fortier CR, Garrison KL. Ann Pharmacother. 2011;45:162-168.

SPECIAL OR THEME ISSUE

CMS 30-minute rule for drug administration needs revision.

ISMP Medication Safety Alert! Acute Care Edition. September 9, 2010;15:1-6.

COMMENTARY

Interruptions and medication errors: part I.

Flanders S, Clark AP. Clin Nurse Spec. 2010;24:281-285.

COMMENTARY

Time to get off this pig's back?: the human factors aspects of the mismatch between device and real-world knowledge in the health care environment.

Nunnally ME, Bitan Y. J Patient Saf. 2006;2:124-131.

NEWSPAPER/MAGAZINE ARTICLE

Scanning out medication errors: Ohio Valley Hospital's automated IV system provides real-time access to patient data.

Carbasho T. Pittsburgh Business Times. April 25, 2005.

STUDY

The content and context of change of shift report on medical and surgical units.

Staggers N, Jennings BM. J Nurs Adm. 2009;39:393-398.

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.

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