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 (70)

•Fatigue and Sleep Deprivation (21)

•Medication Safety (230)

•Medical Complications (74)

•Nonsurgical Procedural Complications (14)

•Surgical Complications (50)

•Transfusion Complications (1)

•Psychological and Social Complications (28)

Origin/Sponsor

•Asia (20)

•Australia and New Zealand (31)

•Central and South America (2)

Resource Types

•Journal Article (585)

•Legislation/Regulation (5)

•Meeting/Conference (4)

•Newspaper/Magazine Article (27)

•Press Release/Announcement (1)

•Special or Theme Issue (14)

•Tools/Toolkit (6)

•Web Resource (3)

Error Types

•Epidemiology of Errors and Adverse Events (107)

•Active Errors (86)

•Latent Errors (43)

•Near Miss (22)

Approach to Improving Safety

•Quality Improvement Strategies (114)

•Legal and Policy Approaches (21)

•Error Reporting and Analysis (126)

•Communication Improvement (135)

•Human Factors Engineering (92)

•Teamwork (79)

•Specialization of Care (34)

•Logistical Approaches (109)

•Culture of Safety (117)

•Technologic Approaches (74)

•Education and Training (138)

Clinical Areas

•Allied Health Services (1)

•Medicine (296)

•Nursing (526)

•Pharmacy (42)

Target Audience
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Nurse Managers

Setting of Care

•Hospitals (435)

•Psychiatric Facilities (6)

•Residential Facilities (19)

•Ambulatory Care (27)

•Outpatient Surgery (2)

•Patient Transport (3)

1 - 20 of 664

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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.

STUDY

Interruptions and multitasking in nursing care.

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

COMMENTARY

Implementing handoff communication.

Ardoin KB, Broussard L. J Nurses Staff Dev. 2011;27:128-135.

STUDY

Implementation of Condition Help: family teaching and evaluation of family understanding.

Hueckel RM, Mericle JM, Frush K, Martin PL, Champagne MT. J Nurs Care Qual. 2012;27:176-181.

COMMENTARY

Nursing student medication errors: a case study using root cause analysis.

Dolansky MA, Druschel K, Helba M, Courtney K. J Prof Nurs. 2013;29:102-108.

COMMENTARY

Intrahospital transport to the radiology department: risk for adverse events, nursing surveillance, utilization of a MET and practice implications.

Ott LK, Hoffman LA, Hravnak M. J Radiol Nurs. 2011;30:49-52.

STUDY

Medication safety initiative in reducing medication errors.

Nguyen EE, Connolly PM, Wong V. J Nurs Care Qual. 2010;25:224-230.

STUDY

Nursing home error and level of staff credentials.

Scott-Cawiezell J, Pepper GA, Madsen RW, Petroski G, Vogelsmeier A, Zellmer D. Clin Nurs Res. 2007;16:72-78.

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

Variations in nursing care quality across hospitals.

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

STUDY

Medication Administration Time Study (MATS): nursing staff performance of medication administration.

Elganzouri ES, Standish CA, Androwich I. J Nurs Adm. 2009;39:204-210.

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.

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

A relational leadership perspective on unit-level safety climate.

Thompson DN, Hoffman LA, Sereika SM, et al. J Nurs Adm. 2011;41:479-487.

COMMENTARY

Ticket to ride: reducing handoff risk during hospital patient transport.

Pesanka DA, Greenhouse PK, Rack LL, et al. J Nurs Care Qual. 2009;24:109-115.

COMMENTARY

Bringing change-of-shift report to the bedside: a patient- and family-centered approach.

Griffin T. J Perinat Neonatal Nurs. 2010;24:348-353.

STUDY

Characteristics of medication errors made by students during the administration phase: a descriptive study.

Wolf ZR, Hicks R, Serembus JF. J Prof Nurs. 2006;22:39-51.

COMMENTARY

Medication room madness: calming the chaos.

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

REVIEW

Nursing handoffs: a systematic review of the literature.

Riesenberg LA, Leisch J, Cunningham JM. Am J Nurs. 2010;110:24-34.

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