AHRQ Patient Safety Network

The Collection > Nurse Managers

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Safety Target

•Device-related Complications (25)

•Diagnostic Errors (2)

•Identification Errors (14)

•Discontinuities, Gaps, and Hand-Off Problems (68)

•Fatigue and Sleep Deprivation (22)

•Medication Safety (221)

•Medical Complications (72)

•Nonsurgical Procedural Complications (13)

•Surgical Complications (47)

•Transfusion Complications (1)

•Psychological and Social Complications (28)

Origin/Sponsor

•Asia (19)

•Australia and New Zealand (27)

•Central and South America (2)

Resource Types

•Journal Article (564)

•Legislation/Regulation (5)

•Meeting/Conference (4)

•Newspaper/Magazine Article (26)

•Press Release/Announcement (1)

•Special or Theme Issue (14)

•Tools/Toolkit (5)

•Web Resource (3)

Error Types

•Epidemiology of Errors and Adverse Events (100)

•Active Errors (82)

•Latent Errors (38)

•Near Miss (20)

Approach to Improving Safety

•Quality Improvement Strategies (110)

•Legal and Policy Approaches (22)

•Error Reporting and Analysis (121)

•Communication Improvement (132)

•Human Factors Engineering (91)

•Teamwork (76)

•Specialization of Care (34)

•Logistical Approaches (107)

•Culture of Safety (116)

•Technologic Approaches (73)

•Education and Training (130)

Clinical Areas

•Allied Health Services (1)

•Medicine (280)

•Nursing (511)

•Pharmacy (39)

Target Audience
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Nurse Managers

Setting of Care

•Hospitals (416)

•Psychiatric Facilities (6)

•Residential Facilities (19)

•Ambulatory Care (27)

•Outpatient Surgery (2)

•Patient Transport (3)

1 - 20 of 640

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STUDY

Frequency and type of errors and near errors reported by critical care nurses.

Balas MC, Scott LD, Rogers AE. Can J Nurs Res. 2006;38:24-41.

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.

STUDY

Speaking up and sharing information improves trainee neonatal resuscitations.

Katakam LI, Trickey AW, Thomas EJ. J Patient Saf. 2012;8:202-209.

STUDY

Discharge rounds in the 80-hour workweek: importance of the trauma nurse practitioner.

Haan JM, Dutton RP, Willis M, Leone S, Kramer ME, Scalea TM. J Trauma. 2007;63:339-343.

STUDY

Healthy work environments, nurse-physician communication, and patients' outcomes.

Manojlovich M, DeCicco B. Am J Crit Care. 2007;16:536-543.

STUDY

Safety Climate Survey: reliability of results from a multicenter ICU survey.

Kho ME, Carbone JM, Lucas J, Cook DJ. Qual Saf Health Care. 2005;14:273-278.

COMMENTARY

Preventing sentinel events caused by family members.

Wall Y, Kautz DD. Dimens Crit Care Nurs. 2011;30:25-27.

STUDY

Implementing and validating a comprehensive unit-based safety program.

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

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.

COMMENTARY

2009 National Patient Safety Goals.

Saufl NM. J Perianesth Nurs. 2009;24:114-118.

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.

COMMENTARY

Implementing AORN recommended practices for transfer of patient care information.

Seifert PC. AORN J. 2012;96:475-493.

COMMENTARY

Implementing handoff communication.

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

COMMENTARY

Standardizing hand-off processes.

Crum Gregory BS. AORN J. 2006;84:1059-1061.

STUDY

Role of registered nurses in error prevention, discovery and correction.

Rogers AE, Dean GE, Hwang WT, Scott LD. Qual Saf Health Care. 2008;17:117-121.

COMMENTARY

JCAHO's safety goals—the clock is ticking, will your ED be compliant?

ED Manag. 2005;17:73-75.

TOOLKIT

Perioperative Patient 'Hand-Off' Tool Kit.

Association of Perioperative Registered Nurses.

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

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

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.

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