AHRQ Patient Safety Network

The Collection > Medical/Surgical/Psychiatric Nursing

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Safety Target

•Device-related Complications (4)

•Diagnostic Errors (1)

•Identification Errors (5)

•Discontinuities, Gaps, and Hand-Off Problems (10)

•Medication Safety (35)

•Medical Complications (12)

•Nonsurgical Procedural Complications (1)

•Surgical Complications (44)

•Psychological and Social Complications (6)

Origin/Sponsor

•Asia (2)

•Australia and New Zealand (4)

•Europe (15)

•North America (72)

Resource Types

•Audiovisual (1)

•Journal Article (82)

•Legislation/Regulation (2)

•Newspaper/Magazine Article (4)

•Special or Theme Issue (3)

•Tools/Toolkit (2)

•Web Resource (1)

Error Types

•Epidemiology of Errors and Adverse Events (21)

•Active Errors (20)

•Latent Errors (3)

•Near Miss (3)

Approach to Improving Safety

•Quality Improvement Strategies (24)

•Legal and Policy Approaches (2)

•Error Reporting and Analysis (16)

•Communication Improvement (28)

•Human Factors Engineering (19)

•Teamwork (18)

•Logistical Approaches (13)

•Culture of Safety (18)

•Technologic Approaches (11)

•Education and Training (14)

Clinical Areas
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Medical/Surgical/Psychiatric Nursing

Target Audience

•Health Care Providers (84)

•Health Care Executives and Administrators (83)

•Non-Health Care Professionals (29)

•Patients (3)

Setting of Care

•Hospitals (83)

•Psychiatric Facilities (3)

•Residential Facilities (1)

•Ambulatory Care (1)

•Outpatient Surgery (3)

1 - 20 of 95

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STUDY

Identifying the 'right patient': nurse and consumer perspectives on verifying patient identity during medication administration.

Kelly T, Roper C, Elsom S, Gaskin C. Int J Ment Health Nurs. 2011;20:371-379.

STUDY

Adverse incidents, patient flow and nursing workforce variables on acute psychiatric wards: the Tompkins Acute Ward Study.

Bowers L, Allan T, Simpson A, Nijman H, Warren J. Int J Soc Psychiatry. 2007;53:75-84.

STUDY

Reducing interruptions to improve medication safety.

Freeman R, McKee S, Lee-Lehner B, Pesenecker J. J Nurs Care Qual. 2013;28:176-185.

STUDY

Empowering frontline nurses: a structured intervention enables nurses to improve medication administration accuracy.

Kliger J, Blegen MA, Gootee D, O'Neil E. Jt Comm J Qual Patient Saf. 2009;35:604-612.

STUDY

The incidence and nature of prescribing and medication administration errors in paediatric inpatients.

Ghaleb MA, Barber N, Franklin BD, Wong ICK. Arch Dis Child. 2010;95:113-118.

STUDY

Lessons learned: use of event reporting by nurses to improve patient safety and quality.

Hession-Laband E, Mantell P. J Pediatr Nurs. 2011;26:149-155.

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.

STUDY

Supporting a psychiatric hospital culture of safety.

Mahoney JS, Ellis TE, Garland G, Palyo N, Greene PK. J Am Psychiatr Nurses Assoc. 2012;18:299-306.

STUDY

Perceived adverse patient outcomes correlated to nurses' workload in medical and surgical wards of selected hospitals in Kuwait.

Al-Kandari F, Thomas D. J Clin Nurs. 2009;18:581-590.

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.

STUDY

Prevalence of medication administration errors in two medical units with automated prescription and dispensing.

Rodriguez-Gonzalez CG, Herranz-Alonso A, Martin-Barbero ML, et al. J Am Med Inform Assoc. 2012;19:72-78.

STUDY

Effects of learning climate and registered nurse staffing on medication errors.

Chang Y, Mark B. Nurs Res. 2011;60:32-39.

STUDY

Enhancing patient safety with intelligent intravenous infusion devices: experience in a specialty cardiac hospital.

Wood JL, Burnette JS. Heart Lung. 2012;41:173-176.

STUDY

The impact of a closed-loop electronic prescribing and administration system on prescribing errors, administration errors and staff time: a before-and-after study.

Franklin BD, O'Grady K, Donyai P, Jacklin A, Barber N. Qual Saf Health Care. 2007;16:279-284.

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.

SPECIAL OR THEME ISSUE

SafetyNet: Lessons Learned from Close Calls in the OR.

AORN J. 2006;84(suppl 1):S1-S63.

STUDY

An examination of technical efficiency, quality, and patient safety in acute care nursing units.

Mark B, Jones C, Lindley L, Ozcan Y. Policy Polit Nurs Pract. 2009;10:180-186.

STUDY

Prioritising the prevention of medication handling errors.

Bertsche T, Niemann D, Mayer Y, Ingram K, Hoppe-Tichy T, Haefeli WE. Pharm World Sci. 2008;30:907-915.

STUDY

Evaluation of contextual influences on the medication administration practice of paediatric nurses.

Davis L, Ware R, McCann D, Keogh S, Watson K. J Adv Nurs. 2009;65:1293-1299.

COMMENTARY

Failure mode and effect analysis: a technique to prevent chemotherapy errors.

Sheridan-Leos N, Schulmeister L, Hartranft S. Clin J Oncol Nurs. 2006;10:393-398.

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