Commentary Nurses: the patient's first—and perhaps last—line of defense. Citation Text: Joy J. Nurses: the patient's first--and perhaps last--line of defense. AORN J. 2009;89(6):1133-6. doi:10.1016/j.aorn.2009.05.013. Copy Citation Format: DOIGoogle ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL June 24, 2009 Joy J. AORN J. 2009;89(6):1133-6. View more articles from the same authors. This commentary emphasizes how nurses in perioperative settings can help enhance safety and prevent errors. PubMed citation Available at Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Joy J. Nurses: the patient's first--and perhaps last--line of defense. AORN J. 2009;89(6):1133-6. doi:10.1016/j.aorn.2009.05.013. Copy Citation Format: DOIGoogle ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Related Resources From the Same Author(s) Adolescent use of insulin and patient-controlled analgesia pump technology: a 10-year Food and Drug Administration retrospective study of adverse events. May 28, 2008 A contemporary analysis of closed claims related to wrong site surgery. March 29, 2023 Reaching the summit of discharge summaries: a quality improvement project. March 3, 2021 Defining the landscape of patient harm after osteopathic manipulative treatment: synthesis of an adverse event model. December 13, 2023 Potentially inappropriate prescribing for adults living with diabetes mellitus: a scoping review. October 5, 2022 Patient falls in the operating room setting: an analysis of reported safety events. May 11, 2022 Defining avoidable healthcare-associated harm in prisons: a mixed-method development study. 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Adolescent use of insulin and patient-controlled analgesia pump technology: a 10-year Food and Drug Administration retrospective study of adverse events. May 28, 2008
Defining the landscape of patient harm after osteopathic manipulative treatment: synthesis of an adverse event model. December 13, 2023
Potentially inappropriate prescribing for adults living with diabetes mellitus: a scoping review. October 5, 2022
Defining avoidable healthcare-associated harm in prisons: a mixed-method development study. April 19, 2023
Sustaining the gains: a 7-year follow-through of a hospital-wide patient safety improvement project on hospital-wide adverse event outcomes and patient safety culture. June 10, 2020
Identifying electronic health record usability and safety challenges in pediatric settings. November 28, 2018
Safety standards: implementing fall prevention interventions and sustaining lower fall rates by promoting the culture of safety on an inpatient rehabilitation unit. December 9, 2015
In-situ interprofessional perinatal drills: the impact of a structured debrief on maximizing training while sensing patient safety threats. May 22, 2019
Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit. June 1, 2011
A socio-technical systems approach to studying interruptions: understanding the interrupter's perspective. October 23, 2013
Transmitting and processing electronic prescriptions: experiences of physician practices and pharmacies. December 7, 2011
Patient safety in patients who occupy beds on clinically inappropriate wards: a qualitative interview study with NHS staff. December 7, 2011
Information chaos in primary care: implications for physician performance and patient safety. November 30, 2011
SEIPS 2.0: a human factors framework for studying and improving the work of healthcare professionals and patients. October 3, 2013
Hospital ward adaptation during the COVID-19 pandemic: a national survey of academic medical centers. September 23, 2020
Variation in electronic test results management and its implications for patient safety: a multisite investigation. August 19, 2020
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Results and lessons from a hospital-wide initiative incentivised by delivery system reform to improve infection prevention and sepsis care. March 17, 2021
The association between health care staff engagement and patient safety outcomes: a systematic review and meta-analysis. February 3, 2021
Missed acute coronary syndrome during telephone triage at out-of-hours primary care: lessons from a case-control study. February 3, 2021
Obtaining the best possible medication history at hospital admission: description of a pharmacy technician-driven program to identify medication discrepancies. June 23, 2021
Can patients contribute to enhancing the safety and effectiveness of test-result follow-up? Qualitative outcomes from a health consumer workshop. June 2, 2021
Assessment of overuse of medical tests and treatments at US hospitals using Medicare claims. May 19, 2021
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Relationships among psychological safety, the principles of high reliability, and safety reporting intentions in pediatric nursing. January 24, 2024
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Prevalence and causes of diagnostic errors in hospitalized patients under investigation for COVID-19. April 12, 2023
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Interdisciplinary Quality Improvement Conference: using a revised morbidity and mortality format to focus on systems-based patient safety issues in a VA hospital: design and outcomes. November 12, 2014
Patient complaints about hospital services: applying a complaint taxonomy to analyse and respond to complaints. June 8, 2016
The morbidity and mortality conference as an adverse event surveillance tool in a paediatric intensive care unit. August 20, 2014
Children's Hospital investigated five patient deaths from deadly fungal disease in 2009. April 30, 2014
The impact of health information technology on the management and follow-up of test results—a systematic review. May 8, 2019
The value of adding a verbal report to written handoffs on early readmission following prolonged respiratory failure. December 22, 2010
Pharmacists' interventions in prescribing errors at hospital discharge: an observational study in the context of an electronic prescribing system in a UK teaching hospital. November 3, 2010
The tangible handoff: a team approach for advancing structured communication in labor and delivery. June 2, 2010
Conducting root cause analysis with nursing students: best practice in nursing education. June 9, 2010
Using ORA to explore the relationship of nursing unit communication to patient safety and quality outcomes. June 22, 2011
Emergency department visits for medical device–associated adverse events among children. September 15, 2010
Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly care ward. May 18, 2016
Impact of proactive rounding by a rapid response team on patient outcomes at an academic medical center. January 16, 2013
Little shop of errors: an innovative simulation patient safety workshop for community health care professionals. May 29, 2013
Measuring handoff quality in labor and delivery: development, validation, and application of the Coordination of Handoff Effectiveness Questionnaire (CHEQ). May 8, 2013
Learning in action: developing safety improvement capabilities through action learning. September 25, 2013
Effects of a multicentre teamwork and communication programme on patient outcomes: results from the Triad for Optimal Patient Safety (TOPS) project. January 30, 2005
A pharmacist-led information technology intervention for medication errors (PINCER): a multicentre, cluster randomised, controlled trial and cost-effectiveness analysis. March 7, 2012
Effect of systematic physician cross-checking on reducing adverse events in the emergency department: the CHARMED cluster randomized trial. May 2, 2018
Relationship of staff information sharing and advice networks to patient safety outcomes. January 30, 2019
Burnout mediates the association between depression and patient safety perceptions: a cross-sectional study in hospital nurses. April 26, 2017
Variations in GPs' decisions to investigate suspected lung cancer: a factorial experiment using multimedia vignettes. October 19, 2016
The effectiveness and risks of long-term opioid therapy for chronic pain: a systematic review for a National Institutes of Health Pathways to Prevention Workshop. December 21, 2016
Automated identification of antibiotic overdoses and adverse drug events via analysis of prescribing alerts and medication administration records. August 24, 2016
Nurses' responses to medication errors: suggestions for the development of organizational strategies to improve reporting. May 20, 2009
Describing the evidence linking interprofessional education interventions to improving the delivery of safe and effective patient care: a scoping review. March 27, 2024
Practical application of high-reliability principles in healthcare to optimize quality and safety outcomes. February 7, 2018
Using Kotter's change model for implementing bedside handoff: a quality improvement project. August 24, 2016
Standardized handoff report form in clinical nursing education: an educational tool for patient safety and quality of care. December 9, 2015
The effect of staff nurses' shift length and fatigue on patient safety and nurses' health: from the National Association of Neonatal Nurses. October 21, 2015