One intensive care nursery's experience with enhancing patient safety.

Michael Alton; Jane Mericle; Debra Brandon

Commentary

One intensive care nursery's experience with enhancing patient safety.

June 28, 2006

Alton M, Mericle J, Brandon D. Adv Neonatal Care. 2006;6(3):112-9.

View more articles from the same authors.

The authors describe the implementation of a safety program to instill a culture of safety following a high-profile sentinel event.

PubMed citation

Related Resources From the Same Author(s)

Development and implementation of a pediatric patient safety program.

June 21, 2006

Nurses' perceptions and experiences of communication in the operating theatre: a focus group interview.

February 22, 2006

Pediatric rapid response teams in the academic medical center.

January 3, 2007

Development and implementation of a hospital-based patient safety program.

March 15, 2006

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

October 26, 2011

Quantifying the burden of opioid medication errors in adult oncology and palliative care settings: a systematic review.

June 1, 2016

A realist synthesis of pharmacist-conducted medication reviews in primary care after leaving hospital: what works for whom and why?

December 2, 2020

Clinicians' perceptions of opioid error–contributing factors in inpatient palliative care services: a qualitative study.

May 22, 2019

Bedside shift reports: what does the evidence say?

September 24, 2014

Complexity of medication-related verbal orders.

June 25, 2008

Toward the translation of systems thinking methods in patient safety practice: assessing the validity of Net-HARMS and AcciMap.

February 1, 2023

Surgical site verification: A through Z.

November 22, 2006

The right and wrong way to talk to patients about adverse events.

June 25, 2014

ED handoffs: observed practices and communication errors.

July 20, 2011

Quality improvement and safety in pediatric emergency medicine.

March 6, 2019

A strategic approach for managing conflict in hospitals: responding to The Joint Commission leadership standard—part 1 and part 2.

January 26, 2011

Using simulation training to improve perioperative patient safety.

April 17, 2013

Bullying: a hidden threat to patient safety.

May 28, 2014

Hospitalwide adverse drug events before and after limiting weekly work hours of medical residents to 80.

August 3, 2005

The impacts of a pharmacist-managed outpatient clinic and chemotherapy-directed electronic order sets for monitoring oral chemotherapy.

November 9, 2016

Association of pharmaceutical industry marketing of opioid products with mortality from opioid-related overdoses.

February 6, 2019

Increased patient safety-related incidents following the transition into Daylight Savings Time.

September 9, 2020

Characteristics and patient impact of boarding in the pediatric emergency department, 2018-2022.

January 24, 2024

Nonfatal opioid overdoses at an urban emergency department during the COVID-19 pandemic.

October 7, 2020

What ring tone should be used for patient safety? Early results with a Blackberry-based telementoring safety solution.

March 31, 2010

Patient safety climate strength: a concept that requires more attention.

August 31, 2016

A concept analysis of undergraduate nursing students speaking up for patient safety in the patient care environment.

August 3, 2016

Examining the diagnostic justification abilities of fourth-year medical students.

November 7, 2012

Error training: missing link in surgical education.

April 11, 2012

Technical rationality and the decentring of patients and care delivery: a critique of 'unavoidable' in the context of patient harm.

July 25, 2018

Sample to sample carryover: a source of analytical laboratory error and its relevance to integrated clinical chemistry/immunoassay systems.

July 5, 2006

Path to safety: benefits of the 2005 Patient Safety and Quality Improvement Act.

June 28, 2006

The use of technology for urgent clinician to clinician communications: a systematic review of the literature.

January 7, 2015

Characteristics of unsafe undergraduate nursing students in clinical practice: an integrative literature review.

January 30, 2005

Nurses' knowledge and teaching of possible postpartum complications.

August 30, 2017

Patient safety education: what was, what is, and what will be?

December 18, 2013

Triggers, bundles, protocols, and checklists—what every maternal care provider needs to know.

April 13, 2016

National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism.

December 7, 2016

Name and shame.

August 12, 2009

You can say sorry.

August 12, 2009

Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada.

June 28, 2023

Safety first.

February 25, 2009

Cutting out human error.

November 19, 2008

Obtaining the best possible medication history at hospital admission: description of a pharmacy technician-driven program to identify medication discrepancies.

June 23, 2021

An integrative review exploring the perceptions of patients and healthcare professionals towards patient involvement in promoting hand hygiene compliance in the hospital setting.

September 12, 2018

Intentional rounding—an integrative literature review.

August 7, 2019

The wicked problem of patient misidentification: how could the technological revolution help address patient safety?

May 1, 2019

Clinical deterioration and hospital‐acquired complications in adult patients with isolation precautions for infection control: a systematic review.

October 14, 2020

Three missed critical nursing care processes on labor and delivery units during the COVID-19 pandemic.

May 31, 2023

Patient-as-observer approach: an alternative method for hand hygiene auditing in an ambulatory care setting.

April 30, 2014

Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration.

September 23, 2015

Trainee autonomy and patient safety.

December 6, 2017

Medical device-related pressure ulcers: a systematic review and meta-analysis.

March 6, 2019

Driving improvement in patient care: lessons from Toyota.

March 6, 2005

Hospital system barriers to rapid response team activation: a cognitive work analysis.

February 18, 2015

The risks of the prescribing cascade.

September 16, 2020

Rx for medication errors.

November 19, 2008

Role of pharmacist counseling in preventing adverse drug events after hospitalization.

March 22, 2006

Characteristics of medical liability claims against dermatologists from 1991 through 2015.

December 20, 2017

Association of differences in treatment intensification, missed visits, and scheduled follow-up interval with racial or ethnic disparities in blood pressure control.

December 22, 2021

Is disruptive behavior inherent to the surgeon or the environment? Analysis of 314 events at a single academic medical center.

September 4, 2019

Residency Training—A Decade of Duty-Hour Regulations.

December 18, 2013

Universal protection: operationalizing infection prevention guidance in the COVID-19 era.

May 12, 2021

Consumer participation in early detection of the deteriorating patient and call activation to rapid response systems: a literature review.

October 7, 2015

Developing a reporting and tracking tool for nursing student errors and near misses.

May 28, 2014

Understanding and responding to health literacy as a social determinant of health.

October 9, 2021

Public sector organizational failure: a study of collective denial in the UK national health service.

May 27, 2020

Medication safety: just a label away.

October 24, 2007

Nighttime and weekend medication error rates in an inpatient pediatric population.

December 15, 2010

Improving sepsis care through systems change: the impact of a medical emergency team.

March 5, 2008

Operating room to intensive care unit handoffs and the risks of patient harm.

July 22, 2015

Nurse interrupted: development of a realistic medication administration simulation for undergraduate nurses.

August 26, 2015

Developing a framework for nursing handover in the emergency department: an individualised and systematic approach.

October 30, 2013

Error disclosure and family members' reactions: does the type of error really matter?

February 18, 2015

The role of emotion in patient safety: are we brave enough to scratch beneath the surface?

January 27, 2016

Inattentional blindness and failures to rescue the deteriorating patient in critical care, emergency and perioperative settings: four case scenarios.

December 7, 2016

Partnering to prevent falls: using a multimodal multidisciplinary team.

August 14, 2013

The spectrum of medical errors: when patients sue.

September 12, 2012

Can patients report patient safety incidents in a hospital setting? A systematic review.

May 23, 2012

Examining the meaning of the language used to communicate the nursing hand-off.

November 24, 2021

The future of engaging patients and families for patient safety.

October 18, 2023

Engaging patients as safety partners: some considerations for ensuring a culturally and linguistically appropriate approach.

November 12, 2008

Culture, language, and patient safety: making the link.

September 27, 2006

Clinical risk management and patient safety education for nurses: a critique.

July 26, 2006

Clinical alarms: improving efficiency and effectiveness.

November 9, 2005

Processes for disciplining nurses for unprofessional conduct of a serious nature: a critique.

May 4, 2005

One size fits all? Mixed methods evaluation of the impact of 100% single-room accommodation on staff and patient experience, safety and costs.

October 21, 2015

Effectiveness of a barcode medication administration system in reducing preventable adverse drug events in a neonatal intensive care unit: a prospective cohort study.

November 12, 2008

The impact of stress on surgical performance: a systematic review of the literature.

February 3, 2010

Patient and family empowerment as agents of ambulatory care safety and quality.

September 7, 2016

Managing intraoperative stress: what do surgeons want from a crisis training program?

April 8, 2009

Development and implementation of a suicide prevention checklist to create a safe environment.

March 4, 2020

The importance of leadership in preventing healthcare–associated infection: results of a multisite qualitative study.

September 15, 2010

How active resisters and organizational constipators affect health care–acquired infection prevention efforts.

April 13, 2011

Infection prevention in long-term care: re-evaluating the system using a human factors engineering approach.

February 13, 2019

Identifying potential medication discrepancies during medication reconciliation in the post-acute long-term care setting.

July 17, 2019

The social dimensions of safety incident reporting in maternity care: the influence of working relationships and group processes.

December 12, 2012

Understanding how rapid response systems may improve safety for the acutely ill patient: learning from the frontline.

October 19, 2011

Rethinking diagnostic delay in cancer: how difficult is the diagnosis?

January 7, 2015

Distraction in the operating room: a narrative review of environmental and self-initiated distractions and their effect on anesthesia providers.

December 16, 2020

Related Resources

Patient Safety Innovations

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

July 31, 2023

Error disclosure in neonatal intensive care: a multicentre, prospective, observational study.

May 10, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Patient Safety Innovations

The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis

March 15, 2023

Recognizing our biases, understanding the evidence, and responding equitably: application of the socioecological model to reduce racial disparities in the NICU.

March 8, 2023

Social risk, health inequity, and patient safety.

October 5, 2022

Proceed with reasonable care: when legal principles inform training to prevent harm during the childbirth.

February 9, 2022

Evaluation of a second victim peer support program on perceptions of second victim experiences and supportive resources in pediatric clinical specialties using the second victim experience and support tool (SVEST).

November 3, 2021

Cardinal Health recalls Argyle UVC insertion tray due to missing instructions for use for the Safety Scalpel N11.

September 1, 2021

Making communication and resolution programmes mission critical in healthcare organisations.

November 11, 2020

Complications associated with the anesthesia transport of pediatric patients: an analysis of the Wake Up Safe database.

October 14, 2020

Patient Safety.

January 8, 2020

Identifying medication errors in neonatal intensive care units: a two-center study

December 4, 2019

Safety climate, safety climate strength, and length of stay in the NICU.

November 20, 2019

Achieving dialysis safety: the critical role of higher-functioning teams.

April 17, 2019

Reducing diagnostic errors worldwide through diagnostic management teams.

April 3, 2019

The correlation between neonatal intensive care unit safety culture and quality of care.

February 6, 2019

WebM&M Cases

Coming Up Short: Maintaining Safety in the Face of Drug Shortages

October 1, 2018

Using co-design to develop a collective leadership intervention for healthcare teams to improve safety culture.

September 12, 2018

The emotional impact of errors or adverse events on healthcare providers in the NICU: the protective role of coworker support.

April 25, 2018

Where should patient safety be installed?

November 29, 2017

A piece of my mind. Speak up.

June 28, 2017

Burnout in the neonatal intensive care unit and its relation to healthcare-associated infections.

June 14, 2017

Rudeness and medical team performance.

April 12, 2017

Development and preliminary testing of the Coordination Process Error Reporting Tool (CPERT), a prospective clinical surveillance mechanism for teamwork errors in the pediatric cardiac ICU.

November 30, 2016

Comparing NICU teamwork and safety climate across two commonly used survey instruments.

November 30, 2016

Peer support for clinicians: a programmatic approach.

July 20, 2016

Transforming the morbidity and mortality conference to promote safety and quality in a PICU.

April 6, 2016

Changes in efficiency and safety culture after integration of an I-PASS-supported handoff process.

February 3, 2016

Impact of a drug shortage on medication errors and clinical outcomes in the pediatric intensive care unit.

February 3, 2016

See More About The Topic

Intensive Care Units

Health Care Providers

Facility and Group Administrators

Risk Managers

Neonatology and Intensive Care

One intensive care nursery's experience with enhancing patient safety.

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

One intensive care nursery's experience with enhancing patient safety.

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site