Detection and prevention of medication errors using real-time bedside nurse charting.

Nancy C Nelson; R. Scott Evans; Matthew H Samore; Reed M Gardner

Study

Detection and prevention of medication errors using real-time bedside nurse charting.

August 31, 2005

Nelson NC, Evans RS, Samore MH, et al. Journal of the American Medical Informatics Association. 2005;12(4).

View more articles from the same authors.

The authors found that an educational intervention and feedback improved nurses' bedside charting practices.

Available at

Free full text

PubMed citation

Related Resources From the Same Author(s)

Surveillance of medical device-related hazards and adverse events in hospitalized patients.

March 6, 2005

Risk factors for adverse drug events: a 10-year analysis.

June 8, 2005

Clarifying adverse drug events: a clinician's guide to terminology, documentation, and reporting.

March 6, 2005

A simulation-based evaluation of methods to estimate the impact of an adverse event on hospital length of stay.

October 24, 2007

Identification and characterization of failures in infectious agent transmission precaution practices in hospitals: a qualitative study.

June 20, 2018

Developing indicators of inpatient adverse drug events through nonlinear analysis using administrative data.

October 24, 2007

Intervention to reduce transmission of resistant bacteria in intensive care.

February 1, 2012

Policy and the future of adverse event detection using information technology.

March 6, 2005

Comparison of computerized surveillance and manual chart review for adverse events.

June 29, 2011

Laboratory testing in general practice: a patient safety blind spot.

November 4, 2015

Standardized patient identification and specimen labeling: a retrospective analysis on improving patient safety.

October 3, 2012

Body CT: technical advances for improving safety.

August 3, 2011

Vital signs: improving antibiotic use among hospitalized patients.

March 26, 2014

Automated detection of harm in healthcare with information technology: a systematic review.

September 29, 2010

What do family physicians consider an error? A comparison of definitions and physician perception.

January 3, 2007

Measuring adverse events in hospitalized patients: an administrative method for measuring harm.

September 7, 2016

How experiencing preventable medical problems changed patients' interactions with primary health care.

December 21, 2005

Barriers and motivators for making error reports from family medicine offices: a report from the American Academy of Family Physicians National Research Network (AAFP NRN).

March 21, 2007

The Research on Adverse Drug Events and Reports (RADAR) project.

May 18, 2005

Patient safety incidents in home hospice care: the experiences of hospice interdisciplinary team members.

April 16, 2014

Patient safety concerns in COVID-19–related events: a study of 343 event reports from 71 hospitals in Pennsylvania.

July 8, 2020

Management of test results in family medicine offices.

July 29, 2009

The management of test results in primary care: does an electronic medical record make a difference?

July 14, 2010

Nurses' perceptions of error communication and reporting in the intensive care unit.

August 13, 2008

Hospital workload and adverse events.

May 9, 2007

The impact of interruptions on the duration of nursing interventions: a direct observation study in an academic emergency department.

October 7, 2015

Learning from different lenses: reports of medical errors in primary care by clinicians, staff, and patients: a project of the American Academy of Family Physicians National Research Network.

November 1, 2006

Development of an instrument to measure seniors' patient safety health beliefs: the Seniors Empowerment and Advocacy in Patient Safety (SEAPS) survey.

October 3, 2007

A comparison of error rates between intravenous push methods: a prospective, multisite, observational study.

November 1, 2017

Defining and studying errors in surgical care: a systematic review.

August 17, 2022

A novel approach to increase residents' involvement in reporting adverse events.

May 18, 2011

Microsystems in health care: Part 2. Creating a rich information environment.

March 6, 2005

Adverse drug event detection in pediatric oncology and hematology patients: using medication triggers to identify patient harm in a specialized pediatric patient population.

May 14, 2014

Educating seniors to be patient safety self-advocates in primary care.

May 28, 2008

Reporting and using near-miss events to improve patient safety in diverse primary care practices: a collaborative approach to learning from our mistakes.

July 29, 2015

Frequency of inappropriate medical exceptions to quality measures.

March 31, 2010

Associations between attending physician workload, teaching effectiveness, and patient safety.

February 3, 2016

Pediatric surgical errors: a systematic scoping review.

July 20, 2022

Rural community members' perceptions of harm from medical mistakes: a High Plains Research Network (HPRN) study.

March 21, 2007

A systems approach to morbidity and mortality conference.

July 28, 2010

Rapid response teams seen through the eyes of the nurse.

August 4, 2010

Reducing inappropriate outpatient medication prescribing in older adults across electronic health record systems.

January 13, 2021

Associations between in-hospital mortality, health care utilization, and inpatient costs with the 2011 resident duty hour revision.

May 15, 2019

Health literacy and patient safety events.

July 13, 2016

Leading successful rapid response teams: a multisite implementation evaluation.

April 29, 2009

Pharmacists' medication reconciliation-related clinical interventions in a children's hospital.

April 29, 2009

Educational quality improvement report: outcomes from a revised morbidity and mortality format that emphasised patient safety.

December 19, 2007

The safety of warfarin therapy in the nursing home setting.

June 13, 2007

Health care worker fatigue.

September 21, 2016

Shift-to-shift handoff effects on patient safety and outcomes: a systematic review.

November 18, 2015

Impact of interoperability of smart infusion pumps and an electronic medical record in critical care.

September 23, 2020

The effect of opioid prescribing guidelines on prescriptions by emergency physicians in Ohio.

December 13, 2017

The coronavirus and the risks to the elderly in long-term care.

May 6, 2020

What happens to the medication regimens of older adults during and after an acute hospitalization?

September 11, 2013

CDC central-line bloodstream infection prevention efforts produced net benefits of at least $640 million during 1990–2008.

June 18, 2014

Association between end-of-rotation resident transition in care and mortality among hospitalized patients.

December 14, 2016

ACGME duty-hour recommendations—a national survey of residency program directors.

August 11, 2010

Are surgeons and anesthesiologists lying to each other or gaming the system? A national random sample survey about "truth-telling practices" in the perioperative setting in the United States.

January 20, 2016

Patient safety and quality care.

July 30, 2014

Creating a better discharge summary: improvement in quality and timeliness using an electronic discharge summary.

May 6, 2009

Coping with medical error: a systematic review of papers to assess the effects of involvement in medical errors on healthcare professionals' psychological well-being.

July 14, 2010

Using the Communication and Teamwork Skills (CATS) assessment to measure health care team performance.

September 5, 2007

Deployment of a second victim peer support program: a replication study.

August 16, 2017

Enhanced time out: an improved communication process.

June 21, 2017

An interview with Audrey Nelson. Interviewed by Steven Berman.

December 14, 2005

The compliance with a patient safety bundle for management of placenta accreta spectrum.

October 16, 2019

Communication disparities between nursing home team members.

July 20, 2022

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

November 7, 2012

The problem with Plan-Do-Study-Act cycles.

February 3, 2016

The potential for improved teamwork to reduce medical errors in the emergency department.

March 27, 2005

The Swiss Cheese Conference: integrating and aligning quality improvement education with hospital patient safety initiatives.

February 27, 2019

Variation in emergency medical services workplace safety culture.

November 10, 2010

Disposal of paper records containing personal information in hospitals.

March 28, 2018

Telehealth.

October 25, 2017

Follow-up study of medication errors reported to the Vaccine Adverse Event Reporting System (VAERS).

June 7, 2006

Viewing prevention of catheter-associated urinary tract infection as a system: using systems engineering and human factors engineering in a quality improvement project in an academic medical center.

October 12, 2016

Patient safety, resident education and resident well-being following implementation of the 2003 ACGME duty hour rules.

March 23, 2011

Systematic review: association of shift length, protected sleep time, and night float with patient care, residents' health, and education.

January 19, 2011

Effect of Patient and Family Centered I-PASS on adverse event rates in hospitalized children with complex chronic conditions.

March 8, 2023

Emergency medical services provider perceptions of the nature of adverse events and near-misses in out-of-hospital care: an ethnographic view.

July 16, 2008

Incident learning in radiation oncology: a review.

August 15, 2018

Association of simulation training with rates of medical malpractice claims among obstetrician-gynecologists.

October 13, 2021

Identifying the latent failures underpinning medication administration errors: an exploratory study.

March 21, 2012

The care transitions intervention: translating from efficacy to effectiveness.

August 10, 2011

Emotion and coping in the aftermath of medical error: a cross-country exploration.

March 4, 2015

Application of human factors methods to ensure appropriate infant identification and abduction prevention within the hospital setting.

August 18, 2021

Identifying 'avoidable harm' in family practice: a RAND/UCLA Appropriateness Method consensus study.

November 13, 2019

Medication administration errors for older people in long-term residential care.

February 1, 2012

Electronic prescription writing errors in the pediatric emergency department.

June 24, 2015

Managing safety in perioperative settings: strategies of meso-level nurse leaders.

March 15, 2023

A method to identify pediatric high-risk diagnoses missed in the emergency department.

August 8, 2018

Hospital staffing and health care–associated infections: a systematic review of the literature.

October 3, 2018

Embracing errors in simulation-based training: the effect of error training on retention and transfer of central venous catheter skills.

November 25, 2015

Rapid learning of adverse medical event disclosure and apology.

April 9, 2014

Transcription errors of blood glucose values and insulin errors in an intensive care unit: secondary data analysis toward electronic medical record–glucometer interoperability.

May 29, 2019

Complication rates, hospital size, and bias in the CMS Hospital-Acquired Condition Reduction Program.

January 25, 2017

Ambulance personnel perceptions of near misses and adverse events in pediatric patients.

August 11, 2010

Patient Hand-Off iNitiation and Evaluation (PHONE) study: a randomized trial of patient handoff methods.

May 24, 2017

Using simulation to improve systems-based practices.

August 16, 2017

An engineered solution to the maladministration of spinal injections.

January 13, 2010

Related Resources

Patient Safety Innovations

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

May 31, 2023

Interview

In Conversation with Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring

April 26, 2023

Perspective

Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units

April 26, 2023

Implementation of peer messengers to deliver feedback: an observational study to promote professionalism in nursing.

January 18, 2023

Investigation of interventions to reduce nurses' medication errors in adult intensive care units: a systematic review.

October 12, 2022

The mindful path to nursing accuracy: a quasi-experimental study on minimizing medication administration errors.

May 19, 2021

Patient Safety Primers

Medication Administration Errors

March 12, 2021

Nurse burnout predicts self-reported medication administration errors in acute care hospitals.

January 20, 2021

WebM&M Cases

When the Indications for Drug Administration Blur

June 24, 2020

Identifying safety hazards associated with intravenous vancomycin through the analysis of patient safety event reports.

April 15, 2020

Intentional rounding—an integrative literature review.

August 7, 2019

Using good catches to promote a just culture and perioperative patient safety.

December 12, 2018

IV push medications survey results—part 1 and part 2.

November 28, 2018

Effect of changes in hospital nursing resources on improvements in patient safety and quality of care: a panel study.

November 28, 2018

Effects of individual nurse and hospital characteristics on patient adverse events and quality of care: a multilevel analysis.

October 24, 2018

Impact of high-reliability education on adverse event reporting by registered nurses.

October 10, 2018

More than 1 million potential second victims: how many could nursing education prevent?

June 27, 2018

Making an infusion error: the second victims of infusion therapy-related medication errors.

May 30, 2018

Realist synthesis of intentional rounding in hospital wards: exploring the evidence of what works, for whom, in what circumstances and why.

May 16, 2018

Supplemental Issue: Quality and Safety Education for Nurses (QSEN) program.

September 6, 2017

Impact of interruptions, distractions, and cognitive load on procedure failures and medication administration errors.

July 19, 2017

Nursing skill mix in European hospitals: cross-sectional study of the association with mortality, patient ratings, and quality of care.

June 28, 2017

Nurses' perceived skills and attitudes about updated safety concepts: impact on medication administration errors and practices.

June 28, 2017

Understanding interrater reliability and validity of risk assessment tools used to predict adverse clinical events.

March 15, 2017

Effectiveness of a 'Do not interrupt' bundled intervention to reduce interruptions during medication administration: a cluster randomised controlled feasibility study.

March 15, 2017

Organisational strategies to implement hospital pressure ulcer prevention programmes: findings from a national survey.

September 21, 2016

The relationship between nursing experience and education and the occurrence of reported pediatric medication administration errors.

April 27, 2016

Reductions in sepsis mortality and costs after design and implementation of a nurse-based early recognition and response program.

November 11, 2015

Undergraduate baccalaureate nursing students' self-reported confidence in learning about patient safety in the classroom and clinical settings: an annual cross-sectional study (2010–2013).

June 17, 2015

Understanding the causes of intravenous medication administration errors in hospitals: a qualitative critical incident study.

April 1, 2015

See More About The Topic

Detection and prevention of medication errors using real-time bedside nurse charting.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Medication Administration Errors

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Detection and prevention of medication errors using real-time bedside nurse charting.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Medication Administration Errors

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

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