Error detection and recovery in dialysis nursing.

William E Wilkinson; Lee A Cauble; Vimla L Patel

Study

Error detection and recovery in dialysis nursing.

November 30, 2011

Wilkinson WE, Cauble LA, Patel VL. J Patient Saf. 2011;7(4):213-23.

View more articles from the same authors.

This study found that expert nurses with more than 10 years of dialysis experience were more effective at detecting and correcting errors compared with non-experts, particularly for procedurally based errors.

PubMed citation

Available at

Related Resources From the Same Author(s)

New perspectives on error in critical care.

September 17, 2008

Clinical cognition and biomedical informatics: issues of patient safety.

August 24, 2005

A systematic review of the literature on the evaluation of handoff tools: implications for research and practice.

June 26, 2013

Bridging gaps in handoffs: a continuity of care based approach.

May 23, 2012

Comprehensive analysis of a medication dosing error related to CPOE.

August 31, 2005

Role of cognition in generating and mitigating clinical errors.

May 20, 2015

Reevaluating recovery: perceived violations and preemptive interventions on emergency psychiatry rounds.

March 21, 2007

Understanding pharmacist decision making for adverse drug event (ADE) detection.

April 15, 2009

Decisions about critical events in device-related scenarios as a function of expertise.

June 1, 2005

The nature and occurrence of registration errors in the emergency department.

July 4, 2007

The multitasking clinician: decision-making and cognitive demand during and after team handoffs in emergency care.

November 8, 2006

Attitudes toward medical device use errors and the prevention of adverse events.

November 14, 2007

Interruptions in a level one trauma center: a case study.

July 4, 2007

Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects analysis, and structured communications skills.

December 21, 2011

Patient Safety and Quality Improvement Act of 2005.

May 10, 2006

Caught in the middle: a resident perspective on influences from the learning environment that perpetuate mistreatment.

March 23, 2016

The impact of resident duty hour and supervision changes: a review.

December 9, 2015

Using standardised patients in an objective structured clinical examination as a patient safety tool.

March 6, 2005

Health care safety during the pandemic and beyond--building a system that ensures resilience.

February 23, 2022

A blueprint for leadership during COVID-19.

August 12, 2020

Is there a "July phenomenon" in pediatric neurosurgery at teaching hospitals?

November 1, 2006

Primary care physician communication at hospital discharge reduces medication discrepancies.

December 18, 2013

The effect of multidisciplinary care teams on intensive care unit mortality.

March 3, 2010

Inadequate health literacy among paid caregivers of seniors.

January 30, 2005

Teaching medication reconciliation through simulation: a patient safety initiative for second year medical students.

July 23, 2008

Development of a professionalism committee approach to address unprofessional medical staff behavior at an academic medical center.

April 9, 2014

Physician engagement in malpractice risk reduction: a UPHS case study.

August 29, 2018

Addressing the elephant in the room: a shame resilience seminar for medical students.

August 28, 2019

Economic outcomes associated with safety interventions by a pharmacist–adjudicated prior authorization consult service.

May 29, 2019

Results of the Medications At Transitions and Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk factors at hospital admission.

March 17, 2010

Reduce the likelihood of patient harm associated with the use of anticoagulant therapy: commentary from the Anticoagulation Forum on the Updated Joint Commission NPSG.03.05.01 Elements of Performance

March 4, 2020

A systematic review of trauma crew resource management training: what can the United States and the United Kingdom learn from each other?

September 2, 2020

Medication reconciliation physician order form.

December 20, 2006

The impact of drug error reduction software on preventing harmful adverse drug events in England: a retrospective database study.

August 24, 2022

Implementation of standardized dosing units for I.V. medications.

January 21, 2015

Improving prescription drug warnings to promote patient comprehension.

January 20, 2010

Effect of health information exchange on recognition of medication discrepancies is interrupted when data charges are introduced: results of a cluster-randomized controlled trial.

December 6, 2017

Patient safety in community dementia services: what can we learn from the experiences of caregivers and healthcare professionals?

February 15, 2017

Failure to debrief after critical events in anesthesia is associated with failures in communication during the event.

March 20, 2019

Developing a standard handoff process for operating room–to-ICU transitions: multidisciplinary clinician perspectives from the Handoffs and Transitions in Critical Care (HATRICC) study.

August 1, 2018

Overcoming barriers to the implementation of a pharmacy bar code scanning system for medication dispensing: a case study.

October 7, 2009

Human factors and simulation in emergency medicine.

March 21, 2018

Association of overlapping surgery with perioperative outcomes.

March 6, 2019

Implementation of an integrated computerized prescriber order-entry system for chemotherapy in a multisite safety-net health system.

April 25, 2018

Increasing patient–clinician concordance about medical error disclosure through the patient TIPS model.

July 12, 2017

A partially structured postoperative handoff protocol improves communication in 2 mixed surgical intensive care units: findings from the Handoffs and Transitions in Critical Care (HATRICC) prospective cohort study.

February 6, 2019

Quality of traditional surveillance for public reporting of nosocomial bloodstream infection rates.

November 17, 2010

The pharmacist-physician relationship in the detection of ambulatory medication errors.

January 31, 2006

Investigating the association of alerts from a national mortality surveillance system with subsequent hospital mortality in England: an interrupted time series analysis.

May 16, 2018

Patients and families as teachers: a mixed methods assessment of a collaborative learning model for medical error disclosure and prevention.

July 13, 2016

Health care-associated invasive MRSA infections, 2005-2008.

August 18, 2010

Changes in practice among physicians with malpractice claims.

April 3, 2019

Improving patient safety by identifying latent failures in successful operations.

August 1, 2007

March 16, 2022

Comparison of traditional trigger tool to data warehouse based screening for identifying hospital adverse events.

October 24, 2012

A piece of my mind. Writing the wrong.

August 26, 2015

Medication dispensing errors and potential adverse drug events before and after implementing bar code technology in the pharmacy.

September 27, 2006

In situ simulation for adoption of new technology to improve sepsis care in rural emergency departments.

June 22, 2022

Radiologists make more errors interpreting off-hours body CT studies during overnight assignments as compared with daytime assignments.

September 9, 2020

Quantifying and characterizing adverse events in dermatologic surgery.

May 15, 2013

Association between opioid prescribing patterns and abuse in ophthalmology.

November 29, 2017

Safety culture in Indian hospitals: a cultural adaptation of the Safety Attitudes Questionnaire.

May 21, 2014

Health care-associated infections among critically ill children in the US, 2007-2012.

September 24, 2014

The successful anesthesia patient safety officer.

September 15, 2021

Catastrophic drug errors involving tranexamic acid administered during spinal anaesthesia.

June 5, 2019

Improving medication management for patients: the effect of a pharmacist on post-admission ward rounds.

June 29, 2005

Delivering on the promise of CLER: a patient safety rotation that aligns resident education with hospital processes.

August 8, 2018

Progress in interoperability: measuring US hospitals' engagement in sharing patient data.

October 25, 2017

Improving safety by evaluating the impact of the supply chain and drug shortages on health-systems.

March 29, 2023

Errors in ABO labeling of deceased donor kidneys: case reports and approach to ensuring patient safety.

January 10, 2007

Nurse managers' leadership, patient safety, and quality of care: a systematic review.

September 21, 2022

Impact of a clinical decision support system for high-alert medications on the prevention of prescription errors.

February 11, 2015

Engaging pediatric resident physicians in quality improvement through resident-led morbidity and mortality conferences.

March 2, 2016

Conversations on diagnostic uncertainty and its management among pediatric acute care physicians.

April 27, 2022

Implicit racial/ethnic bias among health care professionals and its influence on health care outcomes: a systematic review.

October 16, 2015

We thought we would be perfect: medication errors before and after the initiation of computerized physician order entry.

July 1, 2015

Preventing catheter-related bloodstream infections outside the intensive care unit: expanding prevention to new settings.

July 21, 2010

Liquid medication dosing errors by Hispanic parents: role of health literacy and English proficiency.

May 31, 2017

The Patient Safety and Quality Improvement Act of 2005: developing an error reporting system to improve patient safety.

March 26, 2008

The Patient Safety and Quality Improvement Act of 2005: provisions and potential opportunities.

January 31, 2007

Novel use of electronic whiteboard in the operating room increases surgical team compliance with pre-incision safety practices.

March 14, 2012

Clinical benefits of electronic health record use: national findings.

January 15, 2014

Emergency department visits for antibiotic-associated adverse events.

August 27, 2008

Reduction in warfarin adverse events requiring patient hospitalization after implementation of a pharmacist-managed anticoagulation service.

June 1, 2005

Pictograms, units and dosing tools, and parent medication errors: a randomized study.

July 19, 2017

Health literacy and patient safety events.

July 13, 2016

On patient safety: when are we too old to operate?

March 9, 2016

Advancing a More Health-Literate Approach to Patient Safety

October 9, 2019

Pediatric safety.

May 20, 2009

"Managing up" can improve teamwork in the OR.

May 26, 2010

Patient handoffs.

June 11, 2008

The role of cognitive bias in breast radiology diagnostic and judgment errors.

May 27, 2020

Medication complexity, medication number, and their relationships to medication discrepancies.

July 27, 2016

The medical student as a patient: attitudes towards involvement in the quality and safety of health care.

October 30, 2013

Understanding vs. competency: the case of accuracy checking dispensed medicines in pharmacy.

May 26, 2010

Interventions to engage patients and families in patient safety: a systematic review.

January 20, 2021

Liquid medication errors and dosing tools: a randomized controlled experiment.

October 5, 2016

Applying aviation factors to oral and maxillofacial surgery—the human element.

February 1, 2012

Tall Man lettering and potential prescription errors: a time series analysis of 42 children's hospitals in the USA over 9 years.

December 2, 2015

Diagnostic error in children presenting with acute medical illness to a community hospital.

July 30, 2014

Related Resources

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

WebM&M Cases

Delayed Diagnosis of Kidney Transplant Complications

February 23, 2022

Healthcare personnel's working conditions in relation to risk behaviours for organism transmission: a mixed-methods study.

July 21, 2021

FDA Safety Communication: flexible bronchoscopes and updated recommendations for reprocessing.

February 24, 2022 - February 24, 2022

Clinical characteristics and short-term outcomes of acute kidney injury missed diagnosis in older patients with severe COVID-19 in intensive care unit.

May 19, 2021

Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative.

February 3, 2021

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

April 15, 2020

Using video to assess and improve patient safety during simulated and actual neonatal resuscitation.

October 30, 2019

The fifth vital sign? Nurse worry predicts inpatient deterioration within 24 hours.

September 18, 2019

Partnering with families and patient advocates: another line of defense in adverse event surveillance.

August 14, 2019

Reducing surgical mortality in Scotland by use of the WHO Surgical Safety Checklist.

May 8, 2019

A multidisciplinary model for reviewing severe maternal morbidity cases and teaching residents patient safety principles.

April 17, 2019

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

April 17, 2019

Assessing the effectiveness of engaging patients and their families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit: an implementation science study.

March 27, 2019

In-hospital sequelae of injurious falls in 24 medical/surgical units in four hospitals in the United States.

March 13, 2019

"I am administering medication—please do not interrupt me": red tabards preventing interruptions as perceived by surgical patients.

March 6, 2019

Impact of the Agency for Healthcare Research and Quality's Safety Program for Perinatal Care.

January 23, 2019

Annual Perspective

Maternal Safety

December 22, 2018

Unintentionally retained foreign objects: a descriptive study of 308 sentinel events and contributing factors.

November 28, 2018

Inter- and intra-disciplinary collaboration and patient safety outcomes in U.S. acute care hospital units: a cross-sectional study.

September 26, 2018

Nurses' knowledge and teaching of possible postpartum complications.

August 30, 2017

Making Dialysis Safer for Patients Coalition.

August 30, 2017

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

July 19, 2017

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

June 28, 2017

Mistakes We Make in Dialysis.

August 3, 2016

July 27, 2016

Use of personal electronic devices by nurse anesthetists and the effects on patient safety.

May 25, 2016

The perceptions of nurses towards barriers to the safe administration of medicines in mental health settings.

February 3, 2016

Concept analysis: wrong-site surgery.

June 17, 2015

Patient safety in home hemodialysis: quality assurance and serious adverse events in the home setting.

June 3, 2015

See More About The Topic

Nurses

Health Care Executives and Administrators

Nephrology

Medical/Surgical Nursing

Nonsurgical Procedural Complications

Error detection and recovery in dialysis nursing.

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

Error detection and recovery in dialysis nursing.

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

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