Establishing a culture for patient safety - the role of education.

Frank J Milligan

Commentary

Establishing a culture for patient safety - the role of education.

June 7, 2006

Milligan FJ. Nurse Educ Today. 2007;27(2):95-102.

View more articles from the same authors.

The author discusses the importance of education in creating a culture of safety and specifically focuses on how human factors theory can be applied to medication administration curricula.

PubMed citation

Available at

Related Resources From the Same Author(s)

Supporting nursing, midwifery and allied health professional students to raise concerns with the quality of care: a review of the research literature.

August 23, 2017

The July effect: an analysis of never events in the nationwide inpatient sample.

April 15, 2015

Reporting medication errors: residents with diabetes.

November 26, 2014

Incidence of "never events" among weekend admissions versus weekday admissions to US hospitals: national analysis.

April 29, 2015

Checklist usage decreases critical task omissions when training residents to separate from simulated cardiopulmonary bypass.

October 22, 2014

Remote video auditing with real-time feedback in an academic surgical suite improves safety and efficiency metrics: a cluster randomised study.

February 10, 2016

Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure, and wrong patient operations.

April 25, 2007

Building a safety culture.

December 21, 2005

Nurses' role in medical error recovery: an integrative review.

April 20, 2016

Safe prescribing: an educational intervention for medical students.

July 19, 2006

A practical approach to measure the quality of handwritten medication orders: a tool for improvement.

May 24, 2006

'You talking to me?' Docs and feedback.

September 18, 2013

The leader's role in medical device safety.

May 29, 2013

Checklists and guidelines: imaging techniques for visualizing what to do.

July 21, 2010

Preventing harm from high-alert medications.

September 5, 2007

Reducing medication prescribing errors in a teaching hospital.

August 27, 2008

(Mis)understanding safety culture and its relationship to safety management.

September 1, 2010

The role of the patient in patient safety: what can we learn from healthcare's history?

August 29, 2018

Strengthening the core. Middle managers play a vital role in improving safety.

January 6, 2010

What is learning? A review of the safety literature to define learning from incidents, accidents and disasters.

February 19, 2014

Explainable artificial intelligence for safe intraoperative decision support.

September 25, 2019

Fixed-dose combination antihypertensives and risk of medication errors.

October 3, 2018

Quality and the health system: becoming a high reliability organization.

July 25, 2018

Checking the lists: a systematic review of electronic checklist use in health care.

November 23, 2016

Paramedics and the effects of shift work on sleep: a literature review.

February 29, 2012

Medical negligence in drug associated deaths.

July 22, 2009

Effect of a comprehensive obstetric patient safety program on compensation payments and sentinel events.

March 23, 2011

Analyzing communication errors in an air medical transport service.

May 29, 2013

Multidisciplinary centres for safety and quality improvement: learning from climate change science.

April 27, 2011

Drug shortages: a patient safety crisis.

September 7, 2011

A vignette study to examine health care professionals' attitudes towards patient involvement in error prevention.

July 18, 2012

Modification of potentially inappropriate prescribing following fall-related hospitalizations in older adults.

July 10, 2019

Spreading a medication administration intervention organizationwide in six hospitals.

February 15, 2012

Patient safety climate among orthopaedic surgery residents.

July 6, 2011

System-based interprofessional simulation-based training program increases awareness and use of rapid response teams.

May 28, 2014

Uptake of pharmacist recommendations by patients after discharge: implementation study of a patient-centered medicines review service.

May 3, 2023

Medication errors during treatment with new oral anticancer agents: consequences for clinical practice based on the AMBORA Study.

November 3, 2021

Effects of an educational patient safety campaign on patients' safety behaviours and adverse events.

March 7, 2012

The SQUIRE Guidelines: an evaluation from the field, 5 years post release.

December 2, 2015

Investigating the long-term consequences of adverse medical events among older adults.

June 11, 2014

Risk factors in patient safety: minimally invasive surgery versus conventional surgery.

March 7, 2012

Shaping systems for better behavioral choices: lessons learned from a fatal medication error.

March 24, 2010

E-prescribing, efficiency, quality: lessons from the computerization of UK family practice.

September 20, 2006

Unconscious bias among health professionals: a scoping review.

September 27, 2023

Prevalence of potentially inappropriate prescribing in older people in primary care and its association with hospital admission: longitudinal study.

December 5, 2018

Functional safety of health information technology.

April 18, 2012

Confusion about epinephrine dosing leading to iatrogenic overdose: a life-threatening problem with a potential solution.

May 12, 2010

SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence): revised publication guidelines from a detailed consensus process.

November 19, 2008

Patients' and healthcare workers' perceptions of a patient safety advisory.

October 19, 2011

Opioid prescribing after nonfatal overdose and association with repeated overdose: a cohort study.

January 20, 2016

Care and outcomes of patients with in-hospital stroke.

June 17, 2015

Effects of an adverse-drug-event alert system on cost and quality outcomes in community hospitals.

April 28, 2010

Assessing and monitoring override medications in automated dispensing devices.

May 31, 2006

Seen through the patients' eyes: surgical safety and checklists.

February 21, 2018

Making electronic prescribing alerts more effective: scenario-based experimental study in junior doctors.

August 31, 2011

Deficits in communication and information transfer between hospital-based and primary care physicians: implications for patient safety and continuity of care.

February 28, 2007

A narrative review of the safety concerns of deprescribing in older adults and strategies to mitigate potential harms.

November 29, 2017

Surgeon fatigue: a prospective analysis of the incidence, risk, and intervals of predicted fatigue-related impairment in residents.

June 6, 2012

Characteristics of medical professional liability claims against internists.

June 18, 2014

Assessment of a safety enhancement to the hospital medication reconciliation process for elderly patients.

May 19, 2010

Program access, depressive symptoms, and medical errors among resident physicians with disability.

January 12, 2022

Managing unnecessary variability in patient demand to reduce nursing stress and improve patient safety.

June 8, 2005

Four states with robust prescription drug monitoring programs reduced opioid dosages.

June 27, 2018

Barriers and facilitators related to the implementation of surgical safety checklists: a systematic review of the qualitative evidence.

August 5, 2015

Reducing preventable adverse events in obstetrics by improving interprofessional communication skills--results of an intervention study.

March 1, 2023

Risk of adverse drug events in neonates treated with opioids and the effect of a bar-code–assisted medication administration system.

January 26, 2011

The business case for quality: case studies and an analysis.

March 6, 2005

A cognitive task analysis of information management strategies in a computerized provider order entry environment.

November 29, 2006

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

February 27, 2019

Preventable adverse drug events: descriptive epidemiology.

November 13, 2019

A quality initiative: a system-wide reduction in serious medication events through targeted simulation training.

May 23, 2018

Evaluation of patient and family outpatient complaints as a strategy to prioritize efforts to improve cancer care delivery.

October 4, 2017

Effective triage can ameliorate the deleterious effects of delayed transfer of trauma patients from the emergency department to the ICU.

June 3, 2009

Quality and safety outcomes of a hospital merger following a full integration at a safety net hospital.

March 16, 2022

Effect of a rapid response system for patients in shock on time to treatment and mortality during 5 years.

November 7, 2007

Impact of extended-duration shifts on medical errors, adverse events, and attentional failures.

December 13, 2006

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

June 20, 2018

Development of a research agenda to identify evidence-based strategies to improve physician wellness and reduce burnout.

April 26, 2017

One fourth of unplanned transfers to a higher level of care are associated with a highly preventable adverse event: a patient record review in six Belgian hospitals.

March 25, 2015

Potential benefit of electronic pharmacy claims data to prevent medication history errors and resultant inpatient order errors.

March 23, 2016

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 randomized AMBORA trial: impact of pharmacological/pharmaceutical care on medication safety and patient-reported outcomes during treatment with new oral anticancer agents.

April 21, 2021

Experiences with Lean Six Sigma as improvement strategy to reduce parenteral medication administration errors and associated potential risk of harm.

July 26, 2017

Fall prevention in acute care hospitals: a randomized trial.

November 10, 2010

Applying Lean Sigma solutions to mistake-proof the chemotherapy preparation process.

February 17, 2010

Extended work duration and the risk of self-reported percutaneous injuries in interns.

September 6, 2006

Value assessment of deprescribing interventions: suggestions for improvement.

August 16, 2023

High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients.

February 17, 2021

PIPc study: development of indicators of potentially inappropriate prescribing in children (PIPc) in primary care using a modified Delphi technique.

September 28, 2016

Supratherapeutic dosing of acetaminophen among hospitalized patients.

December 5, 2012

The value of autopsies in the era of high-tech medicine: discrepant findings persist.

April 9, 2014

Implementation of a structured hospital-wide morbidity and mortality rounds model.

May 31, 2017

Introducing new technology safely.

September 1, 2010

The road to zero preventable birth injuries.

April 9, 2008

Prescribing errors with low-molecular-weight heparins.

October 13, 2021

Improving diagnosis by improving education: a policy brief on education in healthcare professions.

September 12, 2018

'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured.

April 13, 2011

Mixed-methods evaluation of real-time safety reporting by hospitalized patients and their care partners: the MySafeCare application.

June 13, 2018

Patient outcomes in dose reduction or discontinuation of long-term opioid therapy: a systematic review.

July 26, 2017

Validating a decision tree for serious infection: diagnostic accuracy in acutely ill children in ambulatory care.

August 19, 2015

Related Resources

Patient Safety Innovations

Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans

May 31, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

The woman who cried pain: do sex-based disparities still exist in the experience and treatment of pain?

February 8, 2023

Patient safety performance: reversing recent declines through shared profession-wide system-level solutions.

January 18, 2023

Journal Article

Study

Patient Safety Innovations

Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Prediction Approach (SHERPA).

November 16, 2022

Administering High-Strength Insulin from a Pen Device in Hospital.

September 14, 2022

Tackling implicit bias in health care.

August 17, 2022

Mapping the resilience performance of community pharmacy to maintain patient safety during the Covid-19 pandemic.

February 16, 2022

Dual surgeon operating to improve patient safety.

September 29, 2021

Leadership: an effective human factor during COVID-19.

September 1, 2021

Structural racism and the COVID-19 experience in the United States.

July 7, 2021

Human factors and ergonomics to improve performance in intensive care units during the COVID-19 pandemic.

June 2, 2021

Racial bias among emergency providers: strategies to mitigate its adverse effects.

May 26, 2021

Application of emergency preparedness principles to a pharmacy department’s approach to a “black swan” event: the COVID-19 pandemic.

April 21, 2021

What COVID-19 teaches us about implicit bias in pediatric health care.

February 24, 2021

Patient harm during COVID-19 pandemic: using a human factors lens to promote patient and workforce safety.

December 23, 2020

Avoiding a second wave of medical errors: the importance of human factors in the context of a pandemic.

August 26, 2020

Disaster ergonomics: human factors in COVID-19 pandemic emergency management.

August 19, 2020

Quality & safety in the time of coronavirus--design better, learn faster.

July 1, 2020

COVID-19: patient safety and quality improvement skills to deploy during the surge.

June 24, 2020

Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff.

June 3, 2020

Barriers and facilitators to healthcare workers' adherence with infection prevention and control (IPC) guidelines for respiratory infectious diseases: a rapid qualitative evidence synthesis.

May 13, 2020

Overcoming COVID-19: what can human factors and ergonomics offer?

May 6, 2020

Medically-necessary, time-sensitive procedures: a scoring system to ethically and efficiently manage resource scarcity and provider risk during the COVID-19 pandemic.

May 6, 2020

A war on two fronts: cancer care in the time of COVID-19.

April 22, 2020

Beyond the clinical team: evaluating the human factors-oriented training of non-clinical professionals working in healthcare contexts.

July 17, 2019

A safety evaluation of the impact of maternity-orientated human factors training on safety culture in a tertiary maternity unit.

June 19, 2019

The 2018 Gosport Independent Panel report into deaths at the National Health Service's Gosport War Memorial Hospital. Does the culture of the medical profession influence health outcomes?

June 12, 2019

Addressing Problematic Opioid Use in OECD Countries.

June 5, 2019

Investigating for improvement? Five strategies to ensure national patient safety investigations improve patient safety.

June 5, 2019

See More About The Topic

Hospitals

Health Care Providers

Health Care Executives and Administrators

Public Health

Dispensing Errors

Establishing a culture for patient safety - the role of education.

Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans

Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Prediction Approach (SHERPA).

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Establishing a culture for patient safety - the role of education.

Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans

Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Prediction Approach (SHERPA).

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