Expanding what we know about off-peak mortality in hospitals.

Patti Hamilton; Sondip Mathur; Gretchen Gemeinhardt; Valerie Eschiti; Marie Campbell

Study

Expanding what we know about off-peak mortality in hospitals.

May 26, 2010

Hamilton P, Mathur S, Gemeinhardt G, et al. J Nurs Adm. 2010;40(3):124-8.

View more articles from the same authors.

This ethnographic study explores perceptions of patient safety among nurses working night and weekend shifts, and discusses these findings as a means of identifying methods to reduce the documented increase in adverse clinical outcomes for patients hospitalized at night or on weekends.

PubMed citation

Available at

Related Resources From the Same Author(s)

Unfinished nursing care, missed care, and implicitly rationed care: state of the science review.

April 8, 2015

Concordance with urgent referral guidelines in patients presenting with any of six ‘alarm’ features of possible cancer: a retrospective cohort study using linked primary care records.

August 10, 2022

Profiles in patient safety: medication errors in the emergency department.

March 6, 2005

Benefits of a rapid response system at a community hospital.

May 30, 2007

Data as a catalyst for change: stories from the frontlines.

February 11, 2015

Rapid response teams: ten essentials leaders need to know.

July 26, 2006

How long does it take to train a surgeon?

November 18, 2009

Using human factors design principles and industrial engineering methods to improve accuracy and speed of drug selection with medication trays.

October 19, 2016

Using improvement science methods to increase accuracy of surgical consents.

September 17, 2014

Are you listening...Are you really listening?

September 17, 2008

Could it be done safely? Pharmacists views on safety and clinical outcomes from the introduction of an advanced role for technicians.

January 6, 2016

Relationship between preventability of death after coronary artery bypass graft surgery and all-cause risk-adjusted mortality rates.

July 9, 2008

The thinking doctor: clinical decision making in contemporary medicine.

August 31, 2016

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

December 18, 2013

SWITCH for safety: perioperative hand-off tools.

November 6, 2013

Risks related to patient bed safety.

November 14, 2012

Influence of socioeconomic bias on emergency medicine resident decision making and patient care.

August 19, 2020

Abandon the term "second victim."

April 10, 2019

Are we missing the near misses in the OR? Underreporting of safety incidents in pediatric surgery.

April 11, 2018

Hospital at night: an organizational design that provides safer care at night.

August 10, 2016

Working with influenza-like illness: presenteeism among US health care personnel during the 2014–2015 influenza season.

November 22, 2017

Nurse's Achilles Heel: using big data to determine workload factors that impact near misses.

April 14, 2021

Thoughtless design of the electronic health record drives overuse, but purposeful design can nudge improved patient care.

April 25, 2018

Association between limiting the number of open records in a tele-critical care setting and retract-reorder errors.

July 21, 2021

Who makes prescribing decisions in hospital inpatients? An observational study.

May 30, 2012

Patient Safety Innovations

eSIMPLER: a dynamic, electronic health record-integrated checklist for clinical decision support during PICU daily rounds.

April 7, 2022

eSIMPLER: a dynamic, electronic health record-integrated checklist for clinical decision support during PICU daily rounds.

June 16, 2021

Prevalence, nature, severity and risk factors for prescribing errors in hospital inpatients: prospective study in 20 UK hospitals.

August 26, 2015

Drug shortages: a complex health care crisis.

May 7, 2014

Implementing bedside handoff in the emergency department: a practice improvement project.

January 23, 2019

Patient safety rounds: description of an inexpensive but important strategy to improve the safety culture.

January 31, 2007

Tools for primary care patient safety: a narrative review.

November 26, 2014

Creating a just culture: the Ottawa Hospital's experience.

August 21, 2019

Risk of adverse drug events by patient destination after hospital discharge.

September 21, 2005

Use of simulation to assess electronic health record safety in the intensive care unit: a pilot study.

April 24, 2013

Kaiser Permanente's performance improvement system, part 4: creating a learning organization.

January 30, 2005

War games and diagnostic errors.

January 18, 2017

Standardized orders for titrating vasopressors: do efforts to improve safety slow delivery of care?

September 11, 2019

Comorbid conditions delay diagnosis of colorectal cancer: a cohort study using electronic primary care records.

July 26, 2017

Using a multi-method, user centred, prospective hazard analysis to assess care quality and patient safety in a care pathway.

July 4, 2007

Association of hospital participation in a surgical outcomes monitoring program with inpatient complications and mortality.

February 18, 2015

Implicit bias and caring for diverse populations: pediatric trainee attitudes and gaps in training.

September 22, 2021

Are physicians safely prescribing opioids for chronic noncancer pain? A systematic review of current evidence.

December 14, 2016

Key use cases for artificial intelligence to reduce the frequency of adverse drug events: a scoping review.

March 9, 2022

Making soft intelligence hard: a multi-site qualitative study of challenges relating to voice about safety concerns.

March 14, 2018

'I guess I'll wait to hear'- communication of blood test results in primary care a qualitative study.

August 3, 2022

Potentially inappropriate medications defined by STOPP criteria and the risk of adverse drug events in older hospitalized patients.

June 22, 2011

Improving resident engagement in quality improvement and patient safety initiatives at the bedside: the Advocate for Clinical Education (ACE).

October 17, 2012

Acute clinical deterioration and consumer escalation: the understanding and perceptions of hospital staff.

August 31, 2022

The gaps in specialists' diagnoses.

April 11, 2018

Quality, safety, and outcomes in anaesthesia: what's to be done? An international perspective.

December 20, 2017

Trust, temporality and systems: how do patients understand patient safety in primary care? A qualitative study.

February 25, 2015

Exploratory analyses of the "failure to rescue" measure: evaluation through medical record review.

August 6, 2008

Improving employee voice about transgressive or disruptive behavior: a case study.

April 17, 2019

Hospital Readmissions Reduction Program: implications for pharmacy.

February 18, 2015

Association of health literacy with postoperative outcomes in patients undergoing major abdominal surgery.

October 25, 2017

Developing perioperative Covid-19 testing protocols to restore surgical services.

July 22, 2020

Toward a theoretical approach to medical error reporting system research and design.

October 12, 2005

Involving patients and carers in patient safety in primary care: a qualitative study of a co-designed patient safety guide.

February 15, 2023

Distraction and interruption in anaesthetic practice.

January 23, 2013

Hospital credentialing and privileging of surgeons: a potential safety blind spot.

April 15, 2015

Post event debriefs: a commitment to learning how to better care for patients and staff.

January 13, 2016

Adverse events and hospital-acquired conditions associated with potential low-value care in Medicare beneficiaries.

August 11, 2021

Direct reporting of laboratory test results to patients by mail to enhance patient safety.

July 26, 2006

Nursing 2006 Patient-safety survey report.

May 17, 2006

Excess cost and length of stay associated with voluntary patient safety event reports in hospitals.

January 28, 2009

Prolonged diagnostic intervals as marker of missed diagnostic opportunities in bladder and kidney cancer patients with alarm features: a longitudinal linked data study.

February 17, 2021

Patient–doctor continuity and diagnosis of cancer: electronic medical records study in general practice.

May 13, 2015

Implementing a warm handoff between hospital and skilled nursing facility clinicians.

September 18, 2019

Leveraging a safety event management system to improve organizational learning and safety culture.

March 30, 2022

A quality improvement initiative to reduce safety events among adolescents hospitalized after a suicide attempt.

May 15, 2019

Assessment of opioid prescribing practices before and after implementation of a health system intervention to reduce opioid overprescribing.

October 31, 2018

A case-controlled study of relatives' complaints concerning patients who died in hospital: the role of treatment escalation/limitation planning.

June 3, 2020

An observational study of changes to long-term medication after admission to an intensive care unit.

December 6, 2006

Profiles in patient safety: a "perfect storm" in the emergency department.

June 20, 2007

Building safer systems through critical occurrence reviews: nine years of learning.

November 10, 2010

Identifying unintended consequences of quality indicators: a qualitative study.

December 14, 2011

Research designs for studies evaluating the effectiveness of change and improvement strategies.

March 6, 2005

The role of the informal and formal organisation in voice about concerns in healthcare: a qualitative interview study.

June 16, 2021

Medical error and human factors engineering: where are we now?

January 25, 2006

Impact of pharmacist-led admission medication reconciliation on patient outcomes in a large health system.

September 20, 2023

The Quality in Australian Health Care Study.

March 27, 2005

The potential of artificial intelligence to improve patient safety: a scoping review.

March 31, 2021

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

April 21, 2021

Systematic review of patient safety interventions in dentistry.

December 9, 2015

Discussion of medical errors in morbidity and mortality conferences.

March 6, 2005

What counts as a voiceable concern in decisions about speaking out in hospitals: a qualitative study.

January 19, 2022

Association of cataract surgical outcomes with late surgeon career stages: a population-based cohort study.

October 24, 2018

Recommendations for the safe, effective use of adaptive CDS in the US healthcare system: an AMIA position paper.

April 21, 2021

Factors differentiating nursing homes with strong resident safety climate: a qualitative study of leadership and staff perspectives.

February 15, 2023

Blink or think: can further reflection improve initial diagnostic impressions?

November 19, 2014

Hand hygiene among physicians: performance, beliefs, and perceptions.

March 27, 2005

The association between culture, climate and quality of care in primary health care teams.

July 11, 2007

Associations between self-reported healthcare disruption due to COVID-19 and avoidable hospital admission: evidence from seven linked longitudinal studies for England.

August 9, 2023

Variations in GPs' decisions to investigate suspected lung cancer: a factorial experiment using multimedia vignettes.

October 19, 2016

Effects of a multimodal program including simulation on job strain among nurses working in intensive care units: a randomized clinical trial.

November 7, 2018

Safety climate associated with adverse events in nursing homes: a national VA study.

August 26, 2020

Organizational readiness to change as a leverage point for improving safety: a national nursing home survey.

September 8, 2021

Accuracy and safety of medication histories obtained at the time of intensive care unit admission of delirious or mechanically ventilated patients.

April 28, 2021

Medical malpractice lawsuits involving trainees in obstetrics and gynecology in the USA.

September 21, 2022

Related Resources

Patient falls while under supervision: trends from incident reporting.

July 5, 2023

Patient Safety Innovations

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

May 31, 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

Systematic review: nurses' safety attitudes and their impact on patient outcomes in acute-care hospitals.

October 27, 2021

Acute care nurses' perceptions of leadership, teamwork, turnover intention and patient safety - a mixed methods study.

October 13, 2021

Understanding the peer, manager, and system influence on patient safety.

February 10, 2021

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

January 20, 2021

Making communication and resolution programmes mission critical in healthcare organisations.

November 11, 2020

Reimagining Healing after Healthcare Harm: The Potential for Restorative Practices.

July 29, 2020

The association of the nurse work environment and patient safety in pediatric acute care.

January 16, 2019

Nurses' and patients' appraisals show patient safety in hospitals remains a concern.

November 21, 2018

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

October 24, 2018

Are clinical instructors preventing or provoking adverse events involving students: a contemporary issue.

October 10, 2018

Cost–benefit analysis of a support program for nursing staff.

May 24, 2017

Health care worker fatigue.

September 21, 2016

Addressing nurse fatigue to promote safety and health: joint responsibilities of registered nurses and employers to reduce risks.

September 14, 2016

The occurrence of adverse events potentially attributable to nursing care in medical units: cross sectional record review.

August 20, 2014

Weaving a healthcare tapestry of safety and communication.

July 16, 2014

How studying human factors improves patient safety.

April 16, 2014

Patient Safety and Managing Risk in Nursing.

January 15, 2014

(How) do we learn from errors? A prospective study of the link between the ward's learning practices and medication administration errors.

August 21, 2013

Associations of patient safety outcomes with models of nursing care organization at unit level in hospitals.

June 26, 2013

What causes near-misses and how are they mitigated?

June 5, 2013

Impact of a team and leaders-directed strategy to improve nurses' adherence to hand hygiene guidelines: a cluster randomised trial.

May 22, 2013

Hospital staff nurses' shift length associated with safety and quality of care.

April 17, 2013

It's always something: hospital nurses managing risk.

January 30, 2013

Behavioral integrity for safety, priority of safety, psychological safety, and patient safety: a team-level study.

January 23, 2013

Do nurse and patient injuries share common antecedents? An analysis of associations with safety climate and working conditions.

February 8, 2012

A relational leadership perspective on unit-level safety climate.

November 9, 2011

See More About The Topic

Quality and Safety Professionals

Expanding what we know about off-peak mortality in hospitals.

eSIMPLER: a dynamic, electronic health record-integrated checklist for clinical decision support during PICU daily rounds.

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

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

Expanding what we know about off-peak mortality in hospitals.

eSIMPLER: a dynamic, electronic health record-integrated checklist for clinical decision support during PICU daily rounds.

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

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