The nexus of nursing leadership and a culture of safer patient care.

Melanie Murray; Deborah Sundin; Vicki Cope

Review

The nexus of nursing leadership and a culture of safer patient care.

June 13, 2018

Murray M, Sundin D, Cope V. J Clin Nurs. 2018;27(5-6):1287-1293.

View more articles from the same authors.

Leadership engagement has an important role in establishing a culture of safety. This review explores the literature defining how leaders contribute to organizational safety and describes gaps that must be addressed to prepare nurses for these roles. Creating leadership education opportunities for nurses is one strategy to support emerging nurse leaders.

PubMed citation

Available at

Related Resources From the Same Author(s)

New graduate registered nurses' knowledge of patient safety and practice: a literature review.

June 7, 2017

ASHP guidelines on perioperative pharmacy services.

August 28, 2019

Opioids in the United Kingdom: safety and surveillance during COVID-19.

July 7, 2021

Adolescent use of insulin and patient-controlled analgesia pump technology: a 10-year Food and Drug Administration retrospective study of adverse events.

May 28, 2008

What's that sound? Managing alarm fatigue.

September 24, 2014

The concept of shared mental models in healthcare collaboration.

December 11, 2013

Different roles, same goal: risk and quality management partnering for patient safety. By the ASHRM Monographs Task Force.

October 24, 2007

Toward a theory of self-reconciliation following mistakes in nursing practice.

June 13, 2007

Automatic errors: a case series on the errors inherent in electronic prescribing.

April 13, 2016

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

August 3, 2016

Stressful intensive care unit medical crises: how individual responses impact on team performance.

April 1, 2009

Addressing healthcare-associated infections and antimicrobial resistance from an organizational perspective: progress and challenges.

September 12, 2012

Horus meets Nightingale in the modern age: how nursing communicates with pharmacy in HCIT era.

December 6, 2006

Microanalysis of video from the operating room: an underused approach to patient safety research.

June 28, 2017

Interventions to reduce the consequences of stress in physicians: a review and meta-analysis.

July 9, 2014

The impact of critical incidents on nurses and midwives: a systematic review.

February 10, 2021

Moving on after critical incidents in health care: a qualitative study of the perspectives and experiences of second victims

May 11, 2022

Using a Delphi method to identify human factors contributing to nursing errors.

October 4, 2017

One hospital's initiatives to encourage safe opioid use.

July 15, 2015

Nurses improve medication safety with medication allergy and adverse drug reports.

October 3, 2007

A review of the current evidence base for significant event analysis.

August 27, 2008

Information behavior in the context of improving patient safety.

October 26, 2005

Electronic prescribing reduced prescribing errors in a pediatric renal outpatient clinic.

February 13, 2008

Australian hospital leaders on the provision of safe care: implications for safety I and safety II.

September 29, 2021

Impact of performance obstacles on intensive care nurses' workload, perceived quality and safety of care, and quality of working life.

April 1, 2009

Direct oral anticoagulants: new drugs with practical problems. How can nurses help prevent patient harm?

March 9, 2016

Enhancing communication in surgery through team training interventions: a systematic literature review.

December 22, 2010

Emergency department visits for medical device–associated adverse events among children.

September 15, 2010

Identification of the barriers and enablers for receiving a speaking up message: a content analysis approach.

August 16, 2023

"Some version, most of the time": the surgical safety checklist, patient safety, and the everyday experience of practice variation.

January 19, 2022

Ethical issues in patient safety: implications for nursing management.

June 19, 2013

The influence of personality on psychological safety, the presence of stress and chosen professional roles in the healthcare environment.

June 21, 2023

The presence and potential impact of psychological safety in the healthcare setting: an evidence synthesis.

August 25, 2021

A review of significant events analysed in general practice: implications for the quality and safety of patient care.

October 14, 2009

Levels of agreement on the grading, analysis and reporting of significant events by general practitioners: a cross-sectional study.

October 29, 2008

Decimal numbers and safe interpretation of clinical pathology results.

April 16, 2014

An official Critical Care Societies Collaborative statement: burnout syndrome in critical care healthcare professionals: a call for action.

July 27, 2016

Medical overuse as a physician cognitive error: looking under the hood.

December 12, 2018

Nursing perception of the impact of automated dispensing cabinets on patient safety and ergonomics in a teaching health care center.

January 8, 2014

Work interruptions and their contribution to medication administration errors: an evidence review.

May 20, 2009

How do simulated error experiences impact attitudes related to error prevention?

September 14, 2016

Exploring the factors that promote or diminish a psychologically safe environment: a qualitative interview study with critical care staff.

September 22, 2021

The use of simulation in healthcare: from systems issues, to team building, to task training, to education and high stakes examinations.

June 13, 2012

Teaching quality improvement.

September 22, 2010

Junior doctors' shifts and sleep deprivation.

June 29, 2005

Intravenous smart pumps at the point of care: a descriptive, observational study.

October 12, 2022

Journey to no preventable risk: The Baylor Health Care System patient safety experience.

November 3, 2010

Evaluation of an electronic dosing calculator to reduce pediatric medication errors.

February 20, 2019

Harnessing event report data to identify diagnostic error during the COVID-19 pandemic.

December 15, 2021

Effect of a pharmacist on adverse drug events and medication errors in outpatients with cardiovascular disease.

May 6, 2009

Management of anesthesia equipment failure: a simulation-based resident skill assessment.

August 19, 2009

Direct oral anticoagulant-related medication incidents and pharmacists' interventions in hospital in-patients: evaluation using Reason's accident causation theory.

December 22, 2021

Residents feel unprepared and unsupervised as leaders of cardiac arrest teams in teaching hospitals: a survey of internal medicine residents.

July 11, 2007

Nurses' role in communication and patient safety.

July 8, 2009

Silent witnesses: faculty reluctance to report medical students' professionalism lapses.

November 28, 2018

The influence of professional identity on how the receiver receives and responds to a speaking up message: a cross-sectional study.

March 29, 2023

React, reframe and engage. Establishing a receiver mindset for more effective safety negotiations.

November 8, 2023

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

April 28, 2021

Perception of patient safety culture in pediatric long-term care settings.

February 13, 2019

Evaluating horizontal violence and bullying in the nursing workforce of an oncology academic medical center.

September 25, 2019

Better understanding the downsides of low value healthcare could reduce harm.

April 21, 2021

'It's all about patient safety': an ethnographic study of how pharmacy staff construct medicines safety in the context of polypharmacy.

March 10, 2021

Digitizing diagnosis: a review of mobile applications in the diagnostic process.

April 15, 2015

Pediatric safety in the emergency department: identifying risks and preparing to care for child and family.

July 23, 2008

A transactional "second-victim" model—experiences of affected healthcare professionals in acute-somatic inpatient settings: a qualitative metasynthesis.

April 11, 2018

Implementation of patient safety rounds in a children's hospital.

January 14, 2009

Requirements for implementing a 'just culture' within healthcare organisations: an integrative review.

June 21, 2023

Rapid-cycle improvement during the COVID-19 pandemic: using safety reports to inform incident command.

October 7, 2020

Team management training using crisis resource management results in perceived benefits by healthcare workers.

October 24, 2007

Clinical handover in the trauma setting: a qualitative study of paramedics and trauma team members.

September 8, 2010

The impact of interruptions on medication errors in hospitals: an observational study of nurses.

January 24, 2018

Overdiagnosis in primary care: framing the problem and finding solutions.

September 12, 2018

Health care worker fatigue.

September 21, 2016

Improving safety recommendations before implementation: a simulation-based event analysis to optimize interventions designed to prevent recurrence of adverse events.

July 7, 2021

Supporting second victims of patient safety events: shouldn't these communications be covered by legal privilege?

February 12, 2014

Prescription of long-acting opioids and mortality in patients with chronic noncancer pain.

November 30, 2016

Improving documentation of a beta-blocker quality measure through an anesthesia information management system and real-time notification of documentation errors.

June 6, 2012

Opportunities to improve informed consent with AHRQ training modules.

June 13, 2018

Effect of pharmacists on medication errors in an emergency department.

February 27, 2008

Implementation of a medication reconciliation process in an ambulatory internal medicine clinic.

April 18, 2007

Nurses' workarounds in acute healthcare settings: a scoping review.

June 19, 2013

A high-reliability organization mindset.

February 22, 2023

Management of arterial lines and blood sampling in intensive care: a threat to patient safety.

January 8, 2014

Assessing clinical handover between paramedics and the trauma team.

September 30, 2009

No shortcuts to safer opioid prescribing.

May 8, 2019

A systematic review of the unintended consequences of clinical interventions to reduce adverse outcomes.

December 7, 2016

Competence and certification of registered nurses and safety of patients in intensive care units.

March 18, 2009

Reducing the disruptive effects of interruption: a cognitive framework for analysing the costs and benefits of intervention strategies.

September 2, 2009

There's a science for that: team development interventions in organizations.

January 4, 2012

Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person surgical errors: a retrospective study for 10 years.

February 8, 2023

Discrepancies in written versus calculated durations in opioid prescriptions: pre-post study.

April 22, 2020

HIM functions in healthcare quality and patient safety.

August 10, 2011

An evidence-based toolkit for the development of effective and sustainable root cause analysis system safety solutions.

October 23, 2013

Interdisciplinary collaboration to maintain a culture of safety in a labor and delivery setting.

May 15, 2013

An organizational assessment of disruptive clinician behavior: findings and implications.

April 24, 2013

Using Failure Mode and Effects Analysis for safe administration of chemotherapy to hospitalized children with cancer.

March 8, 2006

Hospital RNs' experiences with disruptive behavior: a qualitative study.

April 7, 2010

CDC guideline for prescribing opioids for chronic pain—United States, 2016.

March 30, 2016

Beyond the surgical safety checklist: using intraoperative handoff to facilitate team situation awareness in the OR.

October 25, 2023

Using health information technology in residential aged care homes: an integrative review to identify service and quality outcomes.

August 17, 2022

Related Resources

Interview

In Conversation with Cheryl Jones about Addressing Workplace Violence and Creating a Safer Workplace

October 31, 2023

Perspectives on Safety

Addressing Workplace Violence and Creating a Safer Workplace

October 31, 2023

Impact of leadership walkarounds on operational, cultural and clinical outcomes: a systematic review.

October 25, 2023

Interview

In Conversation with Kathleen Sanford and Sue Schuelke about Virtual Nursing

August 30, 2023

Perspectives on Safety

Virtual Nursing: Improving Patient Care and Meeting Workforce Challenges

August 30, 2023

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

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

Hospital discharge and readmission.

March 2, 2023

A systems analysis of work-related violence in hospitals: stakeholders, contributory factors, and leverage points.

February 22, 2023

Psychosocial factors and safety in high-risk industries: a systematic literature review.

November 30, 2022

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

October 27, 2021

Training Program for Nurses on Shift Work and Long Work Hours.

October 10, 2021

Coping strategies in health care providers as second victims: a systematic review.

August 4, 2021

Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries and medication administration errors: an integrative review.

June 9, 2021

Patient Safety Primers

Nursing and Patient Safety

April 21, 2021

Taking action to close the loop on diagnostic error: a Constellation and SIDM Collaborative.

June 1, 2021 - June 1, 2022

Smartphone distraction during nursing care: systematic literature review.

April 7, 2021

Patient Safety Primers

Medication Administration Errors

March 12, 2021

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

October 14, 2020

A mixed-methods systematic review of interventions to address incivility in nursing.

July 15, 2020

Nurse health, work environment, presenteeism and patient safety.

July 8, 2020

Effectiveness of double checking to reduce medication administration errors: a systematic review.

September 18, 2019

Intentional rounding—an integrative literature review.

August 7, 2019

Do safety briefings improve patient safety in the acute hospital setting? A systematic review.

June 5, 2019

How do nurses use early warning scoring systems to detect and act on patient deterioration to ensure patient safety? A scoping review.

May 29, 2019

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

March 6, 2019

The role of education in developing a culture of safety through the perceptions of undergraduate nursing students: an integrative literature review.

January 9, 2019

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

November 28, 2018

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

November 28, 2018

See More About The Topic

Epidemiology of Errors and Adverse Events

The nexus of nursing leadership and a culture of safer patient care.

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

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

Nursing and Patient Safety

Medication Administration Errors

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

The nexus of nursing leadership and a culture of safer patient care.

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

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

Nursing and Patient Safety

Medication Administration Errors

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