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

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

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

September 12, 2012

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

February 13, 2008

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

June 28, 2017

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

October 3, 2007

Information behavior in the context of improving patient safety.

October 26, 2005

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

September 15, 2010

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

December 22, 2010

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

October 29, 2008

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

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

May 6, 2009

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

February 20, 2019

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

February 13, 2019

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

August 19, 2009

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

October 24, 2007

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

July 7, 2021

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

November 30, 2016

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

September 8, 2010

Decision making in trauma settings: simulation to improve diagnostic skills.

March 11, 2015

Assessing clinical handover between paramedics and the trauma team.

September 30, 2009

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

Label design affects medication safety in an operating room crisis: a controlled simulation study.

April 1, 2015

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

June 13, 2007

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

January 8, 2014

Missed diagnosis of cancer in primary care: insights from malpractice claims data.

August 7, 2019

Ambulatory computerized prescribing and preventable adverse drug events.

June 8, 2016

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

June 5, 2019

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

August 3, 2016

Crisis resource management: evaluating outcomes of a multidisciplinary team.

August 1, 2007

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

April 1, 2009

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

April 13, 2016

Outpatient adverse drug events identified by screening electronic health records.

June 9, 2010

The effect of drug concentration expression on epinephrine dosing errors: a randomized trial.

January 16, 2008

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

December 6, 2006

One hospital's initiatives to encourage safe opioid use.

July 15, 2015

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

July 9, 2014

Errors during the preparation of drug infusions: a randomized controlled trial.

August 22, 2012

Evaluating an evidence-based bundle for preventing surgical site infection.

December 1, 2010

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

February 10, 2021

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

October 4, 2017

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

May 11, 2022

Reducing potentially fatal errors associated with high doses of insulin: a successful multifaceted multidisciplinary prevention strategy.

July 6, 2011

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

September 29, 2021

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

March 9, 2016

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

April 1, 2009

Outcomes of daytime procedures performed by attending surgeons after night work.

September 2, 2015

Outpatient opioid prescriptions for children and opioid-related adverse events.

August 8, 2018

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

September 14, 2016

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

May 20, 2009

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

July 27, 2016

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

November 3, 2010

Ethical issues in patient safety: implications for nursing management.

June 19, 2013

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

January 19, 2022

Barriers and facilitators to incident reporting in mental healthcare settings: a qualitative study.

November 13, 2019

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

July 11, 2007

Decimal numbers and safe interpretation of clinical pathology results.

April 16, 2014

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

August 25, 2021

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

January 8, 2014

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

January 14, 2009

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

October 12, 2022

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

September 22, 2021

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

February 12, 2014

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

December 12, 2018

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

December 15, 2021

Nurses' role in communication and patient safety.

July 8, 2009

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

March 29, 2023

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

November 28, 2018

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

September 25, 2019

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

April 18, 2007

Intervention to reduce transmission of resistant bacteria in intensive care.

February 1, 2012

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

October 7, 2020

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

January 24, 2018

Opportunities to improve informed consent with AHRQ training modules.

June 13, 2018

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

April 11, 2018

Effect of pharmacists on medication errors in an emergency department.

February 27, 2008

'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

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

July 7, 2021

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

April 21, 2021

Health care worker fatigue.

September 21, 2016

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

September 12, 2018

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

October 23, 2013

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

April 28, 2021

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

Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems.

March 6, 2013

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

June 19, 2013

A high-reliability organization mindset.

February 22, 2023

HIM functions in healthcare quality and patient safety.

August 10, 2011

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

April 22, 2020

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

February 8, 2023

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

Related Resources

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

Interprofessional and intraprofessional communication about older people's medications across transitions of care.

May 26, 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

Teaching nurses to make clinical judgments that ensure patient safety.

August 14, 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

The wicked problem of patient misidentification: how could the technological revolution help address patient safety?

May 1, 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

Interventions against bullying of prelicensure students and nursing professionals: an integrative review.

November 21, 2018

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

October 24, 2018

Benefactor or burden: exploring the professional identity of safety professionals.

October 24, 2018

See More About The Topic

Epidemiology of Errors and Adverse Events

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

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.

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

PSNet Log in

Submit Your Case

Continue as a Guest

Continue Logged In

Submit Your Case

Continue as a Guest

Already have a PSNet

Account?

New Users

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