Nurses' role in patient safety.

Ronda G Hughes; Carolyn M Clancy

Commentary

Nurses' role in patient safety.

January 21, 2009

Hughes RG, Clancy CM. J Nurs Care Qual. 2009;24(1):1-4.

View more articles from the same authors.

This commentary discusses the broad role of nursing in patient safety, the leadership and organizational roles they can play, and Agency for Healthcare Research and Quality’s Evidence-Based Handbook for Nurses.

PubMed citation

Available at

Related Resources From the Same Author(s)

Complexity, bullying, and stress: analyzing and mitigating a challenging work environment for nurses.

July 8, 2009

Working conditions that support patient safety.

October 12, 2005

Reducing pediatric medication errors: children are especially at risk for medication errors.

May 18, 2005

New research highlights the role of patient safety culture and safer care.

August 24, 2011

Alleviating "second victim" syndrome: how we should handle patient harm.

December 14, 2011

Reengineering hospital discharge: a protocol to improve patient safety, reduce costs, and boost patient satisfaction.

July 1, 2009

CMS's hospital-acquired condition lists link hospital payment, patient safety.

March 25, 2009

Patient safety organizations ready for action.

February 18, 2009

Common formats allow uniform collection and reporting of patient safety data by patient safety organizations.

January 13, 2010

The importance of simulation: preventing hand-off mistakes.

October 29, 2008

New patient safety organizations lower roadblocks to medical error reporting.

August 13, 2008

Care transitions: a threat and an opportunity for patient safety.

November 15, 2006

The intensive care unit, patient safety, and the Agency for Healthcare Research and Quality.

October 4, 2006

AHRQ quality and safety initiatives.

June 1, 2005

A call to excellence.

March 6, 2005

Transformation of health care at the front line.

February 25, 2009

The science of safety improvement: learning while doing.

June 8, 2011

Medication therapy management programs: forming a new cornerstone for quality and safety in Medicare.

August 2, 2006

TeamSTEPPS: assuring optimal teamwork in clinical settings.

June 27, 2007

Limiting nurse overtime, and promoting other good working conditions, influences patient safety.

April 9, 2008

Using the AHRQ Quality Indicators to improve health care quality.

September 7, 2005

From HRO to HERO: making health equity a core system capability.

November 24, 2021

Improving patient safety—five years after the IOM report.

March 6, 2005

Patient safety in nursing practice.

October 3, 2007

Patient safety in nursing practice.

July 20, 2005

How useful are voluntary medication error reports? The case of warfarin-related medication errors.

January 9, 2008

Reducing health care hazards: lessons from the Commercial Aviation Safety Team.

April 15, 2009

An engineered solution to the maladministration of spinal injections.

January 13, 2010

Can positivity promote safety? Psychological capital development combats cynicism and unsafe behavior.

July 10, 2019

Perceived discrimination in the community pharmacy: a cross-sectional, national survey of adults.

May 10, 2023

Integrating patient safety and clinical pharmacy services into the care of a high-risk, ambulatory population: a collaborative approach.

June 19, 2013

Effect of social influences on pharmacists' intention to report adverse drug events.

October 17, 2012

Adverse events after screening and follow-up colonoscopy.

February 15, 2012

Reducing surgical errors: implementing a three-hinge approach to success.

June 10, 2015

Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patient handoffs.

February 29, 2012

Patient safety perceptions: a survey of Iowa physicians, pharmacists, and nurses.

February 15, 2006

Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes.

August 9, 2006

Effects of sleep inertia on cognition.

January 25, 2006

Learning from disasters to improve patient safety: applying the generic disaster pathway to health system errors.

February 9, 2011

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

March 9, 2016

Bad stars or guiding lights? Learning from disasters to improve patient safety.

May 12, 2010

Quality and strength of patient safety climate on medical–surgical units.

March 11, 2009

A comparison of two distribution methods on response rates to a patient safety questionnaire in nursing homes.

October 3, 2007

Weekend specialist intensity and admission mortality in acute hospital trusts in England: a cross-sectional study.

November 29, 2017

Impact of a drug shortage on medication errors and clinical outcomes in the pediatric intensive care unit.

February 3, 2016

'Between the flags': implementing a rapid response system at scale.

May 14, 2014

Cultural and associated enablers of, and barriers to, adverse incident reporting.

June 23, 2010

Cognitive bias and dissonance in surgical practice: a narrative review.

April 26, 2023

Humanizing harm: using a restorative approach to heal and learn from adverse events.

May 4, 2022

Remote patient monitoring during COVID-19: an unexpected patient safety benefit.

March 23, 2022

Does incorporating medications in the surveyors' interpretive guidelines reduce the use of potentially inappropriate medications in nursing homes?

July 4, 2007

"Change is what can actually make the tough times better": a patient-centred patient safety intervention delivered in collaboration with hospital volunteers.

November 14, 2018

Abusive supervision: a systematic review and fundamental rethink.

December 8, 2021

Public perceptions and preferences for patient notification after an unsafe injection.

March 13, 2013

Maintaining perioperative safety in uncertain times: COVID-19 pandemic response strategies.

November 18, 2020

Family involvement in managing medications of older patients across transitions of care: a systematic review.

June 26, 2019

Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey.

March 21, 2018

Electronic prescribing and other forms of technology to reduce inappropriate medication use and polypharmacy in older people: a review of current evidence.

July 18, 2012

Hospital complications: linking payment reduction to preventability.

May 6, 2009

Making infection prevention and control everyone's business? Hospital staff views on patient involvement.

June 5, 2019

Predictors of unit-level medication administration accuracy: microsystem impacts on medication safety.

August 27, 2014

CDC central-line bloodstream infection prevention efforts produced net benefits of at least $640 million during 1990–2008.

June 18, 2014

Impact of medication reconciliation for improving transitions of care.

September 5, 2018

Effect of a pharmacist-led multicomponent intervention focusing on the medication monitoring phase to prevent potential adverse drug events in nursing homes.

January 30, 2005

One needle, one syringe, only one time? A survey of physician and nurse knowledge, attitudes, and practices around injection safety.

November 15, 2017

Families’ experiences of central-line infection in children: a qualitative study.

September 7, 2022

Changes in weekend and weekday care quality of emergency medical admissions to 20 hospitals in England during implementation of the 7-day services national health policy.

November 25, 2020

Safe work-hour standards for parents of children with medical complexity.

January 29, 2020

Measurement of harms in community care: a qualitative study of use of the NHS Safety Thermometer.

August 1, 2018

Recognizing and responding to the "toxic" work environment: worker safety, patient safety, and abuse/neglect in nursing homes.

September 20, 2017

Improving medication administration safety: using naïve observation to assess practice and guide improvements in process and outcomes.

January 7, 2015

Junior doctors' views on reporting concerns about patient safety: a qualitative study.

June 17, 2015

Unintended discontinuation of medication following hospitalisation: a retrospective cohort study.

June 19, 2019

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

May 26, 2021

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

November 21, 2018

A qualitative study of speaking out about patient safety concerns in intensive care units.

October 25, 2017

Explaining Matching Michigan: an ethnographic study of a patient safety program.

August 21, 2013

Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration.

September 23, 2015

An ethnographic study of classifying and accounting for risk at the sharp end of medical wards.

July 15, 2009

The morbidity and mortality conference: opportunities for enhancing patient safety.

February 9, 2022

Exploring organizational context and structure as predictors of medication errors and patient falls.

May 28, 2008

How reliable are patient-completed medication reconciliation forms compared with pharmacy lists?

November 21, 2012

Incidence and prevention of iatrogenic urethral injuries.

May 7, 2008

Diagnostic error in the emergency department: learning from national patient safety incident report analysis.

January 15, 2020

Improving surgical complications and patient safety at the nation's largest military hospital: an analysis of National Surgical Quality Improvement Program data.

March 29, 2017

Associations between safety outcomes and communication practices among pediatric nurses in the United States.

January 19, 2022

Evaluation of organizational culture among different levels of healthcare staff participating in the Institute for Healthcare Improvement's 100,000 Lives Campaign.

February 29, 2012

Interventions to improve safe sleep among hospitalized infants at eight children's hospitals.

May 4, 2016

The relationship between resident burnout and safety-related and acceptability-related quality of healthcare: a systematic literature review.

February 28, 2018

Nurse interrupted: development of a realistic medication administration simulation for undergraduate nurses.

August 26, 2015

Development and validation of a brief culture-of-safety survey.

June 22, 2022

Communicating with patients about diagnostic errors in breast cancer care: providers' attitudes, experiences, and advice

January 22, 2020

Evaluation of electronic health record implementation on pharmacist interventions related to oral chemotherapy management.

October 26, 2016

Family participation during intensive care unit rounds: goals and expectations of parents and health care providers in a tertiary pediatric intensive care unit.

October 8, 2014

A tool for the concise analysis of patient safety incidents.

January 13, 2016

Toward the development of the perfect medical team: critical components for adaptation.

March 17, 2021

The association between transfer of emergency department boarders to inpatient hallways and mortality: a 4-year experience.

May 6, 2009

One size fits all? Mixed methods evaluation of the impact of 100% single-room accommodation on staff and patient experience, safety and costs.

October 21, 2015

Value of improving patient safety: health economic considerations for rapid response systems-a rapid review of the literature and expert round table.

May 3, 2023

Infection control assessment of ambulatory surgical centers.

June 23, 2010

Related Resources

Teaching nurses to make clinical judgments that ensure patient safety.

August 14, 2019

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

May 1, 2019

Targeting the fear of safety reporting on a unit level.

March 20, 2019

Understanding patient safety and quality outcome data.

March 20, 2019

Debriefing in the OR: a quality improvement project.

March 13, 2019

Decreasing surgical site infections by developing a high reliability culture.

February 6, 2019

Using good catches to promote a just culture and perioperative patient safety.

December 12, 2018

Blame: what does it look like?

November 14, 2018

Root cause analysis of reported patient falls in ORs in the Veterans Health Administration.

October 24, 2018

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

October 10, 2018

Impact of nurse peer review on a culture of safety.

October 3, 2018

Guideline implementation: team communication.

September 12, 2018

Preventing medication errors in the information age.

September 5, 2018

Disclosure and apology: nursing and risk management working together.

August 8, 2018

When bullying affects patient safety.

July 25, 2018

A culture of civility: positively impacting practice and patient safety.

April 25, 2018

Practical application of high-reliability principles in healthcare to optimize quality and safety outcomes.

February 7, 2018

Taking bullying out of health care: a patient safety imperative.

January 10, 2018

White paper on recommendation for systems-based practice competency.

December 6, 2017

Workarounds are routinely used by nurses—but are they ethical?

November 8, 2017

Incorporating nursing complexity in reimbursement coding systems: the potential impact on missed care.

October 25, 2017

Administering and monitoring high-alert medications in acute care.

August 9, 2017

Improving patient safety by practicing in a just culture.

July 12, 2017

Using simulation to prepare nursing staff for the move to a new building.

April 26, 2017

Teaching students to administer medications safely.

April 19, 2017

Medication governance: preventing errors and promoting patient safety.

March 15, 2017

Promoting civility in the OR: an ethical imperative.

March 8, 2017

Opioids for pain management in older adults: strategies for safe prescribing.

February 22, 2017

Incorporating quality and safety values into a CLABSI simulation experience.

September 28, 2016

Health care worker fatigue.

September 21, 2016

See More About The Topic

Nurses

Nurse Managers

Nursing

Nurses' role in patient safety.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Nurses' role in patient safety.

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