Nursing strategies to increase medication safety in inpatient settings.

Katherine Bravo; Gary L Cochran; Ryan Barrett

Study

Nursing strategies to increase medication safety in inpatient settings.

May 25, 2016

Bravo K, Cochran GL, Barrett R. J Nurs Care Qual. 2016;31(4):335-41.

View more articles from the same authors.

Medication administration errors are common and are often associated with interruptions. This study reviews data from a recent study on medication safety in critical access hospitals and recommends organizational strategies to improve the safety of medication administration.

PubMed citation

Available at

Related Resources From the Same Author(s)

Comparison of medication safety systems in critical access hospitals: combined analysis of two studies.

September 21, 2016

Comparison of medication safety effectiveness among nine critical access hospitals.

January 8, 2014

Errors prevented by and associated with bar-code medication administration systems.

May 2, 2007

From physician intent to the pharmacy label: prevalence and description of discrepancies from a cross-sectional evaluation of electronic prescriptions.

February 26, 2014

Chief of Residents for Quality Improvement and Patient Safety: a recipe for a new role in graduate medical education.

April 12, 2017

A model of disruptive surgeon behavior in the perioperative environment.

October 15, 2014

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

March 13, 2013

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

November 15, 2017

Error and patient safety: ethical analysis of cases in occupational and physical therapy practice.

March 7, 2007

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

February 15, 2006

Missed diagnoses of acute myocardial infarction in the emergency department: variation by patient and facility characteristics.

March 18, 2015

A concept analysis of situational awareness in nursing.

April 17, 2013

I-PSI: short- and long-term efficacy of a comprehensive initiative to promote patient safety event reporting by trainees.

August 25, 2021

Older patients' understanding of emergency department discharge information and its relationship with adverse outcomes.

March 2, 2011

Trainee autonomy and patient safety.

December 6, 2017

Reducing unacceptable missed doses: pharmacy assistant–supported medicine administration.

February 18, 2015

Guidelines in Practice: prevention of unintentionally retained surgical items.

December 7, 2022

Improving patient safety using the sterile cockpit principle during medication administration: a collaborative, unit-based project.

February 13, 2013

An improved patient safety reporting system increases reports of disruptive behavior in the perioperative setting.

February 5, 2020

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

June 18, 2014

Reducing central line–associated bloodstream infections in North Carolina NICUs.

February 26, 2014

Identification of latent safety threats using high-fidelity simulation-based training with multidisciplinary neonatology teams.

July 24, 2013

Implementation of an electronic system for medication reconciliation.

February 28, 2007

ACGME duty-hour recommendations—a national survey of residency program directors.

August 11, 2010

Retained guidewires in the Veterans Health Administration: getting to the root of the problem.

May 9, 2018

Using crew resource management and a 'read-and-do checklist' to reduce failure-to-rescue events on a step-down unit.

November 6, 2013

Applying the Medications at Transitions and Clinical Handoffs Toolkit in a rural primary care clinic: implications for nursing, patients, and caregivers.

July 8, 2020

Effect of different interventions to help primary care clinicians avoid unsafe opioid prescribing in opioid-naive patients with acute noncancer pain: a cluster randomized clinical trial.

September 7, 2022

Nursing crew resource management: a follow-up report from the Veterans Health Administration.

March 13, 2013

The disruptive orthopaedic surgeon: implications for patient safety and malpractice liability.

November 23, 2011

Improving patient safety and optimizing nursing teamwork using crew resource management techniques.

March 14, 2012

When a surgical colleague makes an error.

February 24, 2016

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

A handoff protocol from the cardiovascular operating room to cardiac ICU is associated with improvements in care beyond the immediate postoperative period.

July 17, 2013

The Safety of Intravenous Drug Delivery Systems: Update on Current Issues Since the 2009 Consensus Development Conference.

September 5, 2018

When there's no one to whom an error can be disclosed, how should an error be handled?

August 14, 2019

Emergency intubation of children outside of the operating room.

February 26, 2020

Use of board certification and recertification of pediatricians in health plan credentialing policies.

March 8, 2006

Opioid prescribing patterns and complications in the dermatology Medicare population.

March 7, 2018

Effective followership: a standardized algorithm to resolve clinical conflicts and improve teamwork.

August 12, 2015

High reliability: truly achieving healthcare quality and safety.

April 24, 2013

10 derm mistakes you don't want to make.

April 9, 2008

The day Joy died.

November 8, 2006

The 80-hour duty week: rationale, early attitudes, and future questions.

September 20, 2006

The role of the medical emergency team in end-of-life care: a multicenter, prospective, observational study.

January 4, 2012

Do patient engagement IT functionalities influence patient safety outcomes? A study of US hospitals.

August 10, 2022

Hospital cultural competency and attributes of patient safety culture: a study of U.S. hospitals.

November 17, 2021

A high-reliability organization framework for health care: a multiyear implementation strategy and associated outcomes.

November 4, 2020

Infection control assessment of ambulatory surgical centers.

June 23, 2010

The effects of crew resource management on teamwork and safety climate at Veterans Health Administration facilities.

December 6, 2017

Inpatient telemedicine and new models of care during COVID-19: hospital design strategies to enhance patient and staff safety.

September 15, 2021

Implementing a Program of Patient Safety in Small Rural Hospitals.

January 16, 2008

Intervention to reduce transmission of resistant bacteria in intensive care.

February 1, 2012

A mixed methods study examining teamwork shared mental models of interprofessional teams during hospital discharge.

January 8, 2020

Policies and practices related to the role of board certification and recertification of pediatricians in hospital privileging.

March 8, 2006

Application of electronic health records to The Joint Commission's 2011 National Patient Safety Goals.

July 13, 2011

Diagnostic errors in musculoskeletal oncology and possible mitigation strategies.

May 24, 2023

Ranking hospitals on avoidable death rates derived from retrospective case record review: methodological observations and limitations.

September 2, 2015

The justification for strike action in healthcare: a systematic critical interpretive synthesis.

April 27, 2022

An unsuspected MR projectile: a "wooden" chair with metal bracing.

May 3, 2006

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

January 23, 2019

Opioids for chronic noncancer pain: a position paper of the American Academy of Neurology.

October 15, 2014

The impact of patient–physician alliance on trust following an adverse event.

April 10, 2019

A cross-sectional study on the relationship between utilization of root cause analysis and patient safety at 139 Department of Veterans Affairs medical centers.

January 9, 2013

Implementing handoff communication.

June 15, 2011

A new paradigm for surgical procedural training.

January 18, 2012

Cultural diversity: what role does it play in patient safety?

August 25, 2010

Enabling sustained communication with patients for safe and effective management of oral chemotherapy: a longitudinal ethnography.

March 17, 2021

Semantically ambiguous language in the teaching operating room.

December 15, 2021

The emergency department trigger tool: a novel approach to screening for quality and safety events.

September 30, 2020

Adverse events present on arrival to the emergency department: the ED as a dual safety net.

March 11, 2020

Adverse event reporting: harnessing residents to improve patient safety.

November 8, 2017

Near-miss events detected using the emergency department trigger tool.

March 15, 2023

Emergency department adverse events detected using the emergency department trigger tool.

August 24, 2022

Interrater agreement with a standard scheme for classifying medication errors.

January 24, 2007

Surgeon information transfer and communication: factors affecting quality and efficiency of inpatient care.

February 7, 2007

Case study: preventing surgical complications at Baystate Medical Center.

November 21, 2007

Hospitalized patients' understanding of their plan of care.

January 27, 2010

Potential uses of AI for perioperative nursing handoffs: a qualitative study.

April 12, 2023

Hand-off communication: a requisite for perioperative patient safety.

November 19, 2008

Do patient safety events increase readmissions?

April 8, 2009

Facilitating and impeding factors for physicians' error disclosure: a structured literature review.

March 29, 2006

Thirty-day, all-cause readmissions for elderly patients who have an injury-related inpatient stay.

November 28, 2012

Assessment of patient retention of inpatient care information post-hospitalization.

February 22, 2023

Data collection for adverse events reporting by US dental schools.

September 30, 2020

Rapidly increasing rapid response team activation rates.

September 9, 2015

The effectiveness of root cause analysis: what does the literature tell us?

June 25, 2008

Medication use evaluation of high-dose long-term opioid de-prescribing in multiple Veterans Affairs medical centers.

January 18, 2023

Viewing prevention of catheter-associated urinary tract infection as a system: using systems engineering and human factors engineering in a quality improvement project in an academic medical center.

October 12, 2016

Improving safety during transitions of care through the use of electronic referral loops to receive and reconcile health information.

May 10, 2023

Medication, allergy, and adverse drug event discrepancies in ambulatory care.

March 26, 2008

Distraction in the operating room: a narrative review of environmental and self-initiated distractions and their effect on anesthesia providers.

December 16, 2020

Patient safety over power hierarchy: a scoping review of healthcare professionals' speaking-up skills training.

June 10, 2020

Outside case review of surgical pathology for referred patients: the impact on patient care.

April 10, 2013

Failure to administer recommended chemotherapy: acceptable variation or cancer care quality blind spot?

September 18, 2019

Principles supporting dynamic clinical care teams: an American College of Physicians position paper.

September 25, 2013

Psychological safety and error reporting within Veterans Health Administration hospitals.

March 4, 2015

Dual-process cognitive interventions to enhance diagnostic reasoning: a systematic review.

April 13, 2016

Using patient safety morbidity and mortality conferences to promote transparency and a culture of safety.

January 13, 2010

Effects of weekend admission and hospital teaching status on in-hospital mortality.

March 6, 2005

Related Resources

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Prevent administration of ear drops into the eyes.

December 14, 2022

Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement.

December 14, 2022

As a nurse faces prison for a deadly error, her colleagues worry: could I be next?

March 30, 2022

Nursing interventions to reduce medication errors in paediatrics and neonates: systematic review and meta-analysis.

December 8, 2021

Effectiveness of a ‘do not interrupt’ vest intervention to reduce medication errors during medication administration: a multicenter cluster randomized controlled trial.

October 13, 2021

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

January 20, 2021

Nurses' perceived causes of medication administration errors: a qualitative systematic review.

November 25, 2020

Do falls and other safety issues occur more often during handovers when nurses are away from patients? Findings from a retrospective study design.

November 11, 2020

User-testing guidelines to improve the safety of intravenous medicines administration: a randomised in situ simulation study.

July 29, 2020

WebM&M Cases

When the Indications for Drug Administration Blur

June 24, 2020

Differences between methods of detecting medication errors: a secondary analysis of medication administration errors using incident reports, the Global Trigger Tool method, and observations.

June 24, 2020

Association between mobile telephone interruptions and medication administration errors in a pediatric intensive care unit.

January 15, 2020

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

September 18, 2019

When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer?

April 17, 2019

Unintentionally retained guidewires: a descriptive study of 73 sentinel events.

March 20, 2019

What causes medication administration errors in a mental health hospital? A qualitative study with nursing staff.

January 23, 2019

Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors.

October 24, 2018

Effective approaches to control non-actionable alarms and alarm fatigue.

September 12, 2018

Medication administration and interruptions in nursing homes: a qualitative observational study.

July 11, 2018

Administering and monitoring high-alert medications in acute care.

August 9, 2017

Impact of interruptions, distractions, and cognitive load on procedure failures and medication administration errors.

July 19, 2017

Effectiveness of a 'Do not interrupt' bundled intervention to reduce interruptions during medication administration: a cluster randomised controlled feasibility study.

March 15, 2017

Separate medication preparation rooms reduce interruptions and medication errors in the hospital setting: a prospective observational study.

February 15, 2017

Medication double-checking procedures in clinical practice: a cross-sectional survey of oncology nurses' experiences.

September 7, 2016

Sleep and circadian misalignment for the hospitalist: a review.

August 3, 2016

Is technology the best medicine? Three practice theoretical perspectives on medication administration technologies in nursing.

June 15, 2016

Towards international consensus on patient harm: perspectives on pressure injury policy.

June 8, 2016

The perceptions of nurses towards barriers to the safe administration of medicines in mental health settings.

February 3, 2016

Why do we still page each other? Examining the frequency, types and senders of pages in academic medical services.

February 3, 2016

See More About The Topic

Hospitals

Nurses

Health Care Executives and Administrators

Hospital Medicine

Nursing

Nursing strategies to increase medication safety in inpatient settings.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Nursing strategies to increase medication safety in inpatient settings.

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