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

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

August 25, 2021

Guidelines in Practice: prevention of unintentionally retained surgical items.

December 7, 2022

A concept analysis of situational awareness in nursing.

April 17, 2013

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

November 15, 2017

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

March 18, 2015

A model of disruptive surgeon behavior in the perioperative environment.

October 15, 2014

Trainee autonomy and patient safety.

December 6, 2017

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

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

February 13, 2013

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

March 6, 2005

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

March 13, 2013

A paradigm shift to balance safety and quality in pediatric pain management.

March 6, 2013

Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers.

March 16, 2011

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

Interruptions during the delivery of high-risk medications.

June 2, 2010

The impact of time at work and time off from work on rule compliance: the case of hand hygiene in health care.

December 3, 2014

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

September 5, 2018

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

Moving beyond misuse and diversion: the urgent need to consider the role of iatrogenic addiction in the current opioid epidemic.

October 1, 2014

In situ simulation: detection of safety threats and teamwork training in a high risk emergency department.

June 5, 2013

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

August 11, 2010

Emergency intubation of children outside of the operating room.

February 26, 2020

Home health agency patient experience measures and their relationship to Joint Commission accreditation.

June 7, 2023

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

April 12, 2017

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

January 18, 2023

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

June 18, 2014

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

Testing a classification model for emergency department errors.

June 28, 2006

Non–health care facility medication errors resulting in serious medical outcomes.

July 26, 2017

Misuse of pediatric medications and parent–physician communication: an interactive voice response intervention.

April 12, 2017

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

September 2, 2015

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

May 3, 2006

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

August 14, 2019

Increasing medication error reporting rates while reducing harm through simultaneous cultural and system-level interventions in an intensive care unit.

July 20, 2011

Renal medication-related clinical decision support (CDS) alerts and overrides in the inpatient setting following implementation of a commercial electronic health record: implications for designing more effective alerts.

February 17, 2021

Diagnostic errors in musculoskeletal oncology and possible mitigation strategies.

May 24, 2023

Diagnosing sepsis is subjective and highly variable: a survey of intensivists using case vignettes.

May 11, 2016

Measuring to improve medication reconciliation in a large subspecialty outpatient practice.

April 26, 2017

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

An empirically derived taxonomy of factors affecting physicians' willingness to disclose medical errors.

September 6, 2006

Assessing patient safety culture: a review and synthesis of the measurement tools.

November 8, 2006

When a surgical colleague makes an error.

February 24, 2016

Opioid prescribing patterns and complications in the dermatology Medicare population.

March 7, 2018

Are autopsy findings still relevant to the management of critically ill patients in the modern era?

February 5, 2014

Paid malpractice claims for adverse events in inpatient and outpatient settings.

January 30, 2005

Addressing the taboo of medical error through IGBOs: I got burnt once!

June 4, 2014

Parents' perceptions of medical errors.

June 16, 2010

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

February 5, 2020

Antidepressant and antipsychotic medication errors reported to United States poison control centers.

November 28, 2018

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

March 13, 2013

Failure to recognize newly identified aortic dilations in a health care system with an advanced electronic medical record.

July 22, 2009

Risk of adverse drug events in neonates treated with opioids and the effect of a bar-code–assisted medication administration system.

January 26, 2011

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

January 8, 2020

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

September 15, 2021

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

March 8, 2006

Patient safety in after-hours telephone medicine.

June 20, 2007

The impact of the 80-hour resident workweek on surgical residents and attending surgeons.

July 12, 2006

Checking it twice: an evaluation of checklists for detecting medication errors at the bedside using a chemotherapy model.

September 8, 2010

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

January 23, 2019

Pediatric ADHD medication exposures reported to US poison control centers.

June 6, 2018

Prescription opioid exposures among children and adolescents in the United States: 2000–2015.

June 14, 2017

Non–health care facility cardiovascular medication errors in the United States.

November 1, 2017

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

Building and sustaining a systemwide culture of safety.

December 14, 2005

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

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

October 15, 2014

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

April 27, 2022

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

March 2, 2011

Assessment of patient medication adherence, medical record accuracy, and medication blood concentrations for prescription and over-the-counter medications.

November 28, 2018

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

March 8, 2006

Medical diagnoses commonly associated with pediatric malpractice lawsuits in the United States.

December 17, 2008

Time to listen: a review of methods to solicit patient reports of adverse events.

April 14, 2010

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

Case study: preventing surgical complications at Baystate Medical Center.

November 21, 2007

The Accreditation Council for Graduate Medical Education's limits on residents' work hours and patient safety.

March 19, 2008

Patient safety climate in hospitals: act locally on variation across units.

June 30, 2010

Alcoholism and American healthcare: the case for a patient safety approach.

August 17, 2022

Look-alike medications in the perioperative setting: scoping review of medication incidents and risk reduction interventions.

October 11, 2023

Normal neurologic and developmental outcome after an accidental intravenous infusion of expressed breast milk in a neonate.

January 25, 2006

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

July 13, 2011

Reporting medical errors to improve patient safety: a survey of physicians in teaching hospitals.

January 23, 2008

Disclosing medical errors to patients: attitudes and practices of physicians and trainees.

May 23, 2007

Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons from New York City.

July 29, 2020

Laboratory medicine handoff gaps experienced by primary care practices: a report from the Shared Networks of Collaborative Ambulatory Practices and Partners (SNOCAP).

December 3, 2014

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

February 18, 2015

Related Resources

WebM&M Cases

Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose.

October 31, 2023

Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists.

August 23, 2023

Meta-analysis of medication administration errors in African hospitals.

August 2, 2023

Content analysis of nurses' reflections on medication errors in a regional hospital.

July 26, 2023

Assessing the impact of a new pediatric healthcare facility on medication administration: a human factors approach.

July 12, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Prevent administration of ear drops into the eyes.

December 14, 2022

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

March 30, 2022

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

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

July 29, 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

WebM&M Cases

When the Indications for Drug Administration Blur

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

WebM&M Cases

One Bronchoscopy, Two Errors

January 1, 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

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

September 7, 2016

What price must we pay for safety? Excessive cost of EPINEPHrine auto-injectors leads to error-prone use of ampuls or vials and unprepared consumers.

August 24, 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

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

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