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Operational failures detected by frontline acute care nurses.

July 5, 2017

Stevens KR, Engh EP, Tubbs-Cooley HL, et al. Res Nurs Health. 2017;40(3):197-205.

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This prospective reporting study asked frontline nurse participants to record operational failures, or breakdowns in usual care processes, in the course of their usual work. Nurses recorded about six such failures per shift, suggesting that systems failures are common in acute care settings.

PubMed citation

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Epidemiology of Errors and Adverse Events

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