Outcomes of a quality improvement project for educating nurses on medication administration and errors in nursing homes.

Monica L Tenhunen; Elizabeth K Tanner; Rebecca Dahlen

Study

Outcomes of a quality improvement project for educating nurses on medication administration and errors in nursing homes.

July 16, 2014

Tenhunen ML, Tanner EK, Dahlen R. J Contin Educ Nurs. 2014;45(7):306-11.

View more articles from the same authors.

This quality improvement study found that an educational video designed to improve medication safety in nursing homes successfully enhanced nurses' knowledge about medication administration practices. A recent AHRQ WebM&M commentary discusses medication safety in nursing homes.

PubMed citation

Available at

Related Resources From the Same Author(s)

Defining the critical role of nurses in diagnostic error prevention: a conceptual framework and a call to action.

December 6, 2017

Career impact of the chief resident in quality and safety training program: an alumni evaluation

February 26, 2020

Implementing a pediatric surgical safety checklist in the OR and beyond.

July 14, 2010

Patients count on it: an initiative to reduce incorrect counts and prevent retained surgical items.

January 18, 2012

Trainees' perceptions of patient safety practices: recounting failures of supervision.

January 26, 2011

A nurse-led approach to developing and implementing a collaborative count policy.

February 22, 2012

Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls leading to adverse events.

April 6, 2022

Operating room clinicians' attitudes and perceptions of a pediatric surgical safety checklist at 1 institution.

March 9, 2016

Rapid response teams: ten essentials leaders need to know.

July 26, 2006

Medication safety in the emergency department: a study of serious medication errors reported by 101 hospitals from 2011 to 2020.

March 30, 2022

Sitters as a patient safety strategy to reduce hospital falls: a systematic review.

February 26, 2020

Your company's secret change agents.

May 25, 2005

Process failures that increase the risk of infection through respiratory droplets: a study of patient safety events reported by hospitals across Pennsylvania.

October 7, 2020

Patient harm resulting from medication reconciliation process failures: a study of serious events reported by Pennsylvania hospitals.

March 24, 2021

Randomized controlled evaluation of an insulin pen storage policy.

February 14, 2018

Patient safety events and harms during medical and surgical hospitalizations for persons with serious mental illness.

June 1, 2016

Family support role in hospital rapid response teams: a scoping review.

April 13, 2022

The Physician Practice Patient Safety Assessment.

November 1, 2006

Statewide perinatal quality improvement, teamwork, and communication activities in Oklahoma and Texas.

July 26, 2023

Comparing VA and Non-VA quality of care: a systematic review.

March 1, 2017

Enhancing the effectiveness of team debriefings in medical simulation: more best practices.

March 11, 2015

The Giving Voice to Mothers study: inequity and mistreatment during pregnancy and childbirth in the United States.

June 11, 2019

Eliminating explicit and implicit biases in health care: evidence and research needs.

February 23, 2022

The medical emergency team and rapid response system: finding, treating, and preventing hypoglycemia.

October 4, 2006

Automated dispensing cabinets.

August 15, 2007

What are the critical success factors for team training in health care?

August 5, 2009

Complexity and challenges of the clinical diagnosis and management of Long COVID.

November 30, 2022

Extent of diagnostic agreement among medical referrals.

April 12, 2017

Association of residency work hour reform with long term quality and costs of care of US physicians: observational study.

July 24, 2019

Medical errors: where are we now?

November 15, 2006

Systematic review of safety checklists for use by medical care teams in acute hospital settings—limited evidence of effectiveness.

November 2, 2011

Understanding psychological safety in health care and education organizations: a comparative perspective.

March 16, 2016

In patient safety efforts, pharmacists gain new prominence.

January 23, 2019

Communication skills training to address disruptive physician behavior.

May 16, 2012

Medical simulation gets real.

December 2, 2009

Reflecting on change.

June 7, 2006

Identifying safety practices perceived as low value: an exploratory survey of healthcare staff in the United Kingdom and Australia.

March 8, 2023

What patients' complaints and praise tell the health practitioner: implications for health care quality. A qualitative research study.

January 11, 2017

Using simulation to identify sources of medical diagnostic error in child physical abuse.

April 27, 2016

Reevaluating the safety profile of pediatrics: a comparison of computerized adverse drug event surveillance and voluntary reporting in the pediatric environment.

June 4, 2008

Are more experienced clinicians better able to tolerate uncertainty and manage risks? A vignette study of doctors in three NHS emergency departments in England.

February 27, 2019

Weight stigma and barriers to effective obesity care.

July 26, 2023

Does teamwork improve performance in the operating room? A multilevel evaluation.

March 3, 2010

Moral distress in intensive care unit personnel is not consistently associated with adverse medication events and other adverse events

October 16, 2019

PCA safety data review after clinical decision support and smart pump technology implementation.

June 12, 2013

Interventions to improve hand hygiene compliance in patient care.

September 1, 2017

A series of anesthesia-related maternal deaths in Michigan, 1985-2003.

July 18, 2007

Reporting of hazards and near-misses in the ambulatory care setting.

October 19, 2011

Educational interventions to improve handover in health care: a systematic review.

January 30, 2005

Patient safety perception within hospitals: an examination of job type, handoffs and information exchange, and hospital management support.

June 21, 2023

Potential risk of medication discrepancies and reconciliation errors at admission and discharge from an inpatient medical service.

October 20, 2010

Factors associated with medication errors in the pediatric emergency department.

May 4, 2011

Improving the discharge process by embedding a discharge facilitator in a resident team.

November 16, 2011

2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents from the nation’s largest event reporting database.

May 19, 2021

Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest event reporting database.

July 6, 2022

Patient safety trends in 2022: an analysis of 256,679 serious events and incidents from the nation’s largest event reporting database.

May 17, 2023

Explicitly addressing implicit bias on inpatient rounds: student and faculty reflections.

June 7, 2023

The safe day call: reducing silos in health care through frontline risk assessment.

September 24, 2014

A multicenter, multidisciplinary, high-alert medication collaborative to improve patient safety: the Singapore experience.

May 8, 2013

Computerized clinical decision support during medication ordering for long-term care residents with renal insufficiency.

July 22, 2009

The effect of hospital-acquired Clostridium difficile infection on in-hospital mortality.

November 17, 2010

Risk of COVID-19-related bullying, harassment and stigma among healthcare workers: an analytical cross-sectional global study.

January 27, 2021

Patient safety and the ageing physician: a qualitative study of key stakeholder attitudes and experiences.

October 10, 2018

Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery.

August 31, 2011

Call to action: addressing pediatric fall safety in ambulatory environments.

December 1, 2021

The views and experiences of patients and health-care professionals on the disclosure of adverse events: a systematic review and qualitative meta-ethnographic synthesis.

April 8, 2020

Medication reconciliation: reducing risk for medication misadventure during transition from hospital to assisted living.

November 27, 2013

To tell the truth, the whole truth, may do patients harm: the problem of the nocebo effect for informed consent.

May 16, 2012

Doctors' experiences of adverse events in secondary care: the professional and personal impact.

February 11, 2015

The negative impact of nurse-physician disruptive behavior on patient safety: a review of the literature.

September 16, 2009

Investigation of interventions to reduce nurses' medication errors in adult intensive care units: a systematic review.

October 12, 2022

Office-based anesthesia.

February 10, 2010

Racial disparities in diagnostic delay among women with breast cancer.

August 18, 2021

The effect of computerized physician order entry with clinical decision support on the rates of adverse drug events: a systematic review.

April 16, 2008

Toward a new paradigm in hospital-based pediatric education: the development of an onsite simulator program.

November 23, 2005

Association of clinical nursing work environment with quality and safety in maternity care in the United States.

November 11, 2020

Application of a human factors classification framework for patient safety to identify precursor and contributing factors to adverse clinical incidents in hospital.

March 16, 2016

Use of a human factors classification framework to identify causal factors for medication and medical device-related adverse clinical incidents.

October 21, 2015

Challenges and potential solutions for patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event reports across 94 hospitals

September 1, 2021

Errors in breast imaging: how to reduce errors and promote a safety environment.

July 7, 2021

Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports.

July 13, 2022

Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports from 92 hospitals.

June 29, 2022

Effect of the 80-hour work week on resident case coverage.

June 18, 2008

Establishing a rapid response team (RRT) in an academic hospital: one year's experience.

November 29, 2006

Long-term care healthcare-associated infections in 2022: an analysis of 20,216 reports.

May 24, 2023

'Speaking Up' for patient safety and staff well-being: a qualitative study.

June 7, 2023

Reducing medical errors and adverse events.

February 8, 2012

Predictive combinations of monitor alarms preceding in-hospital code blue events.

January 9, 2013

The preventive surgical site infection bundle in colorectal surgery: an effective approach to surgical site infection reduction and health care cost savings.

September 10, 2014

Nursing time devoted to medication administration in long-term care: clinical, safety, and resource implications.

March 18, 2009

Insulin pump-associated adverse events: a qualitative descriptive study of clinical consequences and potential root causes.

August 2, 2023

Patient perspectives on the use of artificial intelligence for skin cancer screening: a qualitative study.

April 1, 2020

A qualitative positive deviance study to explore exceptionally safe care on medical wards for older people.

April 10, 2019

Is physician mentorship associated with the occurrence of adverse patient safety events?

April 10, 2019

Hospital-acquired infections under pay-for-performance systems: an administrative perspective on management and change.

September 26, 2018

Using risk stratification to reduce medical errors in cervical cancer prevention.

September 13, 2017

Creating a culture of safety by using checklists.

March 13, 2013

Health information technology and hospital patient safety: a conceptual model to guide research.

August 28, 2013

What methods are used to apply positive deviance within healthcare organisations? A systematic review.

March 2, 2016

The impact of the 80-hour work week on appropriate resident case coverage.

July 21, 2010

Related Resources

Investigation of interventions to reduce nurses' medication errors in adult intensive care units: a systematic review.

October 12, 2022

Exploring nurses' attitudes, skills, and beliefs of medication safety practices.

August 24, 2022

WebM&M Cases

Management of Cardiac Arrest in Unconventional Locations.

May 16, 2022

An initiative to reduce insulin-related adverse drug events in a children's hospital.

February 16, 2022

ISMP List of High-Alert Medications in Long-Term Care (LTC) Settings.

May 17, 2021

Patient Safety Primers

Medication Administration Errors

March 12, 2021

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

January 20, 2021

Addressing the health care needs of people who identify as transgender: what do nurses need to know?

July 22, 2020

Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional national survey.

May 20, 2020

The attitudes of nursing students and clinical instructors towards reporting irregular incidents in the medical clinic.

June 5, 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

Multi-level analysis of national nursing students' disclosure of patient safety concerns.

December 12, 2018

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

July 11, 2018

The first U.S. study on nurses' evidence-based practice competencies indicates major deficits that threaten healthcare quality, safety, and patient outcomes.

April 25, 2018

Medication errors involving nursing students: a systematic review.

February 7, 2018

Nursing home patient safety culture perceptions among US and immigrant nurses.

January 24, 2018

Nurses' clinical reasoning practices that support safe medication administration: an integrative review of the literature.

January 10, 2018

Exploring how nursing schools handle student errors and near misses.

December 13, 2017

White paper on recommendation for systems-based practice competency.

December 6, 2017

Administering and monitoring high-alert medications in acute care.

August 9, 2017

Factors associated with barcode medication administration technology that contribute to patient safety: an integrative review.

July 26, 2017

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

July 19, 2017

Nurses' perceived skills and attitudes about updated safety concepts: impact on medication administration errors and practices.

June 28, 2017

Quality and Safety in Nursing: a Competency Approach to Improving Outcomes, Second Edition.

May 17, 2017

Teaching students to administer medications safely.

April 19, 2017

Learning and mindfulness: improving perioperative patient safety.

April 19, 2017

Medication governance: preventing errors and promoting patient safety.

March 15, 2017

CE: nursing's evolving role in patient safety.

March 15, 2017

Perspective

Becoming a Certified Professional in Patient Safety—A Registered Nurse's Perspective

June 1, 2016

Educational opportunities with postevent debriefing.

May 11, 2016

See More About The Topic

Long-Term Care

Nurses

Nurse Managers

Quality and Safety Professionals

Educators

Outcomes of a quality improvement project for educating nurses on medication administration and errors in nursing homes.

Medication Administration Errors

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Outcomes of a quality improvement project for educating nurses on medication administration and errors in nursing homes.

Medication Administration Errors

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