Paediatric nurses' understanding of the process and procedure of double-checking medications.

Annette Dickinson; Elaine McCall; Bernadette Twomey; Natalie James

Study

Paediatric nurses' understanding of the process and procedure of double-checking medications.

March 17, 2010

Dickinson A, McCall E, Twomey B, et al. J Clin Nurs. 2010;19(5-6).

View more articles from the same authors.

This focus group study identified problems with the recommended practice of double checking high-risk medications before administration.

Available at

Related Resources From the Same Author(s)

Nurse staffing and inpatient mortality in the English National Health Service: a retrospective longitudinal study.

May 3, 2023

What do healthcare staff think about the quality and safety of care provided to children and young people with an intellectual disability? A qualitative study using the framework method of analysis.

September 6, 2023

Structural racism and the COVID-19 experience in the United States.

July 7, 2021

Diagnostic trajectories in primary care at 12 months: an observational cohort study.

June 15, 2022

Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainability of evidence-based practice.

April 4, 2012

Factors associated with malpractice claim payout: an analysis of closed emergency department claims.

July 13, 2022

Impact of digitally acquired peer diagnostic input on diagnostic confidence in outpatient cases: a pragmatic randomized trial.

December 2, 2020

Accurate measurement In California's safety-net health systems has gaps and barriers.

December 19, 2018

Can technology improve intershift report? What the research reveals.

June 28, 2006

The state of health, burnout, healthy behaviors, workplace wellness support, and concerns of medication errors in pharmacists during the COVID-19 pandemic.

August 23, 2023

COVID-19 has united patients and providers against institutional betrayal in health care: a battle to be heard, believed, and protected.

August 19, 2020

Bridging the gap: leveraging business intelligence tools in support of patient safety and financial effectiveness.

March 17, 2010

Standardization of compounded oral liquids for pediatric patients in Michigan.

August 31, 2016

Patient safety events in out-of-hospital paediatric airway management: a medical record review by the CSI-EMS.

November 23, 2016

The evolving role of health educators in advancing patient safety: forging partnerships and leading change.

April 11, 2007

Out-of-hospital pediatric patient safety events: results of the CSI chart review.

November 15, 2017

Governing the quality and safety of healthcare: a conceptual framework.

May 30, 2018

Judging whether a patient is actually improving: more pitfalls from the science of human perception.

June 6, 2012

Patient safety perceptions in pediatric out-of-hospital emergency care: Children's Safety Initiative.

September 9, 2015

Association between electronic health record implementations and hospital-acquired conditions in pediatric hospitals.

August 2, 2023

Use of complex adaptive systems metaphor to achieve professional and organizational change.

August 31, 2005

Pediatric airway management and prehospital patient safety: results of a national Delphi survey by the Children's Safety Initiative-Emergency Medical Services for Children.

August 17, 2016

Identification of the barriers and enablers for receiving a speaking up message: a content analysis approach.

August 16, 2023

Giving voice to quality and safety matters at board level: a qualitative study of the experiences of executive nurses working in England and Wales.

August 24, 2016

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

July 12, 2023

Not just "getting by": factors influencing providers' choice of interpreters.

November 12, 2014

Interdisciplinary Quality Improvement Conference: using a revised morbidity and mortality format to focus on systems-based patient safety issues in a VA hospital: design and outcomes.

November 12, 2014

An assessment of the quality and impact of NPSA medication safety outputs issued to the NHS in England and Wales.

April 13, 2011

The influence of professional identity on how the receiver receives and responds to a speaking up message: a cross-sectional study.

March 29, 2023

Rolling out the rapid response team.

June 1, 2011

Workplace training for senior trainees: a systematic review and narrative synthesis of current approaches to promote patient safety.

September 16, 2015

Causes of use errors in ventilation devices--systematic review.

November 10, 2021

Emergency medical services provider pediatric adverse event rate varies by call origin pediatric emergency care.

August 3, 2016

Overdiagnosis and overtreatment as a quality problem: insights from healthcare improvement research.

May 9, 2018

The culture of a trauma team in relation to human factors.

September 27, 2006

Competencies for patient safety and quality improvement: a synthesis of recommendations in influential position papers.

April 6, 2016

A review of the evidence of harm from self-tests.

September 17, 2014

Electronic health record challenges, workarounds, and solutions observed in practices integrating behavioral health and primary care.

October 21, 2015

Do clinicians know which of their patients have central venous catheters?: A multicenter observational study.

November 5, 2014

Enhancing patient safety by integrating ethical dimensions to critical incident reporting systems.

April 28, 2021

Rapid response systems in the Netherlands.

March 9, 2011

Errors and omissions in anesthesia: a pilot study using a pilot's checklist.

July 13, 2005

Integrating quality and safety content into clinical teaching in the acute care setting.

June 13, 2007

Innovation and teamwork: introducing multidisciplinary team ward rounds.

April 26, 2006

Social aspects of clinical errors: a discussion paper.

March 25, 2009

Making patients safer: nurses' responses to patient safety alerts.

September 24, 2008

An appeal for evidence-based resident duty hours reform.

September 27, 2017

Efficiency and interpretability of text paging communication for medical inpatients: a mixed-methods analysis.

June 28, 2017

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

The Quality in Australian Health Care Study.

March 27, 2005

The trainee's voice: recognising the importance of preoperative briefings for surgical trainees.

May 7, 2014

Video review of simulated pediatric cardiac arrest to identify errors/latent safety threats: a mixed methods study.

September 6, 2023

Emergency medical services responders' perceptions of the effect of stress and anxiety on patient safety in the out-of-hospital emergency care of children: a qualitative study.

March 22, 2017

A national physician survey of diagnostic error in paediatrics.

October 26, 2016

The problem with 'My Five Moments for Hand Hygiene'.

August 25, 2021

The role of talking (and keeping silent) in physician coping with medical error: a qualitative study.

August 8, 2012

Harnessing implementation science to improve care quality and patient safety: a systematic review of targeted literature.

May 21, 2014

Inpatient suicide: preventing a common sentinel event.

March 25, 2009

Barriers and enablers to nurses' use of harm prevention strategies for older patients in hospital: a cross-sectional survey.

May 11, 2022

A qualitative exploration of the impact of a distressed family member on pediatric resuscitation teams.

October 7, 2020

Epidemiology of and risk factors for coronavirus infection in health care workers: a living rapid review.

May 27, 2020

Teaching a 'good' ward round.

April 22, 2015

Assessing the use of Google Translate for Spanish and Chinese translations of emergency department discharge instructions.

March 20, 2019

Status of the implementation of the World Health Organization multimodal hand hygiene strategy in United States of America health care facilities.

May 7, 2014

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

April 10, 2019

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

August 1, 2018

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

March 2, 2016

Benefits of reporting and analyzing nursing students' near-miss medication incidents.

March 9, 2022

Office surgery incidents: what seven years of Florida data show us.

March 26, 2008

Impact of critical event checklists on anaesthetist performance in simulated operating theatre emergencies.

July 31, 2019

Disclosure of patient safety incidents: a comprehensive review.

September 1, 2010

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

November 19, 2008

Strengthening leadership as a catalyst for enhanced patient safety culture: a repeated cross-sectional experimental study.

June 22, 2016

Optimizing the patient handoff between EMS and the emergency department.

September 17, 2014

Missing clinical information during primary care visits.

April 3, 2005

A multidisciplinary model for reviewing severe maternal morbidity cases and teaching residents patient safety principles.

April 17, 2019

Usability of a computerised drug monitoring programme to detect adverse drug events and non-compliance in outpatient ambulatory care.

March 27, 2013

Wisdom through adversity: learning and growing in the wake of an error.

February 27, 2013

Initiatives to identify and mitigate medication errors in England.

April 8, 2015

Positive deviance: a different approach to achieving patient safety.

August 20, 2014

Concerns regarding tablet splitting: a systematic review.

December 7, 2022

Reduction in hospital mortality over time in a hospital without a pediatric medical emergency team: limitations of before-and-after study designs.

May 11, 2011

Perception of patient safety culture in pediatric long-term care settings.

February 13, 2019

Identifying and reducing distractions and interruptions in a pharmacy department.

February 20, 2013

Impact of patient safety climate on infection prevention practices and healthcare worker and patient outcomes.

May 10, 2023

The reduction of race and gender bias in clinical treatment recommendations using clinician peer networks in an experimental setting.

December 15, 2021

Multifaceted intervention to improve patient safety incident reporting in intensive care units.

September 13, 2023

Impact of pharmacist-led multidisciplinary medication review on the safety and medication cost of the elderly people living in a nursing home: a before-after study.

February 12, 2020

Variation in safety culture dimensions within and between US and Swiss Hospital units: an exploratory study.

August 29, 2012

Responding to safe care: healthcare staff experiences caring for a child with intellectual disability in hospital. Implications for practice and training.

May 11, 2022

Which adverse events and which drugs are implicated in drug-related hospital admissions? A systematic review and meta-analysis.

March 22, 2023

Association of registered nurse and nursing support staffing with inpatient hospital mortality.

September 25, 2019

Financial incentives to reduce hospital-acquired infections under alternative payment arrangements.

March 28, 2018

Resident wellness in US ophthalmic graduate medical education: the resident perspective.

May 23, 2018

Applying thematic synthesis to interpretation and commentary in epidemiological studies: identifying what contributes to successful interventions to promote hand hygiene in patient care.

September 9, 2020

How does the environment influence consumers' perceptions of safety in acute mental health units? A qualitative study.

January 27, 2021

Nurses' influence on consumers' experience of safety in acute mental health units: a qualitative study.

December 16, 2020

A clinical case of electronic health record drug alert fatigue: consequences for patient outcome.

June 12, 2013

Analysis of reported suicide safety events among veterans who received treatment through Department of Veterans Affairs-contracted community care.

May 24, 2023

Receipt of antibiotics in hospitalized patients and risk for Clostridium difficile infection in subsequent patients who occupy the same bed.

October 19, 2016

Related Resources

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

Patient Safety Innovations

Journal Article

Study

The Stoplight Mobility Alert System for safety and prevention of falls in children with physical and cognitive impairments.

November 16, 2022

Human factors analysis of latent safety threats in a pediatric critical care unit.

May 18, 2022

March 16, 2022

Inequities in quality and safety outcomes for hospitalized children with intellectual disability.

March 16, 2022

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

February 16, 2022

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

January 20, 2021

Use of an audit with feedback implementation strategy to promote medication error reporting by nurses.

November 25, 2020

Associations between double-checking and medication administration errors: a direct observational study of paediatric inpatients.

August 26, 2020

WebM&M Cases

Life-Threatening Infant Overdose of Sodium Chloride

May 27, 2020

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

September 18, 2019

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

May 1, 2019

Exploring the human factors of prescribing errors in paediatric intensive care units.

March 27, 2019

The association of the nurse work environment and patient safety in pediatric acute care.

January 16, 2019

Identifying electronic health record usability and safety challenges in pediatric settings.

November 28, 2018

Nurses' response to parents' 'speaking-up' efforts to ensure their hospitalized child's safety: an attribution theory perspective.

August 30, 2017

Video analysis of factors associated with response time to physiologic monitor alarms in a children's hospital.

April 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

Sources and magnitude of error in preparing morphine infusions for nurse–patient controlled analgesia in a UK paediatric hospital.

November 30, 2016

Recognising and responding to 'cutting corners' when providing nursing care: a qualitative study.

October 12, 2016

Implementing a distraction-free practice with the Red Zone Medication Safety initiative.

June 8, 2016

The relationship between nursing experience and education and the occurrence of reported pediatric medication administration errors.

April 27, 2016

Does an insulin double-checking procedure improve patient safety?

April 20, 2016

Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit.

December 9, 2015

Hospital nurses' perceptions of human factors contributing to nursing errors.

June 10, 2015

Failures in communication through documents and documentation across the perioperative pathway.

May 20, 2015

The trigger tool as a method to measure harmful medication errors in children.

May 13, 2015

Implementation of standardized dosing units for I.V. medications.

January 21, 2015

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

August 27, 2014

See More About The Topic

Children's Hospitals

Nurses

Nurse Managers

Quality and Safety Professionals

Pediatrics

Paediatric nurses' understanding of the process and procedure of double-checking medications.

The Stoplight Mobility Alert System for safety and prevention of falls in children with physical and cognitive impairments.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Paediatric nurses' understanding of the process and procedure of double-checking medications.

The Stoplight Mobility Alert System for safety and prevention of falls in children with physical and cognitive impairments.

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