Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint Commission International accreditation and in the post-accreditation era.

Hua-Fen Wang; Jing-Fen Jin; Xiu-Qin Feng; Xin Huang; Ling-Ling Zhu; Xiao-Ying Zhao; Quan Zhou

Study

Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint Commission International accreditation and in the post-accreditation era.

April 22, 2015

Wang H-F, Jin J-F, Feng X-Q, et al. Ther Clin Risk Manag. 2015;11:393-406.

View more articles from the same authors.

A hospital in the People's Republic of China was able to achieve a significant reduction in medication administration errors through a multidisciplinary quality improvement effort. The initiative included organizational measures, information technology interventions, quality improvement tools, and process optimization.

PubMed citation

Available at

Free full text

Related Resources From the Same Author(s)

Near miss research in the healthcare system: a scoping review.

May 25, 2022

Adverse event and error of unexpected life-threatening events within 24h of emergency department admission.

January 25, 2017

Recommendations of individualized medical treatment and common adverse events management for lung cancer patients during the outbreak of COVID-19 epidemic.

May 13, 2020

Comparing the outcomes of reporting and trigger tool methods to capture adverse events in the emergency department.

February 27, 2019

Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019.

April 15, 2020

Hospital financial condition and the quality of patient care.

November 5, 2008

Investigating the mediating effect of patient self-efficacy on the relationship between patient safety engagement and patient safety in healthcare professionals.

March 22, 2023

System approach to prevent common bile duct injury and enhance performance of laparoscopic cholecystectomy.

July 11, 2007

Use of the Beers criteria to predict adverse drug reactions among first-visit elderly outpatients.

June 15, 2005

The impacts of using community health volunteers to coach medication safety behaviors among rural elders with chronic illnesses.

May 22, 2013

Identifying and reconciling patients' allergy information within the electronic health record.

July 6, 2022

Psychological impact and coping strategies of frontline medical staff in Hunan between January and March 2020 during the outbreak of Coronavirus Disease 2019 (COVID‑19) in Hubei, China.

April 8, 2020

Using automated methods to detect safety problems with health information technology: a scoping review.

February 8, 2023

More than algorithms: an analysis of safety events involving ML-enabled medical devices reported to the FDA.

May 3, 2023

An evaluation of the effects of human factors and ergonomics on health care and patient safety practices: a systematic review.

July 22, 2015

Evaluation and accurate diagnoses of pediatric diseases using artificial intelligence.

February 27, 2019

Toward safer health care: a review strategy of FDA medical device adverse event database to identify and categorize health information technology related events.

November 28, 2018

The psychological experiences of nurses after inpatient suicide: a meta-synthesis of qualitative research studies.

June 23, 2021

Leveraging patient safety research: efforts made fifteen years since To Err Is Human.

September 11, 2019

Quality and Safety Considerations in Intensity Modulated Radiation Therapy: An ASTRO Safety White Paper Update.

May 17, 2023

A qualitative analysis of the impact of electronic health records (EHR) on healthcare quality and safety: clinicians' lived experiences.

March 30, 2022

The Emergency Medical Services Safety Attitudes Questionnaire.

February 24, 2010

A systematic review of interventions used to enhance implementation of and compliance with the World Health Organization surgical safety checklist in adult surgery.

October 6, 2021

Outcome differences between surgeons performing first and subsequent coronary artery bypass grafting procedures in a day: a retrospective comparative cohort study.

June 29, 2022

Development and validation of a deep learning model for detection of allergic reactions using safety event reports across hospitals.

December 9, 2020

Effectiveness of N95 respirators versus surgical masks against influenza: a systematic review and meta-analysis.

April 29, 2020

Professional commitment, patient safety, and patient-perceived care quality.

September 23, 2009

Health care-associated infections among critically ill children in the US, 2013-2018.

October 28, 2020

Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit patients.

November 12, 2014

Optimizing measurement of misdiagnosis-related harms using symptom-disease pair analysis of diagnostic error (SPADE): comparison groups to maximize SPADE validity.

May 3, 2023

Patient safety culture in nursing: a dimensional concept analysis.

July 30, 2008

Long-term sustainability and adaptation of I-PASS handovers.

September 13, 2023

Variation in emergency medical services workplace safety culture.

November 10, 2010

Allergy safety events in healthcare: development and application of a classification schema based on retrospective review.

June 15, 2022

Error and cognitive bias in diagnostic radiology.

April 13, 2022

Emergent CSCW systems: the resolution and bandwidth of workplaces.

August 2, 2006

Multi-level strategies to achieve resilience for an organisation operating at capacity: a case study at a trauma centre.

May 30, 2007

Using electronic health records to identify adverse drug events in ambulatory care: a systematic review.

March 13, 2019

Optimizing transitions of care to reduce rehospitalizations.

July 2, 2014

Does the patient's payer matter in hospital patient safety?: a study of urban hospitals.

January 31, 2007

How dangerous is a day in hospital?: A model of adverse events and length of stay for medical inpatients.

October 12, 2011

A systematic review of the literature on multidisciplinary rounds to design information technology.

March 15, 2006

Errors of medical interpretation and their potential clinical consequences: a comparison of professional versus ad hoc versus no interpreters.

April 25, 2012

Serious misdiagnosis-related harms in malpractice claims: the "Big Three": vascular events, infections, and cancers.

July 17, 2019

Rate of diagnostic errors and serious misdiagnosis-related harms for major vascular events, infections, and cancers: toward a national incidence estimate using the “Big Three”.

June 3, 2020

The safety and acceptability of using telehealth for follow-up of patients following cancer surgery: a systematic review.

March 29, 2023

What influences sustainment and nonsustainment of facilitation activities in implementation? Analysis of organizational factors in hospitals implementing TeamSTEPPS.

June 5, 2019

Burden of serious harms from diagnostic error in the USA.

July 28, 2023

Association of adverse events in opioid addiction treatment with quality measure for continuity of pharmacotherapy.

February 16, 2022

Barriers to nurses' reporting of medication administration errors in Taiwan.

January 10, 2007

Incidence and outcomes of non-ventilator-associated hospital-acquired pneumonia in 284 US hospitals using electronic surveillance criteria.

June 7, 2023

Safety culture and mortality after acute myocardial infarction: a study of Medicare beneficiaries at 171 hospitals.

October 25, 2017

Medical errors in US pediatric inpatients with chronic conditions.

September 26, 2012

Adverse event rates as measures of hospital performance.

September 21, 2011

Missed acute myocardial infarction in the emergency department-standardizing measurement of misdiagnosis-related harms using the SPADE method.

August 19, 2020

The impact of resident duty hour reform on hospital readmission rates among Medicare beneficiaries.

April 27, 2011

Engineering a foundation for partnership to improve medication safety during care transitions.

February 6, 2019

Incidence of speech recognition errors in the emergency department.

September 14, 2016

Teaching hospital financial status and patient outcomes following ACGME duty hour reform.

September 26, 2012

Just what the doctor ordered. Review of the evidence of the impact of computerized physician order entry system on medication errors.

July 11, 2007

How common are cognitive errors in cases presented at emergency medicine resident morbidity and mortality conferences?

July 25, 2018

The impact of declining clinical autopsy: need for revised healthcare policy.

February 4, 2009

The effect of evidence in crisis learning: based on a perspective integration framework.

October 25, 2023

Clinical characteristics and short-term outcomes of acute kidney injury missed diagnosis in older patients with severe COVID-19 in intensive care unit.

May 19, 2021

Effect of patient safety education interventions on patient safety culture of health care professionals: systematic review and meta-analysis.

March 29, 2023

Using the patient safety indicators to detect potential safety events among US veterans with psychotic disorders: clinical and research implications.

August 1, 2012

Investigating the long-term consequences of adverse medical events among older adults.

June 11, 2014

An innovative application of Bayesian disease mapping methods to patient safety research: a Canadian adverse medical event study.

March 15, 2006

Associations of physician burnout with career engagement and quality of patient care: systematic review and meta-analysis.

September 28, 2022

Relationship between nurse burnout, patient and organizational outcomes: systematic review.

August 18, 2021

Teaching hospital five-year mortality trends in the wake of duty hour reforms.

August 7, 2013

Electronic prescribing in an ambulatory care setting: a cluster randomized trial.

April 20, 2011

Effects of racial bias in pulse oximetry on children and how to address algorithmic bias in clinical medicine.

April 5, 2023

Preventing delayed and missed care by applying artificial intelligence to trigger radiology imaging follow-up.

March 30, 2022

Natural language processing and its implications for the future of medication safety: a narrative review of recent advances and challenges.

September 5, 2018

Effect of electronic health records in ambulatory care: retrospective, serial, cross sectional study.

April 15, 2005

July 5, 2023

Supplemental nurse staffing in hospitals and quality of care.

August 29, 2007

Centers for Medicare and Medicaid Services hospital-acquired conditions policy for central line–associated bloodstream infection (CLABSI) and catheter-associated urinary tract infection (CAUTI) shows minimal impact on hospital reimbursement.

July 18, 2018

Managing competing demands through task-switching and multitasking: a multi-setting observational study of 200 clinicians over 1000 hours.

February 26, 2014

Combined SNA and LDA methods to understand adverse medical events

October 9, 2019

Fighting against COVID-19: innovative strategies for clinical pharmacists.

May 6, 2020

Prevalence and predictors of adverse events in older surgical patients: impact of the present on admission indicator.

July 14, 2010

Nursing home safety: does financial performance matter?

May 18, 2011

A comparison of the effects of different typographical methods on the recognizability of printed drug names.

August 6, 2014

Predictors of medication errors among elderly hospital patients.

March 19, 2008

Emotional exhaustion among US health care workers before and during the COVID-19 pandemic, 2019-2021.

October 5, 2022

Working with influenza-like illness: presenteeism among US health care personnel during the 2014–2015 influenza season.

November 22, 2017

Board quality scorecards: measuring improvement.

August 10, 2011

Impact of commercial computerized provider order entry (CPOE) and clinical decision support systems (CDSSs) on medication errors, length of stay, and mortality in intensive care units: a systematic review and meta-analysis.

April 26, 2017

Do drug interaction alerts between a chemotherapy order-entry system and an electronic medical record affect clinician behavior?

July 17, 2013

Association of inpatient hospital experience with patient safety indicators: a cross-sectional, Canadian study.

September 21, 2016

Family-centered rounds on pediatric wards: a PRIS network survey of US and Canadian hospitalists.

July 14, 2010

Engineering care transitions: clinician perceptions of barriers to safe medication management during transitions of patient care.

May 19, 2021

What whiteboards in a trauma center operating suite can teach us about emergency department communication.

May 30, 2007

Creating a culture of safety by using checklists.

March 13, 2013

Exploring mediating effects between nursing leadership and patient safety from a person-centred perspective: a literature review.

September 8, 2021

Failure to utilize functions of an electronic prescribing system and the subsequent generation of 'technically preventable' computerized alerts.

July 25, 2012

Mitigating imperfect data validity in administrative data PSIs: a method for estimating true adverse event rates.

March 3, 2021

Association between Leapfrog safe practices score and hospital mortality in major surgery.

November 30, 2011

Related Resources

Patient Safety Innovations

Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans

May 31, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Patient Safety Innovations

The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis

March 15, 2023

Untenable expectations: nurses' work in the context of medication administration, error, and the organization.

February 1, 2023

Toward the translation of systems thinking methods in patient safety practice: assessing the validity of Net-HARMS and AcciMap.

February 1, 2023

A failure in the medication delivery system-how disclosure and systems investigation improve patient safety.

January 11, 2023

Negative emotions experienced by healthcare staff following medication administration errors: a descriptive study using text-mining and content analysis of incident data.

December 21, 2022

Administering High-Strength Insulin from a Pen Device in Hospital.

September 14, 2022

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

August 24, 2022

Effect of a pharmacy-based centralized intravenous admixture service on the prevalence of medication errors: a before-and-after study.

August 10, 2022

Observational evidence of the prevalence and association of polypharmacy and drug administration errors in hospitalized adult patients.

May 18, 2022

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

March 30, 2022

Start the year off right by addressing these top 10 medication safety concerns from 2021.

February 9, 2022

Artificial intelligence for identifying the prevention of medication incidents causing serious or moderate harm: an analysis using incident reporters' views.

November 24, 2021

Impact of smart pump-electronic health record interoperability on patient safety and finances at a community hospital

August 25, 2021

Barcode medication administration technology use in hospital practice: a mixed-methods observational study of policy deviations.

August 4, 2021

Root cause analysis of adverse events involving opioid overdoses in the Veterans Health Administration.

June 23, 2021

Estimating the economic cost of nurse sensitive adverse events amongst patients in medical and surgical settings.

June 16, 2021

Patient Safety Innovations

Project BOOST Increases Patient Understanding of Treatment and Follow-up Care

May 26, 2021

Effect of barcode technology on medication preparation safety: a quasi-experimental study.

April 14, 2021

Hospital medication errors: a cross sectional study.

December 23, 2020

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

August 26, 2020

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

The application of strong matrix management and PDCA cycle in the management of severe COVID-19 patients.

May 20, 2020

Psychological impact and coping strategies of frontline medical staff in Hunan between January and March 2020 during the outbreak of Coronavirus Disease 2019 (COVID‑19) in Hubei, China.

April 8, 2020

Duration of second victim symptoms in the aftermath of a patient safety incident and association with the level of patient harm: a cross-sectional study in the Netherlands.

July 31, 2019

Magnitude and modifiers of the weekend effect in hospital admissions: a systematic review and meta-analysis.

June 26, 2019

Understanding the healthcare workplace learning culture through safety and dignity narratives: a UK qualitative study of multiple stakeholders' perspectives.

June 12, 2019

Evaluating the implementation and impact of a pharmacy technician-supported medicines administration service designed to reduce omitted doses in hospitals: a qualitative study.

June 12, 2019

See More About The Topic

Hospitals

Health Care Executives and Administrators

Nursing

Administration Errors

Epidemiology of Errors and Adverse Events

Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint Commission International accreditation and in the post-accreditation era.

Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans

The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis

Project BOOST Increases Patient Understanding of Treatment and Follow-up Care

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint Commission International accreditation and in the post-accreditation era.

Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans

The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis

Project BOOST Increases Patient Understanding of Treatment and Follow-up Care

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