Role of registered nurses in error prevention, discovery and correction.

A. E. Rogers; G. E. Dean; W-T Hwang; L. D. Scott

Study

Role of registered nurses in error prevention, discovery and correction.

April 16, 2008

Rogers AE, Dean GE, Hwang W-T, et al. Qual Saf Health Care. 2008;17(2):117-21.

View more articles from the same authors.

Daily logbooks kept by critical care nurses revealed a wide variety of errors in intensive care unit patients, ranging from medication errors to procedural errors.

PubMed citation

Available at

Related Resources From the Same Author(s)

Effects of critical care nurses' work hours on vigilance and patients' safety.

January 25, 2006

The working hours of hospital staff nurses and patient safety.

January 9, 2005

Prevalence and nature of errors and near errors reported by hospital staff nurses.

March 6, 2005

Implementing a fatigue countermeasures program for nurses: a focus group analysis.

June 2, 2010

Developing and implementing new safe practices: voluntary adoption through statewide collaboratives.

August 16, 2006

Physician knowledge, attitudes, and behavior related to reporting adverse drug events.

March 27, 2005

Foundations for teaching surgeons to address the contributions of systems to operating room team conflict.

August 28, 2013

The natural history of recovery for the healthcare provider "second victim" after adverse patient events.

October 21, 2009

Burden of difficult encounters in primary care: data from the Minimizing Error, Maximizing Outcomes Study.

March 4, 2009

Patterns of communication breakdowns resulting in injury to surgical patients.

April 11, 2007

Use of a safety climate questionnaire in UK health care: factor structure, reliability and usability.

November 22, 2006

Agreement between patient-reported symptoms and their documentation in the medical record.

August 27, 2008

An evaluation of medication errors—the pediatric surgical service experience.

March 5, 2008

Cognitive engineering to improve patient safety and outcomes in cardiothoracic surgery

December 4, 2019

A preliminary taxonomy of medical errors in family practice.

March 6, 2005

Parent–provider miscommunications in hospitalized children.

August 23, 2017

Parent-reported errors and adverse events in hospitalized children.

March 16, 2016

Learning from malpractice claims about negligent, adverse events in primary care in the United States.

March 6, 2005

Characteristics of medical liability claims against dermatologists from 1991 through 2015.

December 20, 2017

Patient characteristics and the occurrence of never events.

February 24, 2010

Violations of behavioral practices revealed in closed claims reviews.

October 29, 2008

Communication and shared understanding between parents and resident-physicians at night.

July 13, 2016

The burden of opioid-related adverse drug events on hospitalized previously opioid-free surgical patients.

March 10, 2021

From box ticking to the black box: the evolution of operating room safety.

September 4, 2019

Effect of emergency medicine pharmacists on medication-error reporting in an emergency department.

November 17, 2010

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

June 18, 2014

Electronic medication reconciliation and medication errors.

September 2, 2015

Identification of in-hospital complications from claims data. Is it valid?

March 6, 2005

The effects of work-hour limitations on resident well-being, patient care, and education in an internal medicine residency program.

January 4, 2006

ICU attending handoff practices: results from a national survey of academic intensivists.

December 9, 2015

Establishing a simulation center for surgical skills: what to do and how to do it.

September 12, 2007

Patient safety attitudes of paediatric trainee physicians.

January 6, 2010

Provider risk factors for medication administration error alerts: analyses of a large-scale closed-loop medication administration system using RFID and barcode.

October 5, 2016

Standardization of compounded oral liquids for pediatric patients in Michigan.

August 31, 2016

The Second Victim Experience and Support Tool: validation of an organizational resource for assessing second victim effects and the quality of support resources.

October 22, 2014

Analysing potential harm in Australian general practice: an incident-monitoring study.

March 27, 2005

Incident and long-term opioid therapy among patients with psychiatric conditions and medications: a national study of commercial health care claims.

January 25, 2017

Medication histories in critically ill patients completed by pharmacy personnel.

August 7, 2019

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

June 8, 2016

Standardization as a mechanism to improve safety in health care.

March 6, 2005

Countering cognitive biases in minimising low value care.

June 7, 2017

The health care cost of drug-related morbidity and mortality in nursing facilities.

March 6, 2005

The American College of Surgeons' closed claims study: new insights for improving care.

April 11, 2007

Computerised physician order entry-related medication errors: analysis of reported errors and vulnerability testing of current systems.

January 28, 2015

Semi-supervised classification of patient safety event reports.

June 6, 2012

Improving reporting of outpatient pediatric medical errors.

January 30, 2005

Minimizing errors of omission: Behavioural rEenforcement of Heparin to Avert Venous Emboli: The BEHAVE Study.

March 8, 2006

Impact of medical education on patient safety: finding the signal through the noise.

February 8, 2023

A systems approach to patient-centered care.

January 3, 2007

Communication failures in the operating room: an observational classification of recurrent types and effects.

March 6, 2005

The costs of adverse drug events in hospitalized patients.

March 27, 2005

Trends in healthcare incident reporting and relationship to safety and quality data in acute hospitals: results from the National Reporting and Learning System.

February 25, 2009

Impact of nursing on hospital patient mortality: a focused review and related policy implications.

February 22, 2006

Joy in medical practice: clinician satisfaction in the Healthy Work Place trial.

November 1, 2017

Variation in caregiver perceptions of teamwork climate in labor and delivery units.

July 5, 2006

Administrative issues to ensure safe anesthesia care in the office-based setting.

October 30, 2013

Potential role of pharmacogenomics in reducing adverse drug reactions: a systematic review.

August 31, 2005

Reducing falls and fall-related injuries in mental health: a 1-year multihospital falls collaborative.

November 13, 2013

Preventable errors in organ transplantation: an emerging patient safety issue?

July 11, 2012

Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project.

March 27, 2005

December 2, 2015

Working conditions in primary care: physician reactions and care quality.

July 22, 2009

The business case for patient safety.

February 14, 2007

Methodology and bias in assessing compliance with a surgical safety checklist.

February 13, 2013

Lost in translation? Addressing barriers in the application of industrial process improvement methodologies to health care.

October 29, 2014

What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes.

May 5, 2010

Global oximetry: an international anaesthesia quality improvement project.

October 21, 2009

The effects of safety checklists in medicine: a systematic review.

December 4, 2013

Motivational influences on anaesthetists' use of practice guidelines.

May 13, 2009

Testing process errors and their harms and consequences reported from family medicine practices: a study of the American Academy of Family Physicians National Research Network.

June 11, 2008

Effect of computerized physician order entry and a team intervention on prevention of serious medication errors.

March 27, 2005

Clinical and safety impact of an inpatient pharmacist-directed anticoagulation service.

August 24, 2011

Checking anaesthetic equipment 2012: Association of Anaesthetists of Great Britain and Ireland.

May 23, 2012

Use of paediatric early warning systems in Great Britain: has there been a change of practice in the last 7 years?

February 26, 2014

Teamwork behaviours and errors during neonatal resuscitation.

March 24, 2010

Mitigation of patient harm from testing errors in family medicine offices: a report from the American Academy of Family Physicians National Research Network.

June 11, 2008

When clinicians drop out and start over after adverse events.

March 14, 2018

Rapid response systems: from implementation to evidence base.

November 3, 2010

Creating a web-based incident analysis and communication system.

November 2, 2011

Incidence of adverse drug events and potential adverse drug events: implications for prevention.

March 27, 2005

Educational quality improvement report: outcomes from a revised morbidity and mortality format that emphasised patient safety.

December 19, 2007

Developing critical thinking skills for delivering optimal care

July 28, 2021

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

April 12, 2017

Significant and sustained reduction in chemotherapy errors through improvement science.

April 5, 2017

Doctors debate safety of their white coats.

December 2, 2015

Reducing the disruptive effects of interruption: a cognitive framework for analysing the costs and benefits of intervention strategies.

September 2, 2009

Adverse drug event detection in pediatric oncology and hematology patients: using medication triggers to identify patient harm in a specialized pediatric patient population.

May 14, 2014

Relationship between patient safety climate and standard precaution adherence: a systematic review of the literature.

November 25, 2015

Incidence of speech recognition errors in the emergency department.

September 14, 2016

Developing a standard handoff process for operating room–to-ICU transitions: multidisciplinary clinician perspectives from the Handoffs and Transitions in Critical Care (HATRICC) study.

August 1, 2018

Effects of shift length on quality of patient care and health provider outcomes: systematic review.

June 10, 2009

Quantitative analysis of the content of EMS handoff of critically ill and injured patients to the emergency department.

August 10, 2016

Rapid response teams seen through the eyes of the nurse.

August 4, 2010

COVID-19 pandemic and the tension between the need to act and the need to know.

October 14, 2020

Errors in clinical reasoning: causes and remedial strategies.

June 24, 2009

Hospital patient safety grades may misrepresent hospital performance.

February 12, 2014

Hospital nurses' work environment characteristics and patient safety outcomes: a literature review.

October 12, 2016

Care at the point of impact: insights into the second-victim experience.

May 18, 2016

Do faculty and resident physicians discuss their medical errors?

October 15, 2008

Inadvertent administration of magnesium sulfate through the epidural catheter: report and analysis of a drug error.

January 18, 2006

Related Resources

In-situ simulations to detect patient safety threats during in-hospital cardiac arrest.

September 13, 2023

A multi-facetted patient safety resource--a qualitative interview study on hospital managers' perception of the nurse-led Rapid Response Team.

August 23, 2023

What US hospitals are doing to prevent common device-associated infections during the coronavirus disease 2019 (COVID-19) pandemic: results from a national survey in the United States.

June 21, 2023

Patient Safety Innovations

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

May 31, 2023

Using a learning system approach to improve safety for prone-position ventilation patients.

April 26, 2023

Association between language use and ICU transfer and serious adverse events in hospitalized pediatric patients who experience rapid response activation.

August 17, 2022

Longitudinal evaluation of a pediatric rapid response system with realist evaluation framework.

April 27, 2022

Increased mortality and costs associated with adverse events in intensive care unit patients.

April 6, 2022

Frequency of diagnostic errors in the neonatal intensive care unit: a retrospective cohort study.

March 23, 2022

Supervision, interprofessional collaboration, and patient safety in intensive care units during the COVID-19 pandemic.

November 10, 2021

Critical care nurses’ physical and mental health, worksite wellness support, and medical errors.

July 14, 2021

WebM&M Cases

An Inadvertent Bolus of Norepinephrine.

May 26, 2021

Impact of alarm fatigue on the work of nurses in an intensive care environment--a systematic review.

February 3, 2021

The effect of blue-enriched lighting on medical error rate in a university hospital ICU.

January 27, 2021

Lessons learned from medical malpractice claims involving critical care nurses.

August 5, 2020

Is my patient ready for a safe transfer to a lower-intensity care setting? Nursing complexity as an independent predictor of adverse events risk after ICU discharge.

April 8, 2020

Untangling infusion confusion: a comparative evaluation of interventions in a simulated intensive care setting.

September 18, 2019

What's in a name? Provider perception of injured John Doe patients.

April 3, 2019

Implementing strategies to identify and mitigate adverse safety events: a case study with unplanned extubations.

February 27, 2019

The correlation between neonatal intensive care unit safety culture and quality of care.

February 6, 2019

Evaluation of a measurement system to assess ICU team performance.

January 23, 2019

WebM&M Cases

One Bronchoscopy, Two Errors

January 1, 2019

Association of nurse workload with missed nursing care in the neonatal intensive care unit.

November 21, 2018

Effects of a multimodal program including simulation on job strain among nurses working in intensive care units: a randomized clinical trial.

November 7, 2018

Patient outcomes after the introduction of statewide ICU nurse staffing regulations.

September 26, 2018

Human Factors and Technology in the ICU.

July 11, 2018

Missed nursing care in pediatrics.

July 12, 2017

Nursing interruptions in a trauma intensive care unit: a prospective observational study.

May 3, 2017

Data-driven implementation of alarm reduction interventions in a cardiovascular surgical ICU.

February 8, 2017

Implementation of the safety huddle.

February 8, 2017

See More About The Topic

Intensive Care Units

Nurses

Nurse Managers

Quality and Safety Professionals

Critical Care

Role of registered nurses in error prevention, discovery and correction.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Role of registered nurses in error prevention, discovery and correction.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

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