Thematic analysis of nurses' experiences with The Joint Commission's medication management titration standards. | PSNet

Provide Feedback |

Submit a Case

Register

Study

Thematic analysis of nurses' experiences with The Joint Commission's medication management titration standards.

September 15, 2021

Davidson JE, Chechel L, Chavez J, et al. Am J Crit Care. 2021;30(5):375-384.

View more articles from the same authors.

Nurses play a critical role in ensuring patient safety. Following the Joint Commission’s revised standards for titration of continuous intravenous medications, 730 nurses were surveyed about their experiences. Based on 159 comments, two overarching themes were identified: harms (e.g., erosion of workplace wellness, moral dilemma, patient safety) and professionalism (e.g., autonomy, nurse proficiency).

PubMed citation

Related news article

Related Resources From the Same Author(s)

Survey of nurses' experiences applying The Joint Commission's medication management titration standards.

November 3, 2021

Lessons learned from medical malpractice claims involving critical care nurses.

August 5, 2020

Nursing turbulence in critical care: relationships with nursing workload and patient safety.

May 27, 2020

Is electronic health record safety a paradox?

February 23, 2022

Interprofessional team collaboration and work environment health in 68 US intensive care units.

November 30, 2022

Improving communication and response to clinical deterioration to increase patient safety in the intensive care unit.

October 19, 2022

Society for Maternal-Fetal Medicine Special Statement: cognitive bias and medical error in obstetrics-challenges and opportunities.

August 10, 2022

Modifications to medical emergency team activation criteria and implications for patient safety: a point prevalence study.

March 24, 2021

Standardized assessment of medication reconciliation in post-acute care.

April 27, 2022

Society for Maternal-Fetal Medicine Special Statement: telemedicine in obstetrics-quality and safety considerations.

February 1, 2023

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

July 14, 2021

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

March 3, 2021

Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism in preventing infection caused by accompanying caregivers during COVID-19-experience of a city medical center in Taiwan.

January 27, 2021

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

August 24, 2022

Healthcare-related infections within nursing homes (NHS): a qualitative study of care practices based on a systemic approach.

June 8, 2022

Improving patient safety in intensive care units in Michigan.

June 25, 2008

Long-term care nurses' experiences with patient safety incident management: a qualitative study.

August 4, 2021

A systematic review of nursing practice workarounds.

October 19, 2022

Gender biases and diagnostic delay in inflammatory bowel disease: multicenter observational study.

February 15, 2023

Examining the effect of quality improvement initiatives on decreasing racial disparities in maternal morbidity.

May 4, 2022

Registered nurses' and medical doctors' experiences of patient safety in health information exchange during interorganizational care transitions: a qualitative review.

November 10, 2021

The patients' perspective: hematological cancer patients' experiences of adverse events as part of care.

August 18, 2021

Nurses' perceptions and demands regarding COVID-19 care delivery in critical care units and hospital emergency services.

December 2, 2020

Development of a modified early warning score using the electronic medical record.

August 31, 2011

Communication on safe caregiving between community nurse case managers and family caregivers.

April 7, 2021

Pharmacist-led program to improve transitions from acute care to skilled nursing facility care.

July 8, 2020

Cognitive bias impact on management of postoperative complications, medical error, and standard of care.

November 4, 2020

Quantifying nursing workflow in medication administration.

January 9, 2008

Validation of the second victim experience and support tool-revised in the neonatal intensive care unit.

January 12, 2022

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

May 18, 2022

Interprofessional/interdisciplinary teamwork during the early COVID-19 pandemic: experience from a children's hospital within an academic health center.

August 12, 2020

A description of medical malpractice claims involving advanced practice providers.

July 15, 2020

Influencing a culture of quality and safety through huddles.

November 9, 2022

Am I safe here? Improving patients' perceptions of safety in hospitals.

January 25, 2006

How to scale up quality and safety program with the home care accreditation.

April 13, 2022

Prescribers' perspectives on including reason for use information on prescriptions and medication labels: a qualitative thematic analysis.

March 10, 2021

Communication regarding adverse neonatal birth events: experiences of parents and clinicians.

December 1, 2021

The evidence base for US Joint Commission hospital accreditation standards: cross sectional study.

July 13, 2022

Does responsibility affect the public's valuation of health care interventions? A relative valuation approach to health care safety.

July 1, 2012

Associations between healthcare environment design and adverse events in intensive care unit.

May 26, 2021

Medical-surgical nurse leaders' experiences with safety culture: an inductive qualitative descriptive study.

November 9, 2022

Evaluating incident learning systems and safety culture in two radiation oncology departments.

February 16, 2022

Nurses' experiences of organizational learning.

August 19, 2020

Using morbidity and mortality conferences to drive quality improvement and reduce errors.

May 17, 2023

Design and implementation of an analgesia, sedation, and paralysis order set to enhance compliance of pro re nata medication orders with Joint Commission medication management standards in a pediatric ICU.

December 9, 2020

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

May 19, 2021

Role of the regulator in enabling a just culture: a qualitative study in mental health and hospital care.

August 10, 2022

Quality and Safety.

July 29, 2015

What can we learn from in-depth analysis of human errors resulting in diagnostic errors in the emergency department: an analysis of serious adverse event reports.

May 18, 2022

Safety implications of remote assessments for suspected COVID-19: qualitative study in UK primary care.

March 23, 2022

Patient harm and institutional avoidability of out-of-hours discharge from intensive care: an analysis using mixed methods.

March 23, 2022

Nurses' perceptions of simulation-based interprofessional training program for rapid response and code blue events.

September 21, 2011

The Canadian interprofessional patient safety competencies: their role in health-care professionals' education.

March 7, 2012

Quality standards for safe medication in nursing homes: development through a multistep approach including a Delphi consensus study.

October 27, 2021

Drug-drug interactions and prescription appropriateness at hospital discharge: experience with COVID-19 patients.

April 21, 2021

Strategies to prevent missed nursing care: an international qualitative study based upon a positive deviance approach.

May 12, 2021

Health IT and Clinical Decision Support Systems.

November 12, 2014

Long-term effects of teamwork training on communication and teamwork climate in ambulatory reproductive health care.

October 28, 2020

Advanced medication reconciliation: a systematic review of the impact on medication errors and adverse drug events associated with transitions of care.

June 16, 2021

Patient safety in home care: a multicenter cross-sectional study about medication errors and medication management of nurses.

May 18, 2022

Influence of a general practice pharmacist on medication management for patients at risk of medicine-related harm: a qualitative evaluation.

July 20, 2022

Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive task analysis.

March 10, 2021

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

October 12, 2022

Experiences and perspectives of transgender youths in accessing health care: a systematic review.

August 4, 2021

Understanding the peer, manager, and system influence on patient safety.

February 10, 2021

Leveraging a safety event management system to improve organizational learning and safety culture.

March 30, 2022

The effects of three consecutive 12-hour shifts on cognition, sleepiness, and domains of nursing performance in day and night shift nurses: a quasi-experimental study.

October 20, 2021

Nurse well-being: a concept analysis.

August 17, 2022

Problems in care and avoidability of death after discharge from intensive care: a multi-centre retrospective case record review study.

February 10, 2021

Human Factors and Technology in the ICU.

July 11, 2018

Expanding frontiers of risk management: care safety in nursing home during COVID-19 pandemic.

September 30, 2020

Second victim experiences of nurses in obstetrics and gynaecology: a Second Victim Experience and Support Tool Survey

December 23, 2020

A systematic review on pediatric medication errors by parents or caregivers at home.

August 11, 2021

Accuracy of practitioner estimates of probability of diagnosis before and after testing.

May 5, 2021

An observational study of postoperative handoff standardization failures.

June 23, 2021

A standardized formulary to reduce pediatric medication dosing errors: a mixed methods study.

October 6, 2021

Standardization of compounded oral liquids for pediatric patients in Michigan.

August 31, 2016

Shame and guilt in EMS: a qualitative analysis of culture and attitudes in prehospital emergency care.

July 13, 2022

Reducing failure to rescue rates in a paediatric in-patient setting: a 9-year quality improvement study.

November 24, 2021

Impact of COVID-19 on inpatient clinical emergencies: a single-center experience.

June 9, 2021

Post-operative mortality, missed care and nurse staffing in nine countries: a cross-sectional study.

September 13, 2017

Standardization of pediatric noncardiac operating room to intensive care unit handoffs improves communication and patient care.

October 5, 2022

Just Culture, Medication Error Prevention, and Second Victim Support: a Better Prescription for Preparing Nursing Students for Practices.

June 2, 2021

Intersystem medical error discovery: a document analysis of ethical guidelines.

January 12, 2022

A comprehensive departmental care review model: requirements, structure, and flow.

June 30, 2021

Surgeon burnout, impact on patient safety and professionalism: a systematic review and meta-analysis.

March 16, 2022

"Some version, most of the time": the surgical safety checklist, patient safety, and the everyday experience of practice variation.

January 19, 2022

Oncologic errors in diagnostic radiology: a 10-year analysis based on medical malpractice claims.

November 10, 2021

Intravenous medication safety and smart infusion systems: lessons learned and future opportunities.

October 19, 2005

Outcomes and patient safety in overlapping vs. nonoverlapping total joint arthroplasty: a systematic review and meta-analysis.

January 19, 2022

Clinical data sharing improves quality measurement and patient safety.

March 24, 2021

Nursing interventions to reduce medication errors in paediatrics and neonates: systematic review and meta-analysis.

December 8, 2021

Mitigating the July effect.

July 7, 2021

Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review and meta-analysis.

September 14, 2022

Systemic safety inequities for people with learning disabilities: a qualitative integrative analysis of the experiences of English health and social care for people with learning disabilities, their families and carers.

March 2, 2022

Harnessing the power of medical malpractice data to improve patient care.

January 8, 2020

Common general surgical never events: analysis of NHS England never event data.

April 7, 2021

Clinical and financial implications of second-opinion surgical pathology review.

April 7, 2021

Measurement and monitoring patient safety in prehospital care: a systematic review.

February 24, 2021

The critical role of health information technology in the safe integration of behavioral health and primary care to improve patient care.

November 10, 2021

View More

Related Resources

Perspective

Artificial Intelligence and Patient Safety: Promise and Challenges

March 27, 2024

Interview

In Conversation with...Patrick Tighe about Artificial Intelligence

March 27, 2024

Patient Safety Innovations

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

May 31, 2023

Critical care clinicians' experiences of patient safety during the COVID-19 pandemic.

November 30, 2022

Journal Article

Commentary

Critical care resource nurse team: a patient safety and quality outcomes model.

November 16, 2022

Improving communication and response to clinical deterioration to increase patient safety in the intensive care unit.

October 19, 2022

Intravenous smart pumps at the point of care: a descriptive, observational study.

October 12, 2022

Exploring care left undone in pediatric nursing.

September 28, 2022

'Doing the best we can': Registered nurses' experiences and perceptions of patient safety in intensive care during COVID-19.

September 7, 2022

Missed nursing care in the critical care unit, before and during the COVID-19 pandemic: a comparative cross-sectional study.

June 22, 2022

Communication patterns during routine patient care in a pediatric intensive care unit: the behavioral impact of in situ simulation.

May 11, 2022

We are not there yet: a qualitative system probing study of a hospital rapid response system.

April 20, 2022

Periodic resuscitation cart checks and nurse situational awareness: an observational study.

March 30, 2022

Use of pediatric injectable medicines guidelines and associated medication administration errors: a human reliability analysis.

February 23, 2022

Survey of nurses' experiences applying The Joint Commission's medication management titration standards.

November 3, 2021

Exploring the factors that promote or diminish a psychologically safe environment: a qualitative interview study with critical care staff.

September 22, 2021

Psychological safety in intensive care unit rounding teams.

July 21, 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

The mindful path to nursing accuracy: a quasi-experimental study on minimizing medication administration errors.

May 19, 2021

Understanding the peer, manager, and system influence on patient safety.

February 10, 2021

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

February 3, 2021

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

January 20, 2021

Design and implementation of an analgesia, sedation, and paralysis order set to enhance compliance of pro re nata medication orders with Joint Commission medication management standards in a pediatric ICU.

December 9, 2020

Lessons learned from medical malpractice claims involving critical care nurses.

August 5, 2020

WebM&M Cases

Incomplete Orders for Hypertonic Saline to Treat Hyponatremia

January 29, 2020

Association between mobile telephone interruptions and medication administration errors in a pediatric intensive care unit.

January 15, 2020

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

September 18, 2019

Evaluating a handheld decision support device in pediatric intensive care settings.

July 17, 2019

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

February 27, 2019

View More

See More About The Topic

Health Care Executives and Administrators

Quality and Safety Professionals

Critical Care Nursing

To sign up for updates or to access your subscriber preferences, please enter your email address below.

5600 Fishers Lane
Rockville, MD 20857
Telephone: (301) 427-1364