Extended and overnight shifts are associated with higher adverse event rates and burnout. This mini review summarizes the impact of overnight shifts on nurses' health, patient and public safety, and organizational costs (e.g., those related to nurse turnover). Organizational strategies to promote nurses' health and reduce errors are also summarized, ranging from low-cost measures such as breaks for physical activity during the shift to high-cost measures such as referral to sleep specialists or paid transportation home.

Safety competencies are the knowledge, skills, and attitudes of healthcare providers to improve and ensure safe patient care. This study explored the interaction of nurses’ safety competencies with structural empowerment, systems thinking, level of education and certification. Results show systems thinking was positively correlated with safety competency; the authors recommend educators review the inclusion of safety competencies and systems thinking in academic curricula.

… of healthcare delivery. In this study, researchers used a concept analysis to identify attributes of nurse well-being … policy considerations around well-being and burnout . … Patrician PA, Bakerjian D,  Billings R, et al. Nurse … analysis. Nurs Outlook. Epub 2022 Jul 4 . doi: 10.1016/j.outlook.2022.03.014 …

Excess workload and burnout among nurses can compromise safe care. This cross-sectional survey of nurses in Alabama found that nurse burnout and poor work environment were associated with lower patient safety culture scores.

The COVID-19 pandemic has disrupted many aspects of health care delivery, including how hospitals prevent common hospital-acquired conditions such as pressure injuries. Based on retrospective data, the authors of this study did not identify a longitudinal increase in hospital-acquired pressure injuries between March and July 2020. The authors discuss how prior organizational efforts to reduce hospital-acquired pressure injuries allowed their hospital to quickly adapt existing workflows and processes to respond to the COVID-19 pandemic.

… J Healthc Qual … Excess workload and  burnout  among nurses … high levels of nurse burnout; burnout was a significant predictor of medication administration …

… clinical situations, and on the front line. Although a variety of methods were identified, the authors highlight … clinical reasoning assessment tools. … Daniel M, Rencic J, Durning SJ, et al. Acad Med. 2019;94:902-912. …

… Jt Comm J Qual Patient Saf … Jt Comm J Qual Patient Saf … High … safety culture , and robust process improvement. A past PSNet interview discussed high reliability as it … health care. … Randall KH, Slovensky D, Weech-Maldonado R, Patrician PA, Sharek PJ. Self-Reported Adherence to High …

… Journal of patient safety … J Patient Saf … This commentary describes the deployment of a interprofessional fellowship program designed to develop …

A systems approach to practice has been advocated as a key element of safe medical care. This white paper proposes that systems-based practice be integrated as a nursing competency requirement, including education about organizational leadership and complexity science and systems theory in design.

… This review highlights four primary components of a systems approach to provide context for interprofessional …

… Journal of general internal medicine … J Gen Intern Med … This commentary describes a framework to help physicians track their patient safety and …

… of the American Association of Colleges of Nursing … J Prof Nurs … This commentary examines a medication error involving insulin using root case analysis …

… The American journal of nursing … Am J Nurs … Highlighting the importance of measuring and …

… Journal of nursing care quality … J Nurs Care Qual … This commentary describes a program that provides safety and quality improvement …

… Journal of evaluation in clinical practice … J Eval Clin Pract … This commentary describes a quality and safety educational program and shares …

… Western journal of nursing research … West J Nurs Res … This study found that staff category and patient …

… The Journal of nursing administration … J Nurs Adm … In this study conducted at military hospitals, … nursing experience and skill mix was associated with a lower incidence of falls and medication errors. …