… predicted moral distress . … Davidson JE,  Doran N, Petty A, et al. Survey of nurses' experiences applying The Joint …

… … J Patient Saf … Interprofessional collaboration is a cornerstone of safe patient care. Researchers surveyed … the other profession when compared to their own. Fostering a shared mental model and mutual trust are core components of …

Although technology has helped decrease medication errors, adverse drug events remain a significant source of harm. Patients in the intensive care unit (ICU) may be particularly vulnerable to medication errors due to the complex nature of their care. Prior research has shown that medication errors occur more frequently in the ICU and are more likely to cause serious patient harm or death. This clinical practice guideline highlights environmental changes and prevention strategies that can be employed to improve medication safety in the ICU. The authors also describe components of active surveillance that may augment detection of medication errors and adverse drug events. A previous WebM&M commentary discussed a case involving a serious medication error in the ICU setting.

… to safe patient care. This commentary describes how a surveillance program can help gain insights about nursing …

Medication reconciliation efforts depend on obtaining an accurate medication history at the time of the clinical encounter. In this study, use of a structured tool by student nurses improved the accuracy of the medication history at hospital admission and was associated with fewer inadvertent medication omissions.

… administration … J Nurs Adm … This article describes a checklist that reliably documented multidisciplinary …

This simulation study identified several mechanisms by which medication errors could occur even when a bar-code medication administration system was used. These included patient identification errors and failure to heed computerized warnings.

… challenges and approaches for teamwork communication on a general medical unit, where team members are often …

This commentary describes how surveillance can prevent adverse events and medical errors in critical care.

… J Exp Psychol Appl … Medication administration errors are a common problem and have been linked to interruptions during …

… Nurses … Am J Crit Care … Critical care nurses use a variety of methods to ensure patient safety, often relying …

This column describes how one group designed and tested a six-step tool to help nurses collect effective patient medication histories.

… study explored the cues that nurses use to determine when a patient's clinical condition is worsening, with specific … to obtain assistance from the rapid response team or call a "code blue." Rather than relying on specific vital sign abnormalities , nurses relied on a combination of clinical findings (such as altered mental …

… the scope of the term patient safety technology and uses a case study to illustrate that sometimes simple … solutions can greatly improve patient safety. … Henneman EA. Patient safety and technology.  AACN Adv Crit …

… staff frequently contained errors when compared to a "gold standard" list. This finding has implications for …

This commentary uses two medication error reporting failures to provide insight into the social and cultural factors that influence incident reporting.

… to nursing students and illustrate the technique through a detailed example. …

… process and apply it to point-of-care blood transfusion as a method of detecting possible process failures. …

The investigators used the Eindhoven Classification Model to analyze errors in the emergency department and found that it was not appropriate for categorizing errors in that setting.