The Joint Commission implemented medication management titration standards in 2017, with revisions in 2020. Researchers surveyed critical care nurses about their experiences with medication titration, use of clinical judgment when titrating, nurses’ scope and autonomy, and their moral distress. Of 781 respondents, 80% perceived the titration standards caused delays in patient care and 68% reported suboptimal care, both of which significantly and strongly predicted moral distress.

… Journal of patient safety … 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.

… American Association of Critical-Care Nurses … Am J Crit Care … Nurses are increasingly recognized as key … 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.

… The Journal of nursing 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.

… Jt Comm J Qual Patient Saf … Jt Comm J Qual Patient Saf … This article examines unique 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.

… Journal of experimental psychology. Applied … J Exp Psychol Appl … Medication administration errors are a common problem and have been linked to interruptions during …

An educational intervention for emergency department nurses improved knowledge of safe medication administration principles, but did not reduce the actual incidence of medication errors.

… American Association of Critical-Care 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 attention to … to obtain assistance from the rapid response team or call a "code blue." Rather than relying on specific vital sign …

… 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 …

… The Journal of emergency medicine … J Emerg Med … Patient medication lists obtained by emergency … 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. …

… J Emerg Nurs … Journal of emergency nursing: JEN : official … Department Nurses Association … The authors describe a program involving periodic reassessments of patients in the …