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

Interprofessional collaboration is a cornerstone of safe patient care. Researchers surveyed inpatient nurses and physicians and found discordant perceptions of each others' roles as well as lower levels of trust in the other profession when compared to their own. Fostering a shared mental model and mutual trust are core components of teamwork training programs like TeamSTEPPS.

… decrease medication errors, adverse drug events remain a significant source of harm. Patients in the intensive care … detection of medication errors and adverse drug events. A previous WebM&M commentary discussed a case involving a serious medication error in the ICU …

… 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.

Medication administration errors are a common problem and have been linked to interruptions during nursing workflow. This study used behavioral psychology techniques to analyze how nurses' bedside behaviors influenced their ability to prevent medication administration errors.

… 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 …

This qualitative study explored the cues that nurses use to determine when a patient's clinical condition is worsening, with specific attention to factors influencing nurses' decisions 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 status), help from other experienced nurses, and their prior knowledge of the patient's baseline condition to determine when urgent physician assessment was needed. The study reveals the importance of a positive safety culture in ensuring that frontline staff feel empowered to enlist additional help when necessary.

… 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. …

The authors describe the concept of formally defining 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.