Children with complex home care needs, such as children with cancer, are particularly vulnerable to medication errors. This longitudinal study used in-home observations and chart review to monitor 131 pediatric patients with leukemia or lymphoma for six months and found that 10% experienced adverse drug events due to medication errors in the home and 42% experienced a medication error with the potential for harm. Failures in communication was the most common contributing factor. Findings underscored a critical need for interventions to support safe medication use at home. Researchers concluded that improvements addressing communication with and among caregivers should be co-developed with families and based on human-factors engineering.

… pediatrics … JAMA Pediatr … Excessive nursing workload is a known safety issue. This study examined whether nurse … ratios , taking into account patient acuity, and a convenience sample of nurses also reported their perceived … essential elements of nursing care. The authors identified a consistent association between perceived workload and …

… … JAMA Pediatr … Detecting adverse events remains a challenge across health care settings. This prospective …

This study surveyed nurses in neonatal intensive care units about missed nursing care. As in other care settings, missed nursing care is significant, and reasons include interruptions, urgent patient situations, and increases in patient volume. This finding underscores the need to enhance nursing workflow to prevent errors of omission.

This ethnographic study describes the complexity of medication administration and competing demands affecting nurses' workdays.

… staffing and the safety of inpatient care is supported by a large body of literature . In addition to staffing ratios, safety culture has also been found to be a determinant of errors. This study explored the links … culture, and medication errors, and found evidence for a complex relationship. The learning climate (a component of …

… tied to patient safety, prior research has not found a link between the proportion of temporary nurses and patient care outcomes. This study, based on a database of 286 nursing units, also found that patient … for appropriate use of temporary nurses. … Bae SH, Mark B, Fried B. Use of temporary nurses and nurse and …

Most nursing units in this study were operating at less than optimal efficiency, largely due to medication errors and falls.

This study examined factors contributing to medication errors and discovered that severe and nonsevere errors differ in their antecedents. The authors suggest that different prevention strategies may be necessary for each error type.

… Care Manage Rev … Health Care Manag Rev … Establishing a culture of safety within an organization is essential to … promote safety and also felt reluctant to report errors (a problem noted in prior research ). Published …

… the use of autoregressive latent trajectory modeling as a method to better understand the complex relationships …

… to prevent medication errors and patient falls are a continuing focus of ongoing safety initiatives. This study … that achieving optimal safety outcomes may depend on a strong safety climate but only if combined with carefully …

The authors looked at the association between safety climate and certain outcomes such as medication errors and nurse back injuries, as well as patient and nurse satisfaction.