A 2011 systematic review identified nine tools to assess patient safety competence in nurses. This review identified multiple instruments released since that review; the most frequently used was the Health Professional Education in Patient Safety Survey (H-PEPSS). The authors suggest future research should consider including ethics in patient safety and responsiveness to change over time.

This systematic review identified five articles exploring factors influencing error disclosure and reporting practices by nurses in residential long-term care settings. Nurses were not always willing to disclose errors due to lack of confidence, knowledge and understanding of error disclosure guidance, as well as fear of repercussions, litigation, and loss of trust. Nurse leaders were identified as playing an important role in how incident reports are processed and used for improving safety, and should encourage and support error disclosure.

Learning from errors is fundamental to improvement. This systematic review found that few studies have examined the incidence of nursing student medication errors. The authors suggest that additional resources are needed to inform development and enhancement of existing strategies to combat the problem, including the use of technology and effective supervision.

… support sustainable improvement in medication safety . … Vaismoradi M, Griffiths P, Turunen H, Jordan S. Transformational leadership in nursing and …

Patient engagement has been promoted as a strategy to enhance safety in health care. This systematic review of patient participation in safety concluded that patients can contribute to safe care and nurses have an important role in encouraging and supporting patients in these efforts.

This commentary discusses the value of nurse managers integrating ethical standards when making decisions to ensure safety in nursing care.