Many interventions targeting healthcare-acquired condition reduction and prevention target a single condition, rather than the risks of multiple conditions. This proof-of-concept study discusses clinician feedback on a proposed dashboard to enhance clinicians’ management combining the risks of multiple conditions (catheter-associated urinary tract infections, pressure injuries, and falls).

This commentary describes how human factors and ergonomics can contribute to the COVID-19 pandemic response, using the example of workflow redesigns in a pediatric ambulatory care clinic.  The authors discuss Just-in-time (JIT) training, adapting workflow processes, identifying potential failure modes and safety hazards, and revisions to protocols and processes to provide safe care to patients during the COVID-19 pandemic.

… focused on supporting the well-being of its workforce. … Morrow E, Call M, Marcus R, Locke A. Focus on the Quadruple Aim: Development of a …

… aspirational for nurses and other health care workers. … Morrow KJ, Gustavson AM, Jones J. Speaking up behaviours …

Higher patient-to-nurse ratios have consistently been associated with adverse effects on patient safety and inpatient mortality, but the mechanism driving this relationship remains unclear. Missed nursing care—a type of error of omission in which required care elements are not completed—is relatively common on inpatient wards. This study sought to investigate the relationship between nurse staffing, missed nursing care, and patient safety in England. Nurses frequently reported leaving care undone, and missed nursing care episodes were strongly associated with higher numbers of patients per nurse and lower safety culture ratings. The authors argue that the frequency of missed care episodes should be used to measure nursing quality and that improving the overall work environment for nurses should be a patient safety priority. A preventable death due in part to inadequate nurse staffing is discussed in an AHRQ WebM&M commentary, and the critical role nurses play in ensuring patient safety is explored in a Patient Safety Primer.