CE: nursing's evolving role in patient safety.

Sonya L. Kowalski; Maureen Anthony

Review

CE: nursing's evolving role in patient safety.

March 15, 2017

Kowalski SL, Anthony M. Am J Nurs. 2017;117(2):34-48.

View more articles from the same authors.

Nursing is a key component of patient care. This review examined the literature discussing how the role of nurses has evolved over time. The authors summarize the recent evidence that shows increased emphasis on systems concerns and the importance of providing ongoing education for nurses and engaging them as leaders in the safety work.

PubMed citation

Free full text

Related information

Related Resources From the Same Author(s)

The Caregiver Advise, Record, Enable (CARE) act.

May 1, 2018

Assessment of quality of data provided on Pap test requisitions: implications for quality of care and patient safety.

August 12, 2009

Interruptions and medication errors: part I.

October 27, 2010

Preventing hospital-acquired infections: a national survey of practices reported by U.S. hospitals in 2005 and 2009.

December 21, 2011

The importance of leadership in preventing healthcare–associated infection: results of a multisite qualitative study.

September 15, 2010

How active resisters and organizational constipators affect health care–acquired infection prevention efforts.

April 13, 2011

Introducing the patient safety professional: why, what, who, how, and where?

September 28, 2011

The influence of organizational context on quality improvement and patient safety efforts in infection prevention: a multi-center qualitative study.

November 10, 2010

Fatality involving vinblastine overdose as a result of a complex medical error.

July 26, 2006

Inpatient fall prevention: use of in-room Webcams.

January 9, 2013

Death by handwriting.

November 2, 2005

Reduction of incorrect record accessing and charting patient electronic medical records in the perioperative environment.

February 15, 2017

Implementing SBAR across a large multihospital health system.

May 30, 2012

Patient safety rounds: description of an inexpensive but important strategy to improve the safety culture.

January 31, 2007

Medication administration quality and health information technology: a national study of US hospitals.

November 23, 2011

An evaluation of hand hygiene in an intensive care unit: are visitors a potential vector for pathogens?

June 24, 2015

Association of the use of a mandatory prescription drug monitoring program with prescribing practices for patients undergoing elective surgery.

September 5, 2018

Introductions during time-outs: do surgical team members know one another's names?

May 24, 2017

A multicomponent fall prevention strategy reduces falls at an academic medical center.

September 6, 2017

Errors and analysis of errors.

December 17, 2008

Assessment of attitudes toward deprescribing in older Medicare beneficiaries in the United States.

December 19, 2018

Double gloves: a randomized trial to evaluate a simple strategy to reduce contamination in the operating room.

June 4, 2014

Diagnosing sepsis is subjective and highly variable: a survey of intensivists using case vignettes.

May 11, 2016

The competent surgeon: individual accountability in the era of "systems" failure.

August 19, 2009

The inevitability of physician burnout: implications for interventions.

August 13, 2014

Accidental iatrogenic pneumothorax in hospitalized patients.

March 15, 2006

Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons from New York City.

July 29, 2020

Patient safety and quality improvement education: a cross-sectional study of medical students' preferences and attitudes.

April 24, 2013

Use of in-situ simulation to investigate latent safety threats prior to opening a new emergency department.

August 19, 2015

'More than words' - interpersonal communication, cognitive bias and diagnostic errors.

August 11, 2021

The effects of work-hour limitations on resident well-being, patient care, and education in an internal medicine residency program.

January 4, 2006

The calm before the storm: utilizing in situ simulation to evaluate for preparedness of an alternative care hospital during COVID-19 pandemic.

June 2, 2021

No interruptions please: impact of a no interruption zone on medication safety in intensive care units.

January 27, 2010

Evidence that nurses need to participate in diagnosis: lessons from malpractice claims.

April 29, 2020

A proposed approach to allegations of sexual boundary violation in health care.

December 13, 2023

Designing highly reliable adverse-event detection systems to predict subsequent claims.

May 6, 2015

Safety culture and care: a program to prevent surgical errors.

May 13, 2015

A protocol for the safe use of hazardous drugs in the OR.

March 25, 2020

Multidisciplinary approaches to reducing error and risk in a patient care setting.

March 6, 2005

Patient safety and image transfer between referring hospitals and neuroscience centres: could we do better?

October 27, 2010

Checking it twice: an evaluation of checklists for detecting medication errors at the bedside using a chemotherapy model.

September 8, 2010

Intravenous chemotherapy preparation errors: patient safety risks identified in a pan-Canadian exploratory study.

April 9, 2014

Addressing the taboo of medical error through IGBOs: I got burnt once!

June 4, 2014

Systems approach to suicide prevention: strengthening culture, practice, and education.

June 28, 2023

Understanding the link between burnout and sub-optimal care: why should healthcare education be interested in employee silence?

May 4, 2022

Patient safety in inpatient psychiatry: a remaining frontier for health policy.

January 9, 2019

Evaluating a new rapid response team: NP-led versus intensivist-led comparisons.

February 29, 2012

Adverse event reporting priorities: an integrative review.

June 29, 2022

Patients' perceptions of safety if interpersonal continuity of care were to be disrupted.

March 11, 2009

Patient safety and telephone medicine: some lessons from closed claim case review.

February 13, 2008

Implementation, evaluation, and recommendations for extension of AHRQ Common Formats to capture patient- and carepartner-generated safety data.

July 11, 2018

Evaluating alert fatigue over time to EHR-based clinical trial alerts: findings from a randomized controlled study.

May 16, 2012

Quality and safety in the intensive care unit.

August 9, 2006

Computerized decision support for medication dosing in renal insufficiency: a randomized, controlled trial.

June 16, 2010

Computerized decision support to reduce potentially inappropriate prescribing to older emergency department patients: a randomized, controlled trial.

September 30, 2009

Dissecting communication barriers in healthcare: a path to enhancing communication resiliency, reliability, and patient safety.

November 28, 2018

Declines in opioid prescribing after a private insurer policy change—Massachusetts, 2011–2015.

November 9, 2016

Veterans Health Administration response to the COVID-19 crisis: surveillance to action.

October 26, 2022

The use of anatomical side markers in general radiology: a systematic review of the current literature.

August 26, 2020

Nurse staffing in hospitals: is there a business case for quality?

January 25, 2006

Nurse-staffing levels and the quality of care in hospitals.

April 3, 2005

Patient safety event reporting in a large radiology department.

September 21, 2011

Examining the relationship among ambulatory surgical settings work environment, nurses' characteristics, and medication errors reporting.

January 27, 2016

Talking behind their backs: negative gossip and burnout in hospitals.

September 24, 2014

Improving risk management: from lame excuses to principled practice.

July 23, 2014

Normal neurologic and developmental outcome after an accidental intravenous infusion of expressed breast milk in a neonate.

January 25, 2006

Why talking is not cheap: adverse events and informal communication.

April 17, 2024

Reductions in sepsis mortality and costs after design and implementation of a nurse-based early recognition and response program.

November 11, 2015

Crisis management on surgical wards: a simulation-based approach to enhancing technical, teamwork, and patient interaction skills.

March 18, 2015

Factor structure and construct validity of a hospital survey on patient safety culture using exploratory factor analysis.

August 2, 2023

Improving medication safety in the ICU: the pharmacist's role.

May 16, 2007

Analysis of errors in dictated clinical documents assisted by speech recognition software and professional transcriptionists.

July 25, 2018

Pediatric adverse event rates associated with inexperience in teaching hospitals: a multilevel analysis.

March 21, 2018

Instituting a culture of professionalism: the establishment of a Center for Professionalism and Peer Support.

April 16, 2014

A qualitative study of prescribing errors among multi-professional prescribers within an e-prescribing system.

December 23, 2020

Stigma and healthcare access among transgender and gender-diverse people: a qualitative meta-synthesis.

July 20, 2022

Embracing multiple aims in healthcare improvement and innovation.

March 23, 2022

Evaluation and certification of computerized physician order entry systems.

November 22, 2006

The impact of professionalism on safe surgical care.

March 28, 2007

Does health care role and experience influence perception of safety culture related to preventing infections?

July 17, 2013

Provider and pharmacist responses to warfarin drug–drug interaction alerts: a study of healthcare downstream of CPOE alerts.

January 30, 2005

A systematic review of primary care safety climate survey instruments: their origins, psychometric properties, quality, and usage.

June 13, 2018

Improving diagnosis by improving education: a policy brief on education in healthcare professions.

September 12, 2018

"We can't get along without each other": qualitative interviews with physicians about device industry representatives, conflict of interest and patient safety.

May 17, 2017

Improving patient safety: the comparative views of patient-safety specialists, workforce staff and managers.

January 30, 2005

Safety in the home healthcare sector: development of a new household safety checklist.

May 9, 2012

Hemodialysis bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports in the Veterans Health Administration.

November 24, 2021

Do the AHRQ Patient Safety Indicators flag conditions that are present at the time of hospital admission?

May 14, 2008

Evolution of a rapid response system from voluntary to mandatory activation.

June 9, 2010

Human factors and error prevention in emergency medicine.

June 15, 2011

The novice nurse and clinical decision-making: how to avoid errors.

May 11, 2011

Stop the noise: a quality improvement project to decrease electrocardiographic nuisance alarms.

August 19, 2015

Using statistical text classification to identify health information technology incidents.

May 29, 2013

Frequency of medication error in pediatric anesthesia: a systematic review and meta-analytic estimate.

December 5, 2018

Quality and safety in surgery: challenges and opportunities.

September 8, 2021

A comprehensive estimation of the costs of 30-day postoperative complications using actual costs from multiple, diverse hospitals.

October 14, 2020

The Sepsis Early Recognition and Response Initiative (SERRI).

March 9, 2016

Are temporary staff associated with more severe emergency department medication errors?

September 7, 2011

Innovative approach to reconstruct bedside handoff: using simple rules of complexity science to promote partnership with patients.

May 30, 2018

Patient and family engagement in catheter-associated urinary tract infection (CAUTI) prevention: a systematic review.

July 14, 2021

Related Resources

A scoping review exploring the confidence of healthcare professionals in assessing all skin tones.

October 4, 2023

Blood and blood products transfusion errors: what can we do to improve patient safety.

May 10, 2023

Exploration of ward-based nurses' perspectives on their preparedness to recognize clinical deterioration: a scoping review.

March 29, 2023

Strategies for a safe interhospital transfer with an intubated patient or where readiness for intubation is needed: a critical incidents study.

December 21, 2022

Journal Article

Commentary

Critical care resource nurse team: a patient safety and quality outcomes model.

November 16, 2022

Safety competency: exploring the impact of environmental and personal factors on the nurse's ability to deliver safe care.

October 19, 2022

Investigation of interventions to reduce nurses' medication errors in adult intensive care units: a systematic review.

October 12, 2022

Exploring nurses' attitudes, skills, and beliefs of medication safety practices.

August 24, 2022

Instruments for measuring patient safety competencies in nursing: a scoping review.

June 15, 2022

WebM&M Cases

Management of Cardiac Arrest in Unconventional Locations.

May 16, 2022

Eliminating explicit and implicit biases in health care: evidence and research needs.

February 23, 2022

An initiative to reduce insulin-related adverse drug events in a children's hospital.

February 16, 2022

Diagnostic reasoning in cardiovascular medicine.

January 19, 2022

Nursing interventions to reduce medication errors in paediatrics and neonates: systematic review and meta-analysis.

December 8, 2021

Optimising the delivery of remediation programmes for doctors: a realist review.

June 2, 2021

The critical need for nursing education to address the diagnostic process.

February 17, 2021

Nurses' perceived causes of medication administration errors: a qualitative systematic review.

November 25, 2020

Systems thinking for managing COVID-19 in health care systems: seven key messages.

September 23, 2020

Addressing the health care needs of people who identify as transgender: what do nurses need to know?

July 22, 2020

Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional national survey.

May 20, 2020

Organizational learning in hospitals: a realist review.

August 21, 2019

Root cause analysis for hospital-acquired pressure injury.

August 14, 2019

Intentional rounding—an integrative literature review.

August 7, 2019

Engaging patients and informal caregivers to improve safety and facilitate person- and family-centered care during transitions from hospital to home: a qualitative descriptive study.

July 10, 2019

Organisational learning in hospitals: a concept analysis.

June 19, 2019

The role of education in developing a culture of safety through the perceptions of undergraduate nursing students: an integrative literature review.

January 9, 2019

Effect of changes in hospital nursing resources on improvements in patient safety and quality of care: a panel study.

November 28, 2018

Developing and evaluating clinical leadership interventions for frontline healthcare providers: a review of the literature.

October 31, 2018

Peer training using cognitive rehearsal to promote a culture of safety in health care.

October 31, 2018

Effects of individual nurse and hospital characteristics on patient adverse events and quality of care: a multilevel analysis.

October 24, 2018

See More About The Topic

Epidemiology of Errors and Adverse Events

CE: nursing's evolving role in patient safety.

Critical care resource nurse team: a patient safety and quality outcomes model.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

CE: nursing's evolving role in patient safety.

Critical care resource nurse team: a patient safety and quality outcomes model.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site