Medical errors: where are we now?

Monica Robins Mewshaw; Kathleen M. White; Jo M. Walrath

Commentary

Medical errors: where are we now?

November 15, 2006

Mewshaw MR, White KM, Walrath JM. Nurs Manage. 2006;37(10):50-54.

View more articles from the same authors.

The authors discuss the Patient Safety and Quality Improvement Act of 2005 and the role nurse managers can play in supporting a culture of safety.

PubMed citation

Available at

Related Resources From the Same Author(s)

Assessing and supporting late career practitioners: four key questions.

September 30, 2020

Frequency of medication administration timing error in hospitals: a systematic review.

March 29, 2023

Crossing academic boundaries for diagnostic safety: 10 complex challenges and potential solutions from clinical perspectives and high-reliability organizing principles.

March 24, 2021

Where should patient safety be installed?

November 29, 2017

Quest for the ideal: a redesign of the medication use system.

January 31, 2007

Patient safety: through the eyes of your peers.

July 5, 2006

Reducing diagnostic errors—why now?

September 30, 2015

Improving patient safety and communication through care rounds in a pediatric oncology outpatient clinic.

March 28, 2007

Video-based communication assessment of physician error disclosure skills by crowdsourced laypeople and patient advocates who experienced medical harm: reliability assessment with generalizability theory.

May 18, 2022

Hospital RNs' experiences with disruptive behavior: a qualitative study.

April 7, 2010

An organizational assessment of disruptive clinician behavior: findings and implications.

April 24, 2013

Patient safety strategies targeted at diagnostic errors: a systematic review.

March 13, 2013

Successful remediation of patient safety incidents: a tale of two medication errors.

March 2, 2011

Pediatric surgical errors: a systematic scoping review.

July 20, 2022

The power of collaboration with patient safety programs: building safe passage for patients, nurses, and clinical staff.

January 3, 2007

Lessons learned from implementing a principled approach to resolution following patient harm.

January 9, 2019

Reducing pediatric medication errors: children are especially at risk for medication errors.

May 18, 2005

Medication reconciliation in the acute care setting: opportunity and challenge for nursing.

May 4, 2005

A scoping review of real-time automated clinical deterioration alerts and evidence of impacts on hospitalised patient outcomes.

August 3, 2022

Development and validation of the Johns Hopkins Disruptive Clinician Behavior Survey.

August 27, 2014

We know what they did wrong, but not why: the case for 'frame-based' feedback.

May 29, 2013

Does employee safety matter for patients too? Employee safety climate and patient safety culture in health care.

May 20, 2015

Fatigue in nurses and medication administration errors: a scoping review.

March 8, 2023

Encouraging patients to speak up about problems in cancer care.

January 12, 2022

The nurse's role in the causation of compensable injury.

October 12, 2011

An evidence-based tool (PE for PS) for healthcare managers to assess patient engagement for patient safety in healthcare organizations.

May 26, 2021

Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE.

July 15, 2020

How long and how much are nurses now working?

April 19, 2006

Implementing a rapid response team.

November 8, 2006

Professional behavior and value erosion: a qualitative study of physicians and the electronic health record.

November 9, 2022

Errors in surgery: a case control study.

December 14, 2022

The threat within: mitigating the risk of medical error.

March 25, 2020

More than words: patients' views on apology and disclosure when things go wrong in cancer care.

August 24, 2011

Impact of SARS-CoV-2 on hospital acquired infection rates in the United States: predictions and early results.

November 25, 2020

The safety culture in a children's hospital.

July 12, 2006

Emotion and coping in the aftermath of medical error: a cross-country exploration.

March 4, 2015

Medication Errors. 2nd ed.

November 1, 2006

Long-term effects of teamwork training on communication and teamwork climate in ambulatory reproductive health care.

October 28, 2020

Does increased schedule flexibility lead to change? A national survey of program directors on 2017 work hours requirements.

September 23, 2020

Prevention of opioid overdose.

June 26, 2019

Patient voices in hospital safety during the COVID-19 pandemic.

November 2, 2022

An overview of intravenous-related medication administration errors as reported to MEDMARX(R), a national medication error-reporting program.

February 8, 2006

ISMP medication error report analysis.

February 4, 2009

ISMP medication error report analysis.

June 4, 2008

Adverse events related to accidental unintentional ingestions from cough and cold medications in children.

August 26, 2020

Hospitals as cultures of entrapment: a re-analysis of the Bristol Royal Infirmary.

April 25, 2007

ISMP medication error report analysis.

June 9, 2010

Medical Error: What Do We Know? What Do We Do?

August 10, 2005

Duplicate medication order errors: safety gaps and recommendations for improvement.

October 12, 2022

Errors in drug computations during newborn intensive care.

March 27, 2005

Insulin treatment as a tracer for identifying latent patient safety risks in home-based diabetes care.

March 22, 2006

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

August 11, 2021

A blueprint for leadership during COVID-19.

August 12, 2020

Using an automated risk assessment report to identify patients at risk for clinical deterioration.

September 12, 2007

Enhancing high alert medication knowledge among pharmacy, nursing, and medical staff.

June 2, 2021

Associations between double-checking and medication administration errors: a direct observational study of paediatric inpatients.

August 26, 2020

Readiness to report medical treatment errors: the effects of safety procedures, safety information, and priority of safety.

February 8, 2006

How does workplace violence-reporting culture affect workplace violence, nurse burnout, and patient safety?

December 7, 2022

Variation in electronic test results management and its implications for patient safety: a multisite investigation.

August 19, 2020

Simulation in Surgical Training and Practice.

August 19, 2015

10,000 good catches: increasing safety event reporting in a pediatric health care system.

June 27, 2018

Frailty, gaps in care coordination, and preventable adverse events.

July 6, 2022

Operating room to intensive care unit handoffs and the risks of patient harm.

July 22, 2015

Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries and medication administration errors: an integrative review.

June 9, 2021

A mixed methods evaluation of medication reconciliation in the primary care setting.

March 2, 2022

The contribution of staffing to medication administration errors: a text mining analysis of incident report data.

December 18, 2019

Maximize Patient Safety with Advanced Root Cause Analysis.

March 27, 2005

Prevent medication errors: a New Year's resolution: teaching patients about their medications.

January 31, 2007

Untenable expectations: nurses' work in the context of medication administration, error, and the organization.

February 1, 2023

Analysis of patient safety risk management call data during the COVID‐19 pandemic.

January 27, 2021

The Improvement Guide: A Practical Approach to Enhancing Organizational Performance. 2nd ed.

March 6, 2005

Error reporting as a preventive force.

July 13, 2005

Effect of a multispecialty faculty handoff initiative on safety culture and handoff quality.

April 20, 2022

Effective strategies to increase reporting of medication errors in hospitals.

January 25, 2006

Factors associated with wrong blood in tube errors: an international case series - The BEST collaborative study.

November 17, 2021

Salzburg Global Seminar Session 565—Better Health Care: How Do We Learn About Improvement?

May 16, 2018

Defining and enhancing collaboration between community pharmacists and primary care providers to improve medication safety.

February 22, 2023

Winning the battle for standardization.

November 7, 2007

Increased mortality and costs associated with adverse events in intensive care unit patients.

April 6, 2022

Patient generated research priorities to improve diagnostic safety: a systematic prioritization exercise.

April 5, 2023

We want to know: eliciting hospitalized patients' perspectives on breakdowns in care.

August 23, 2017

Tragedy into policy: a quantitative study of nurses' attitudes toward patient advocacy activities.

June 22, 2011

Incorporating harms into the weighting of the Revised AHRQ Patient Safety for Selected Indicators Composite (PSI 90).

January 26, 2022

When Things Go Wrong: Responding to Adverse Events.

March 22, 2006

The influence of organizational culture, climate and commitment on speaking up about medical errors.

December 18, 2019

Patient safety and the ageing physician: a qualitative study of key stakeholder attitudes and experiences.

October 10, 2018

Crew resource management: applications in healthcare organizations.

September 27, 2006

Team-based approach to improving medication reconciliation rates in family medicine residency clinics.

October 7, 2020

A mismatch made in America.

June 19, 2019

Comparing perspectives on organisational silence: an analysis of the Gosport inquiry.

May 17, 2023

Hospitals collaborate to prevent wrong-site surgery.

October 20, 2010

Racial bias in pain assessment and treatment recommendations, and false beliefs about biological differences between blacks and whites.

April 4, 2016

Wrong administration route of medications in the domestic setting: a review of an underestimated public health topic.

February 10, 2021

In the eye of the storm: the role of the pharmacist in medication safety during the COVID-19 pandemic at an urban teaching hospital.

December 23, 2020

Acting wisely in complex clinical situations: 'Mutual safety' for clinicians as well as patients.

October 13, 2021

Vital signs: epidemiology of sepsis: prevalence of health care factors and opportunities for prevention.

September 21, 2016

Nurses' perceptions of causes of medication errors and barriers to reporting.

December 20, 2006

A retrospective audit of postoperative days alive and out of hospital, including before and after implementation of the WHO surgical safety checklist.

February 2, 2022

"We're not taken seriously": describing the experiences of perceived discrimination in medical settings for Black women.

March 22, 2023

Short- and long-term effects of an electronic medication management system on paediatric prescribing errors.

January 18, 2023

Related Resources

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Factors differentiating nursing homes with strong resident safety climate: a qualitative study of leadership and staff perspectives.

February 15, 2023

Patient safety culture in assisted living: staff perceptions and association with state regulations.

November 30, 2022

Criminal liability for nursing and medical harm.

August 3, 2022

A concept analysis of psychological safety: further understanding for application to health care.

February 23, 2022

Conflict resolution: applying aviation crew resource management in healthcare.

November 10, 2021

Nursing home staff turnover and perceived patient safety culture: results from a national survey.

November 4, 2020

Seven features of safety in maternity units: a framework based on multisite ethnography and stakeholder consultation.

October 21, 2020

Safety climate associated with adverse events in nursing homes: a national VA study.

August 26, 2020

Predictors of nursing home nurses' willingness to report medication near-misses.

May 13, 2020

The FIRST curriculum: cultivating speaking up behaviors in the Clinical Learning Environment.

September 25, 2019

When safety climate is not enough: examining the moderating effects of psychosocial hazards on nurse safety performance.

August 28, 2019

The courage to speak out: a study describing nurses' attitudes to report unsafe practices in patient care.

August 14, 2019

Nurses' safety motivation: examining predictors of nurses' willingness to report medication errors.

August 7, 2019

Just culture: it's more than policy.

August 7, 2019

Developing resilience to combat nurse burnout.

July 31, 2019

Targeting the fear of safety reporting on a unit level.

March 20, 2019

Impact of patient safety culture on missed nursing care and adverse patient events.

March 20, 2019

Decreasing surgical site infections by developing a high reliability culture.

February 6, 2019

Manifestations of high-reliability principles on hospital units with varying safety profiles: a qualitative analysis.

January 30, 2019

The association of the nurse work environment and patient safety in pediatric acute care.

January 16, 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

Multi-level analysis of national nursing students' disclosure of patient safety concerns.

December 12, 2018

Nurses' and patients' appraisals show patient safety in hospitals remains a concern.

November 21, 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

Are clinical instructors preventing or provoking adverse events involving students: a contemporary issue.

October 10, 2018

Impact of high-reliability education on adverse event reporting by registered nurses.

October 10, 2018

Impact of nurse peer review on a culture of safety.

October 3, 2018

AORN Position Statement on Criminalization of Human Errors in the Perioperative Setting.

August 29, 2018

See More About The Topic

Medical errors: where are we now?

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Medical errors: where are we now?

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