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Journal Article > Study
Nursing handovers as resilient points of care: linking handover strategies to treatment errors in the patient care in the following shift.
Drach-Zahavy A, Hadid N. J Adv Nurs. 2015;71:1135-1145.
This prospective study examined 200 hospital nurse handovers. Documentation was missing in nearly half of patients' files, and dosage discrepancies were identified in 23% of cases. Use of strategies that emphasized the input and interaction of the incoming team—such as face-to-face verbal updates with questions—were associated with fewer treatment errors.
Journal Article > Commentary
Alolayan A, Alkaiyat M, Ali Y, Alshami M, Al-Surimi K, Jazieh AR. BMJ Qual Improv Rep. 2017;6:u211844.w6141.
Complex care regimens and poor team communication can influence the safety of patients with cancer. This project report describes how an organization used a standardized communication tool to augment physician handovers of oncology patients. The authors utilized plan-do-study-act cycles to refine the process. They found that each adjustment addressed challenges to the use of the tool and over time physician compliance with the process increased.
Journal Article > Study
Modifying head nurse messages during daily conversations as leverage for safety climate improvement: a randomised field experiment.
Zohar D, Werber YT, Marom R, Curlau B, Blondheim O. BMJ Qual Saf. 2017;26:653-662.
This randomized controlled trial randomized head nurses in inpatient settings to either receive individual feedback based on questionnaires from frontline nurses followed by goal-setting, versus a summary report of feedback at the end of the intervention. In the intervention group, patient care messages increased and blaming decreased, demonstrating that a brief and feasible intervention can enhance safety culture.
Journal Article > Review
The impact of pharmacists-led medicines reconciliation on healthcare outcomes in secondary care: a systematic review and meta-analysis of randomized controlled trials.
Cheema E, Alhomoud FK, Kinsara ASA, et al. PLoS One. 2018;13:e0193510.
Pharmacists often perform medication reconciliation at hospital admission and discharge to prevent medication errors. This meta-analysis examined the efficacy of pharmacist-led medication reconciliation across 18 trials that included more than 6000 patients. Researchers found that pharmacist-led interventions reduced medication discrepancies but did not significantly affect adverse medication events or health care utilization. However, a recent large trial of pharmacist-led medication reconciliation with positive results was excluded from this meta-analysis.