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Journal Article > Review
Hovde B, Jensen KH, Alexander GL, Fossum M. West J Nurs Res. 2015;37:877-898.
Clinician use of clinical guidelines is known to be less than optimal. According to this review, evidence indicates that nurse utilization of computerized clinical guidelines resulted in care process improvements, but further research is needed to determine if there is a correlation between increased provider access to guidance and patient safety.
Journal Article > Commentary
Nurse interrupted: development of a realistic medication administration simulation for undergraduate nurses.
Hayes C, Power T, Davidson PM, Daly J, Jackson D. Nurse Educ Today. 2015;3:981-986.
Interruptions pose a significant safety hazard for health care providers performing complex tasks and increase the risk of errors. This commentary describes a simulated training initiative to help prepare nursing students for experiencing and responding to interruptions during medication administration.
Journal Article > Study
RN assessments of excellent quality of care and patient safety are associated with significantly lower odds of 30-day inpatient mortality: a national cross-sectional study of acute-care hospitals.
Smeds-Alenius L, Tishelman C, Lindqvist R, Runesdotter S, McHugh MD. Int J Nurs Stud. 2016;61:117-124.
Nurses play a critical role in patient care through their constant presence at patients' bedsides, and they may have key insights into safety in their institutions. This study found that in hospitals where nurses rated quality of care as excellent, 30-day postsurgical mortality was better. The authors suggest that nursing perceptions of safety can inform targeting of improvement interventions.
Journal Article > Study
Ramsay G, Haynes AB, Lipsitz SR, et al. Br J Surg. 2019;106:1005-1011.
Checklists have been shown to improve surgical safety in randomized controlled trials, but they have had varied impact when implemented in clinical practice. This interrupted time-series study examined surgical mortality before, during, and after implementation of the WHO surgical safety checklist. The rate of surgical mortality declined more during checklist introduction than it had before or after implementation, and hospital mortality did not decline among nonsurgical patients during the same time interval. The investigators, including checklist pioneer Atul Gawande, conclude that perioperative mortality has declined in association with checklist implementation. Past PSNet interviews with Lucian Leape and David Urbach discussed their perspectives on surgical safety checklists.