Narrow Results Clear All
- Communication Improvement 1
- Culture of Safety 2
- Education and Training 1
- Error Reporting and Analysis 1
- Human Factors Engineering 3
- Logistical Approaches 4
- Quality Improvement Strategies 1
- Specialization of Care 1
- Teamwork 1
- Technologic Approaches 1
- Diagnostic Errors 1
- Discontinuities, Gaps, and Hand-Off Problems 1
- Fatigue and Sleep Deprivation
- Medical Complications
- Medication Safety 5
- Surgical Complications 1
Search results for "Fatigue and Sleep Deprivation"
Perspectives on Safety > Interview
Designing for Safety, October 2012
Dr. Reiling consults with hospitals nationwide regarding facility designs that emphasize safety, error reduction, and quality.
Journal Article > Study
Cimiotti JP, Aiken LH, Sloane DM, Wu ES. Am J Infect Control. 2012;40:486-490.
The critical role that nurses play in ensuring patient safety can be compromised by excess workload. A large body of literature has linked higher patient-to-nurse ratios to a variety of preventable complications and even increased inpatient mortality. However, it is not clear whether high nursing workload alone can impair patient safety, or if overall working conditions for nurses also plays a role in safety. This study, which examined the association between hospital-acquired infections, nurse staffing, and burnout among nurses found that the number of patients per nurse did not entirely predict safety problems. On the other hand, after controlling for hospital and patient characteristics, the investigators found that increased rates of burnout among nurses was significantly associated with a higher risk of hospital-acquired infections. The complex issue of nurse staffing and workload is discussed in this AHRQ WebM&M commentary.
Journal Article > Study
Olds DM, Clarke SP. J Safety Res. 2010;41:153-162.
A considerable amount of attention has been paid to the issue of physician work hours and patient safety, thanks in part to regulations limiting duty hours for resident physicians. Fatigue has also been demonstrated to be a risk factor for errors among nurses, particularly when nurses work overtime or extended duration shifts. In this analysis, the authors found that among nurses, working voluntary overtime or working more than 40 hours per week were strongly correlated with an increase in self-reported errors, particularly needlestick injuries and medication errors. While legislative efforts have focused on restricting mandatory overtime for nurses, these results raise concern that the widespread practice of taking voluntary overtime shifts could negatively affect patient safety.
Tools/Toolkit > Fact Sheet/FAQs
Rockville, MD: Agency for Healthcare Research and Quality; Revised December 2009. AHRQ Publication No. 10-M008.
This tip sheet provides 10 practical steps hospitals can undertake to improve patient safety, based on research funded by the Agency for Healthcare Research and Quality. The tips can be grouped into three areas: 1) reducing health care-acquired infections and retained surgical instruments through use of specific clinical practices; 2) improving drug safety by ensuring access to accurate drug information; and 3) improving the culture of safety through appropriate staffing and work hours for nurses and residents. These tips are based on high-quality research studies documenting the effectiveness of these interventions at reducing errors and improving safety for a broad range of patients.
Journal Article > Commentary
Despins LA. Crit Care Nurse. April 2009;29:85-91.
This article describes how patient safety and team coordination in the ICU are connected. The author recommends team training as an approach to enhance collaboration.
Special or Theme Issue
Pediatr Crit Care Med. 2007;8(suppl):S1-S43.
This supplement covers issues related to safety indicators, fatigue, electronic medical records, infection, and disclosure of medical errors in the care of critically ill children.