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- Communication between Providers 15
- Culture of Safety 8
Education and Training
- Students 2
- Error Reporting and Analysis 19
- Human Factors Engineering 20
- Legal and Policy Approaches 9
- Logistical Approaches 9
- Quality Improvement Strategies 38
- Specialization of Care 3
- Teamwork 6
- Clinical Information Systems 4
- Device-related Complications 8
- Discontinuities, Gaps, and Hand-Off Problems 9
- Fatigue and Sleep Deprivation 2
- Identification Errors 3
- Interruptions and distractions 2
- Medical Complications 1
- Medication Errors/Preventable Adverse Drug Events 33
- MRI safety 2
- Nonsurgical Procedural Complications 4
- Psychological and Social Complications 2
- Second victims 1
- Surgical Complications 12
- Allied Health Services 1
- Internal Medicine 9
- Nursing 29
- Pharmacy 21
- Family Members and Caregivers 1
- Health Care Executives and Administrators 72
Health Care Providers
- Pharmacists 22
- Physicians 50
Non-Health Care Professionals
- Media 1
- Patients 17
Search results for "Nurses"
- Newspaper/Magazine Article
Mangnall J. Nurs Stand. 2012;26:49-56.
This commentary discusses the patient safety ramifications of continence care.
Harrison S. Nurs Stand. June 1-7, 2005;19:14-16.
This article reports on a British code of practice that could cause nurses to be held legally accountable for poor infection control.
Weber T, Ornstein C. Los Angeles Times. April 12, 2005.
This article reports on a death that occurred at the Martin Luther King Jr./Drew Medical Center after a patient's deteriorating vitals signs went unnoticed.
Vanderveen T. Patient Saf Qual Healthc. November/December 2014;11:38-40,42-45.
Spotlighting the growing concern around alarm fatigue, this magazine article provides an overview of efforts to augment alarm management and offers recommendations for hospitals working to reduce unnecessary alarms, including eliciting insights from nursing staff about areas for improvement and performing direct observations in patient care settings to monitor frequency of alarms.
George TP, Martin V. Nurs Made Incredibly Easy! 2014;12:6-10.
Alarm fatigue has been described as a contributor to interruptions and distractions in the hospital setting. This article reviews evidenced-based recommendations and strategies to prevent alarm fatigue in nurses, including allowing them to modify notification settings and ensuring they receive ongoing training for alarms and devices.
Parikh R. The Atlantic. August 18, 2014.
The inappropriate use of physical restraints on patients is considered a sentinel event. Although restraints may be used to protect patients from harm, this magazine article highlights risks related to their use—such as increased rates of pressure ulcers and delirium—and advocates for a more patient-sensitive approach to ensure the safety of both patients and caregivers.
ISMP Medication Safety Alert! Acute Care Edition. June 19, 2014;19:1-5.
This newsletter article reports results of a survey indicating when and why intravenous (IV) medications are unnecessarily diluted and makes recommendations to prevent this practice, such as including instructions in the medication administration record regarding dilution and educating nurses about risks. Medications were frequently diluted, which may lead to mislabeled syringes, IV medication contamination, and dosing errors.
Feil M. PA-PSRS Patient Saf Advis. June 2014;11:45-52.
Operating rooms are complex environments with particular risks regarding interruptions and distractions. This article draws from data reported to the Patient Safety Authority to explore how distractions affect surgeons and other team members. The author reviews strategies to limit distractions, including applying sterile cockpit principles, performing preoperative briefings, and utilizing checklists.
Eggertson L. Can Nurse. March 2014;110:25-29.
Human factors engineering is being increasingly promoted as an approach that generates lasting safety improvements. This commentary describes how applying human factors principles can identify ways to reduce risks in health care settings, including issues related to interruptions and infusion pumps.
ISMP Medication Safety Alert! Acute Care Edition. February 27, 2014;19:1-4.
Summarizing results from a Canadian study to determine factors associated with fatal medication errors in the home, this newsletter article describes how patients and nonprofessional caregivers lacked understanding about their medication, such as potential adverse effects and signs of toxicity, which increased risk of harm.
ISMP Medication Safety Alert! Acute Care Edition. November 14, 2013;18:1-4.
This newsletter article reports on concerns associated with chemotherapy preparations due to variations in concentration and recommends standardized preparation processes to address such risks.
Wright J. Nursing Times. 2013;109:11-14.
This record review study found that omitted doses of antimicrobial medications occur frequently in hospital settings in the United Kingdom.
Trossman S. Am Nurse. Sept/Oct 2013;45:1,6-7.
This article reports on the widespread issue of alarm fatigue and describes strategies to manage alarms and improve safety.
Galli BJ, Riebling N, Paraso C, Lehmann G, Yule M. Patient Saf Qual Healthc. July/August 2013;10:36-41.
Blum K. Pharmacy Practice News. November 16, 2011.
Exploring the impact of medication errors on clinicians, this article discusses efforts to support second victims affected by medical error.
PA-PSRS Patient Saf Advis. June 2012;9:50-57.
Discussing errors related to hospital patients' use of personal medications, this newsletter article provides recommendations to reduce risks associated with this practice.
Nurs Stand. Apr-May 2012;26.
This series explores how nurses can use human factors to enhance safety in their daily practice.
Results of ISMP survey on high-alert medications: differences between nursing, pharmacy, and risk/quality/safety perspectives.
ISMP Medication Safety Alert! Acute Care Edition. February 9, 2012;17:1-4.
This newsletter article reports results of a survey that identified areas to focus on in revising the ISMP list of high-risk medications.
Butcher L. Hosp Health Netw. November 2011.
This article discusses wrong-site surgeries and efforts to prevent them.
ISMP Canada Safety Bulletin. July 31, 2011;11:1-2.
This announcement reports on mistaken intravenous administration of breast milk and provides recommendations to prevent parenteral administration of enteral nutrition.