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Journal Article > Commentary
Opioids for pain management in older adults: strategies for safe prescribing.
Davies PS. Nurse Pract. 2017;42:20-26.
Use of opioids for pain management in older adults can contribute to various problems, including fall-related injury and delirium. This commentary discusses the role of nurse practitioners as prescribers of opioids and offers practice recommendations to reduce risks.
Journal Article > Study
Alternative perspectives of safety in home delivered health care: a sequential exploratory mixed method study.
Jones S. J Adv Nurs. 2016;72:2536–2546.
This qualitative study found that patients and caregivers define patient safety as meeting all of a patient's needs rather than avoiding harm and reducing risks associated with medical care. This gap in understanding suggests a need for medical professionals to engage with patients and caregivers to promote safety.
Journal Article > Study
Medicines management, medication errors and adverse medication events in older people referred to a community nursing service: a retrospective observational study.
Elliott RA, Lee CY, Beanland C, Vakil K, Goeman D. Drugs Real World Outcomes. 2016;3:13-24.
Medication management is known to be especially high-risk for older adults. This study of older patients receiving home care services found polypharmacy, insufficient medication communication, and frequent errors in self-administration. These results emphasize the need to improve medication safety for older adults in community settings.
Journal Article > Review
Safety risks associated with physical interactions between patients and caregivers during treatment and care delivery in home care settings: a systematic review.
Hignett S, Edmunds Otter M, Keen C. Int J Nurs Stud. 2016;59:1-14.
Adverse events are thought to be common in patients receiving home health care. This systematic review defined home care safety risks for both patients and caregivers, including awkward working positions, social distractions, abuse and violence, and other issues that are relatively unique to this care setting.
Newspaper/Magazine Article
Preventing medication errors by empowering patients.
Karch AM. Am Nurs Today. September 2015;10:18-22.
The complexity of care delivery can hinder the role of nurses in preventing medication errors. This commentary advocates for updating the five rights to consider the patient's role in their medication therapy and to incorporate patient and family education into the process to improve medication safety.
Journal Article > Study
Safety for home care: the use of Internet video calls to double-check interventions.
Bradford N, Armfield NR, Young J, Ehmer M, Smith AC. J Telemed Telecare. 2012;18:434-437.
Home care nurses successfully used mobile Internet video calls to double-check medication administrations and ventilator settings within patients' homes.
Journal Article > Study
Advanced practice nursing students' identification of patient safety issues in ambulatory care.
Schnall R, Larson E, Stone PW, John RM, Bakken S. J Nurs Care Qual. 2013;28:169-175.
Recent research has focused on identifying patient safety issues in the ambulatory setting. In this study, advanced practice nursing students recognized more than 800 patient safety issues during only 497 outpatient encounters.
Journal Article > Study
Patient safety culture in home care: experiences of home-care nurses.
Berland A, Holm AL, Gundersen D, Bentsen SB. J Nurs Manag. 2012;20:794-801.
Adverse events are common among patients receiving home care. In this focus group study, home-care nurses identified poor management support as a major barrier to their ability to provide safer care.
Journal Article > Study
Reporting of hazards and near-misses in the ambulatory care setting.
Schnall R, Bakken S. J Nurs Care Qual. 2011;26:328-334.
This study reports on an initiative to encourage student nurses to voluntarily report errors and near misses encountered during ambulatory care rotations.
Journal Article > Commentary
Chemotherapy in home care: one team's performance improvement journey toward reducing medication errors.
Ewen BM, Combs R, Popelas C, Faraone GM. Home Healthc Nurse. 2012;30:28-37.
This commentary describes how a medication administration error launched one organization's efforts to improve patient safety statewide.
Journal Article > Study
Challenges in posthospital care: nurses as coaches for medication management.
Costa LL, Poe SS, Lee MC. J Nurs Care Qual. 2011;26:243-251.
This study provides a comparative description of two interventions to improve care transitions following hospital discharge. Home nurse visits uncovered 62% more medication discrepancies than those detected by telephone interview.
Journal Article > Study
Safer care at home: use of simulation training to improve standards.
Unsworth J, Tuffnell C, Platt A. Br J Community Nurs. 2011;16:334-339.
This pilot project used simulated patient scenarios to educate nurses around triage and management of home care patients, focusing on clinical decision-making for acute problems.
Journal Article > Study
Tragedy into policy: a quantitative study of nurses' attitudes toward patient advocacy activities.
Black LM. Am J Nurs. 2011;111:26-35.
Unsafe injection practices at an endoscopy clinic in Nevada led to more than 100 patients being infected with Hepatitis C. This survey found that many Nevada nurses felt unwilling to report safety problems due to fear of retaliation—a sentiment reported by those who worked at the clinic in question. The original incident and this survey provided stimulus for the passage of subsequent whistleblower protection legislation.
Journal Article > Study
Oncology nurses' perceptions about involving patients in the prevention of chemotherapy administration errors.
Schwappach DLB, Hochreutener MA, Wernli M. Oncol Nurs Forum. 2010;37:E84-E91.
Nurses in this focus group study reported positive experiences with engaging patients in safety efforts.
Journal Article > Commentary
Keeping safety a priority in home care and hospice: one agency's journey.
Mullin L. Home Healthc Nurse. 2010;28:63-70.
This commentary describes one organization's experience using executive safety rounds as a strategy to enhance safety culture and improve communication.
Journal Article > Commentary
Emergency response in outpatient oncology care: improving patient safety.
Schiavone R. Clin J Oncol Nurs. 2009;13:440-442.
This commentary shares how one ambulatory cancer center developed a comprehensive process to respond to emergencies, including a rapid response team.
Journal Article > Commentary
HomeNet: ensuring patient safety with medical device use in the home.
Kaufman D, Weick-Brady M. Home Healthc Nurse. 2009;27:300-307.
This article surveys the main concerns in using medical devices at home and focuses on two initiatives by the US Center for Devices and Radiologic Health that help home health care workers report medical device failures and near misses.
Newspaper/Magazine Article
How safe are patients in primary care?
Carlowe J. Nursing Times. April 28, 2009.
This article focuses on the National Health Service's interest in patient safety in general practice settings and efforts to expand research in this area.
Journal Article > Study
Shifting supervision: implications for safe administration of medication by nursing students.
Reid-Searl K, Moxham L, Walker S, Happell B. J Clin Nurs. 2008;17:2750-2757.
This study interviewed undergraduate nursing students and discovered that inadequate levels of supervision are experienced during medication administration.
Journal Article > Study
Making patients safer: nurses' responses to patient safety alerts.
Lankshear A, Lowson K, Harden J, Lowson P, Saxby RC. J Adv Nurs. 2008;63:567-575.
This study demonstrated that simply designing "system" safeguards fails to prevent errors in subsequent monitoring and implementation. Investigators used three safety alerts, including latex allergy, as markers of how well these alerts were being adopted in practice by bedside nurses.
