Search results for "Nurse Managers"
- Computerized Adverse Event Detection
- Nurse Managers
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Journal Article > Study
Improving adverse drug event detection in critically ill patients through screening intensive care unit transfer summaries.
Anthes AM, Harinstein LM, Smithburger PL, Seybert AL, Kane-Gill SL. Pharmacoepidemiol Drug Saf. 2013;22:510-516.
Medication errors are common when patients are transferred from the intensive care unit (ICU) to regular wards. This study used screening of ICU transfer summaries to detect these errors.
Newspaper/Magazine Article
Scanner beep only means the barcode has been scanned.
ISMP Medication Safety Alert! Acute Care Edition. June 30, 2011;16:1-2.
This article discusses problems associated with overreliance on barcode system audio confirmation and suggests strategies to improve the reliability of electronic medication administration systems.
Journal Article > Study
Bar code medication administration technology: characterization of high-alert medication triggers and clinician workarounds.
Miller DF, Fortier CR, Garrison KL. Ann Pharmacother. 2011;45:162-168.
Bar coding medication administration (BCMA) technology is being widely implemented as a means of preventing medication administration errors, but like many innovations, early experience has yielded both success stories and unintended consequences. This analysis of BCMA implementation at an academic medical center found that potential administration errors were identified by the system, particularly for high-alert medications. However, nurses and pharmacists both engaged in a variety of workarounds that may have compromised the effectiveness of the system. The problem of workarounds has been discussed in prior studies and in an AHRQ WebM&M commentary.
Journal Article > Study
Track, trigger and teamwork: communication of deterioration in acute medical and surgical wards.
Donohue LA, Endacott R. Intensive Crit Care Nurs. 2010;26:10-17.
This qualitative study found that nurses relied on their clinical judgment, rather than formal track and trigger systems, to determine when a patient required urgent assistance.
Journal Article > Study
Improved pain resolution in hospitalized patients through targeting of pain mismanagement as medical error.
Okon TR, Lutz PS, Liang H. J Pain Symptom Manage. 2009;37:1039-1049.
A quality improvement intervention that focused on management of acute pain resulted in both improved pain relief for patients and a reduction in medication errors associated with opioid pain medications.
Journal Article > Commentary
ADEs and automation.
Kloppenborg E, Wheeler TA, Luria J. Nurs Manage. 2009;40:43-47.
This article illustrates how one hospital used automated triggers to collect adverse drug event (ADE) data. The tactic increased event capture and informed priorities for safety improvement work.