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- Communication Improvement 1
- Error Reporting and Analysis 1
- Human Factors Engineering 3
- Quality Improvement Strategies 1
- Technologic Approaches 2
- Alert fatigue 1
- Device-related Complications 1
- Medical Complications 1
- Medication Safety 3
- Surgical Complications 2
Search results for "Nurses"
Journal Article > Study
Computerized dose range checking using hard and soft stop alerts reduces prescribing errors in a pediatric intensive care unit.
Balasuriya L, Vyles D, Bakerman P, et al. J Patient Saf. 2017;13:144-148.
This before-and-after study found that introduction of a tiered alert system for medication dosages in pediatric patients led to an increase in alerts, but also resulted in fewer overridden alerts and more medication order revisions. This work emphasizes the need to improve electronic medication alerts to make them more actionable and reduce alert fatigue.
Journal Article > Review
Effectiveness of the surgical safety checklist in correcting errors: a literature review applying Reason's Swiss cheese model.
Collins SJ, Newhouse R, Porter J, Talsma A. AORN J. 2014;100:65-79.
Organizations including The Joint Commission, the World Health Organization, and the Centers for Medicare and Medicaid Services have focused on improving surgical safety. Using Reason's Swiss cheese model, this review analyzes the evidence for surgical checklist implementation to determine its usefulness in preventing wrong-site surgery and recommends tactics to address weaknesses.
Galli BJ, Riebling N, Paraso C, Lehmann G, Yule M. Patient Saf Qual Healthc. July/August 2013;10:36-41.
Journal Article > Study
Using ORA to explore the relationship of nursing unit communication to patient safety and quality outcomes.
Effken JA, Carley KM, Gephart S, et al. Int J Med Inform. 2011;80:507-517.
Social network analysis, a method of analyzing communication patterns between individuals or organizations, is an increasingly popular method for studying group dynamics. This study used a related tool, dynamic network analysis, to examine communication on inpatient nursing units and its correlation with safety.
Cases & Commentaries
- Spotlight Case
- Web M&M
Richard H. White, MD ; July-August 2005
An intern increases a patient's warfarin dosage nightly based on subtherapeutic INR levels drawn each morning; after several days, the patient develops potentially life-threatening bleeding.