Narrow Results Clear All
- Communication Improvement 12
- Culture of Safety 3
- Education and Training 7
- Error Reporting and Analysis 6
- Human Factors Engineering 3
- Legal and Policy Approaches 5
- Logistical Approaches 4
- Quality Improvement Strategies 12
- Teamwork 2
- Technologic Approaches 4
- Device-related Complications 3
- Discontinuities, Gaps, and Hand-Off Problems 5
- Fatigue and Sleep Deprivation 2
- Identification Errors 4
- Medical Complications 1
- Medication Errors/Preventable Adverse Drug Events 7
- MRI safety 1
- Psychological and Social Complications 3
- Surgical Complications 7
- Medicine 20
- Nursing 11
- Pharmacy 5
- Family Members and Caregivers 6
- Health Care Executives and Administrators 26
Health Care Providers
- Physicians 20
Non-Health Care Professionals
- Media 1
Search results for "Nurses"
Ungar L. USA Today. February 1, 2015.
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.
Web Resource > Multi-use Website
AORN, Inc., 2170 South Parker Rd, Suite 300, Denver, CO 80231-5711.
This site hosts a guideline collection as a part of the Association of PeriOperative Registered Nurses' (AORN) patient safety initiative targeting the needs of perioperative registered nurses. It develops new guidelines related to patient safety issues (such as medication safety and prevention of retained surgical items) and helps health care professionals ensure that best practices are followed.
Robbins A. Good Housekeeping. May 20, 2016.
Disruptive behaviors are receiving increased attention as a cultural factor that contributes to medical error. Although much of the focus has been on physicians, the presence of bullying among nurses is also a concern. This magazine article explores nurse behaviors such as withholding information, intimidation, and name calling that negatively affect patient safety and nurse retention.
Journal Article > Study
The Ask Me to Explain campaign: a 90-day intervention to promote patient and family involvement in care in a pediatric emergency department.
Tothy AS, Limper HM, Driscoll J, Bittick N, Howell MD. Jt Comm J Qual Patient Saf. 2016;42:281-286.
This study reports on efforts to enhance communication between clinicians and patients in an urban pediatric emergency department. A rapid-change project resulted in significant improvement in patient perceptions of communication—clinicians were perceived as being more sensitive to patients' concerns and displayed better listening behaviors. Poor discharge communication in the emergency department has been linked to safety concerns in prior studies.
Yu A. Health Shots. National Public Radio. April 15, 2016.
Many health care professionals exhibit symptoms of burnout, which may impair their ability to maintain safe practices and detect potential errors. This news article explores organizational factors that contribute to nurse burnout, including low staffing and increased workloads due to electronic health record implementation.
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. 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.
Tools/Toolkit > Multi-use Website
Rockville, MD: Agency for Healthcare Research and Quality; June 2013.
Studies have shown that a surprisingly large proportion of hospitalized patients are not aware of their diagnoses or treatment plan and that their preferences are often not taken into account in advanced care planning. This failure to provide patient-centered care indicates a need for increased patient engagement in safety and quality efforts. This toolkit published by the Agency for Healthcare Research and Quality is designed to help hospitals develop partnerships with patients around improving safety. Developed with input from clinicians and patients, the guide emphasizes four strategies—working with patients as advisors, improving bedside communication, integrating patients and families into shift changes, and using patient input to improve the discharge process. An AHRQ WebM&M perspective by Dr. Saul Weingart discusses the practical challenges of engaging patients in improvement efforts.
Journal Article > Study
Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States.
Aiken LH, Sermeus W, Van den Heede K, et al. BMJ. 2012;344:e1717.
Seminal studies in the United States have shown strong associations between nurses' working conditions and patient safety, with high patient-to-nurse ratios and greater patient turnover being linked to increased mortality. This multinational survey of nurses and patients found that improved nurse work environments and reduced patient-to-nurse ratios were linked to better perceptions of quality and patient satisfaction. Moderately strong correlations were found between patient satisfaction and nursing reports of care quality, although there were wide variations in both measures across different countries. This study lends additional support to the view that improving the work environment for nurses can strengthen patient safety.
Journal Article > Commentary
Condition concern: an innovative response system for enhancing hospitalized patient care and safety.
Baird SK, Turbin LB. J Nurs Care Qual. 2011;26:199-207.
This commentary describes the design, launch, and impact of a program that enabled patients and families to report clinical care and safety issues.
Journal Article > Commentary
Griffin T. J Perinat Neonatal Nurs. 2010;24:348-353.
This commentary describes nurse change-of-shift reports as a tactic to improve communication with patients and families to promote safe care.
US News & World Report. July 3, 2008.
This article discusses the findings of a recent study that reported deficiencies in barcode systems requiring numerous overrides and "workarounds" by nurses.
FDA Public Health Advisory. Silver Spring, MD: US Food and Drug Administration; December 21, 2007.
This Food and Drug Administration public health advisory alerts health care professionals, patients, and their caregivers to the possibility for overdoses of fentanyl in patients using fentanyl skin patches for pain control.
Feinmann J. The Independent. November 14, 2006.
This article reports on a husband's investigation into his wife's death following a routine surgery and his subsequent efforts to bring human factors training to National Health Service hospitals.
Wahlberg D, Treleven E. Wisconsin State Journal. November 3, 2006:A1.
This article reports on criminal charges brought against a nurse after she committed a medication error.
Journal Article > Commentary
The author explains the Joint Commission on Accreditation of Healthcare Organizations' Universal Protocol on surgical site verification in the context of its implementation in a New Jersey hospital.
Foreman J. Los Angeles Times. September 4, 2006:F3.
This article describes what patients can do to minimize opportunities for medication error.
Chun D. Gainsville Sun. August 21, 2006.
This article describes a computerized drug ordering and dispensing system at a Florida hospital.
Landro L. Wall Street Journal. July 12, 2006:D1. [Reprinted on Post-gazette.com].
This article reports on efforts to reduce use of certain medications and instruments that can cause harm during labor and delivery.