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- Quality Improvement Strategies 11
- Specialization of Care 1
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- Device-related Complications 3
- Discontinuities, Gaps, and Hand-Off Problems 4
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- Interruptions and distractions 2
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- Medication Safety 22
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Health Care Executives and Administrators
- Nurse Managers
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- Nurses 35
Non-Health Care Professionals
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Search results for "Nurse Managers"
- Newspaper/Magazine Article
- Nurse Managers
CDC Vital Signs. March 2012:1-4.
This newsletter article and accompanying set of infographics describes strategies to help patients and health care providers prevent health care–associated infections.
ISMP Medication Safety Alert! Acute Care Edition. February 23, 2012;17:1,3-4.
This newsletter piece reviews smart infusion pump errors and makes recommendations to prevent them.
Hayden AC, Lanoue ET, Still CJ. Patient Saf Qual Healthc. July/August 2011;8:12-20.
This piece describes how reliability science can be applied to barcoded medication administration (BCMA) and discusses the results of one hospital's AHRQ-funded BCMA project.
Quick Safety. July 15, 2019;(50):1-4.
This newsletter article discusses nurse burnout and how to reduce conditions that contribute to the problem. Recommendations focus on the role of leadership in fostering resilience, organizational strategies to enhance nurse empowerment, and frontline learning and regular measurement of staff perceptions of their well-being at work.
ISMP Medication Safety Alert! Acute Care Edition. November 1, 2018;23:1-5. November 15, 2018;23:1-5.
Errors in the administration of intravenous medications can result in patient harm. This set of articles discusses the results of a nationwide IV push medication survey. The first article reviews unsafe practices in care delivery as defined by inpatient clinicians. The second article recommends ways to improve practice such as assessment of current practices, use of prefilled syringes, and heightened attention to effective labeling.
Mix-ups between epidural analgesia and IV antibiotics in labor and delivery units continue to cause harm.
ISMP Medication Safety Alert! Acute Care Edition. October 4, 2018;23:1-4.
Increased urgency to prevent maternal mortality has uncovered various factors that diminish safety. This newsletter article reports on incidents involving the accidental misuse of epidural analgesia and intravenous antibiotics in labor and delivery care, describes contributing factors (e.g., health technology missteps, barcoding mistakes, and look-alike medications), and offers improvement strategies to mitigate harm.
MacLean L, Coombs C, Breda K. Nurs Manage. 2016;47:30-34.
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.
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.
Landro L. Wall Street Journal. October. 26, 2015.
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.
Clark C. HealthLeaders Media. June 2015;18:48-50.
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.
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.
Multifaceted initiative to reduce "alarm fatigue" on cardiac unit reduces alarms and increases nurse and patient satisfaction.
Agency for Healthcare Research and Quality. Health Care Innovations Exchange. June 18, 2014.
Clinical alarms have been described as a serious patient safety issue. This article relates how one hospital implemented a series of actions reduce nuisance alarms in a cardiac unit and reports a substantial decrease in audible alerts with no subsequent adverse effects. Interventions included expanding limits for triggering heart rate alarms and collaboration between two nurses to design customized alarm parameters for individual patients.
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.
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.
Shah-Mohammadi AR, Gaunt MJ. PA-PSRS Patient Saf Advis. September 2013;10:85-91.
Analyzing data submitted to the Pennsylvania Patient Safety Reporting System, this piece identifies incidents in which liquid oral medications were administered intravenously and recommends prevention strategies.