AHRQ Patient Safety Network

The Collection > Nurses

PATIENT SAFETY PRIMERS
Nursing and Patient Safety

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Safety Target

•Device-related Complications (49)

•Diagnostic Errors (6)

•Identification Errors (28)

•Discontinuities, Gaps, and Hand-Off Problems (105)

•Fatigue and Sleep Deprivation (22)

•Medication Safety (337)

•Medical Complications (83)

•Nonsurgical Procedural Complications (18)

•Surgical Complications (93)

•Transfusion Complications (1)

•Psychological and Social Complications (26)

Origin/Sponsor

•Asia (26)

•Australia and New Zealand (37)

•Central and South America (3)

Resource Types

•Clinical Guideline (5)

•Journal Article (735)

•Legislation/Regulation (15)

•Meeting/Conference (3)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (71)

•Press Release/Announcement (4)

•Special or Theme Issue (17)

•Tools/Toolkit (12)

•Web Resource (10)

Error Types

•Epidemiology of Errors and Adverse Events (138)

•Active Errors (115)

•Latent Errors (53)

•Near Miss (24)

Approach to Improving Safety

•Quality Improvement Strategies (215)

•Legal and Policy Approaches (34)

•Error Reporting and Analysis (187)

•Communication Improvement (207)

•Human Factors Engineering (122)

•Teamwork (96)

•Specialization of Care (44)

•Logistical Approaches (114)

•Culture of Safety (133)

•Technologic Approaches (125)

•Education and Training (180)

Clinical Areas

•Allied Health Services (3)

•Medicine (452)

•Nursing (530)

•Pharmacy (75)

Target Audience
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Nurses

Setting of Care

•Hospitals (562)

•Psychiatric Facilities (6)

•Residential Facilities (20)

•Ambulatory Care (43)

•Outpatient Surgery (4)

•Patient Transport (4)

1 - 20 of 895

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STUDY

Empowering frontline nurses: a structured intervention enables nurses to improve medication administration accuracy.

Kliger J, Blegen MA, Gootee D, O'Neil E. Jt Comm J Qual Patient Saf. 2009;35:604-612.

STUDY

Association of interruptions with an increased risk and severity of medication administration errors.

Westbrook JI, Woods A, Rob MI, Dunsmuir WTM, Day RO. Arch Intern Med. 2010;170:683-690.

SPECIAL OR THEME ISSUE

CMS 30-minute rule for drug administration needs revision.

ISMP Medication Safety Alert! Acute Care Edition. September 9, 2010;15:1-6.

COMMENTARY

Implementing a safe and reliable process for medication administration.

Richardson B, Bromirski B, Hayden A. Clin Nurse Spec. 2012;26:169-176.

NEWSPAPER/MAGAZINE ARTICLE

Design for reliability: barcoded medication administration.

Hayden AC, Lanoue ET, Still CJ. Patient Saf Qual Healthc. July/August 2011;8:12-20.

STUDY

Nurse interruptions pre- and post-implementation of a point-of-care medication administration system.

Stamp KD, Willis DG. J Nurs Care Qual. 2010;25:231-239.

STUDY

Nursing care quality and adverse events in US hospitals.

Lucero RJ, Lake ET, Aiken LH. J Clin Nurs. 2010;19:2185-2195.

STUDY

Medication Administration Time Study (MATS): nursing staff performance of medication administration.

Elganzouri ES, Standish CA, Androwich I. J Nurs Adm. 2009;39:204-210.

STUDY

The application of Aronson's taxonomy to medication errors in nursing.

Johnson M, Young H. J Nurs Care Qual. 2011;26:128-135.

REVIEW

Work interruptions and their contribution to medication administration errors: an evidence review.

Biron AD, Loiselle CG, Lavoie-Tremblay M. Worldviews Evid Based Nurs. 2009;6:70-86.

NEWSPAPER/MAGAZINE ARTICLE

Guidelines for timely medication administration: response to the CMS "30-minute rule."

ISMP Medication Safety Alert! Acute Care Edition. January 13, 2011;16:1-4.

STUDY

Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station.

Colligan L, Guerlain S, Steck SE, Hoke TR. BMJ Qual Saf. 2012;21:939-947.

STUDY

Adverse drug events in hospitalized cardiac patients.

Fanikos J, Cina JL, Baroletti S, Fiumara K, Matta L, Goldhaber SZ. Am J Cardiol. 2007;100:1465-1469.

STUDY

Effects of technological interventions on the safety of a medication-use system.

Skibinski KA, White BA, Lin LI, Dong Y, Wu W. Am J Health Syst Pharm. 2007;64:90-96.

STUDY

Going blank: factors contributing to interruptions to nurses' work and related outcomes.

Hall LM, Ferguson-Paré M, Peter E, et al. J Nurs Manag. 2010;18:1040-1047.

COMMENTARY

Using simulation to teach nursing students and licensed clinicians obstetric emergencies.

Alderman JT. MCN Am J Matern Child Nurs. 2012;37:394-400.

STUDY

A case of mistaken identity: staff input on patient ID errors.

Ortiz J, Amatucci C. Nurs Manage. April 2009;4:37-41.

COMMENTARY

Nursing student medication errors: a case study using root cause analysis.

Dolansky MA, Druschel K, Helba M, Courtney K. J Prof Nurs. 2013;29:102-108.

STUDY

The impact of traditional and smart pump infusion technology on nurse medication administration performance in a simulated inpatient unit.

Trbovich PL, Pinkney S, Cafazzo JA, Easty AC. Qual Saf Health Care. 2010;19:430-434.

STUDY

Patient perceptions of missed nursing care.

Kalisch BJ, McLaughlin M, Dabney BW. Jt Comm J Qual Patient Saf. 2012;38:161-167.

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