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PATIENT SAFETY PRIMERS
Nursing and Patient Safety
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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.
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.
STUDYclassic
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.
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
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.
REVIEW
Fall prevention in hospitals: an integrative review.
Spoelstra SL, Given BA, Given CW. Clin Nurs Res. 2012;21:92-112.
STUDY
Do nurse and patient injuries share common antecedents? An analysis of associations with safety climate and working conditions.
Taylor JA, Dominici F, Agnew J, Gerwin D, Morlock L, Miller MR. BMJ Qual Saf. 2012;21:101-111.
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.
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
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.
REVIEW
Are interventions to reduce interruptions and errors during medication administration effective?: a systematic review.
Raban MZ, Westbrook JI. BMJ Qual Saf. 2013 Aug 26; [Epub ahead of print].
STUDY
A case of mistaken identity: staff input on patient ID errors.
Ortiz J, Amatucci C. Nurs Manage. April 2009;4:37-41.
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