AHRQ Patient Safety Network

The Collection > Medical/Surgical/Psychiatric Nursing

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Safety Target

•Device-related Complications (3)

•Diagnostic Errors (1)

•Identification Errors (3)

•Discontinuities, Gaps, and Hand-Off Problems (8)

•Medication Safety (32)

•Medical Complications (11)

•Surgical Complications (30)

•Psychological and Social Complications (5)

Origin/Sponsor

•Asia (2)

•Australia and New Zealand (3)

•Europe (13)

•North America (60)

Resource Types

•Audiovisual (1)

•Clinical Guideline (1)

•Journal Article (66)

•Legislation/Regulation (2)

•Newspaper/Magazine Article (6)

•Special or Theme Issue (2)

•Tools/Toolkit (1)

•Web Resource (1)

Error Types

•Epidemiology of Errors and Adverse Events (21)

•Active Errors (15)

•Latent Errors (3)

•Near Miss (3)

Approach to Improving Safety

•Quality Improvement Strategies (18)

•Legal and Policy Approaches (2)

•Error Reporting and Analysis (13)

•Communication Improvement (25)

•Human Factors Engineering (14)

•Teamwork (17)

•Logistical Approaches (11)

•Culture of Safety (16)

•Technologic Approaches (10)

•Education and Training (15)

Clinical Areas
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Medical/Surgical/Psychiatric Nursing

Target Audience

•Health Care Providers (69)

•Health Care Executives and Administrators (70)

•Non-Health Care Professionals (28)

•Patients (2)

Setting of Care

•Hospitals (68)

•Psychiatric Facilities (4)

•Residential Facilities (1)

•Ambulatory Care (1)

•Outpatient Surgery (2)

1 - 20 of 80

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STUDY

Prevalence of medication administration errors in two medical units with automated prescription and dispensing.

Rodriguez-Gonzalez CG, Herranz-Alonso A, Martin-Barbero ML, et al. J Am Med Inform Assoc. 2012;19:72-78.

STUDY

The incidence and nature of prescribing and medication administration errors in paediatric inpatients.

Ghaleb MA, Barber N, Franklin BD, Wong ICK. Arch Dis Child. 2010;95:113-118.

STUDY

Prioritising the prevention of medication handling errors.

Bertsche T, Niemann D, Mayer Y, Ingram K, Hoppe-Tichy T, Haefeli WE. Pharm World Sci. 2008;30:907-915.

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

Impact of barcode medication administration technology on how nurses spend their time providing patient care.

Poon EG, Keohane CA, Bane A, et al. J Nurs Adm. 2008;38:541-549.

STUDY

Reducing interruptions to improve medication safety.

Freeman R, McKee S, Lee-Lehner B, Pesenecker J. J Nurs Care Qual. 2013;28:176-185.

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

An observational study of medication administration errors in old-age psychiatric inpatients.

Haw C, Stubbs J, Dickens G. Int J Qual Health Care. 2007;19:210-216.

STUDY

Bar code medication administration technology: characterization of high-alert medication triggers and clinician workarounds.

Miller DF, Fortier CR, Garrison KL. Ann Pharmacother. 2011;45:162-168.

COMMENTARY

The Result Stopped Here.

Astion M. AHRQ WebM&M [serial online]. June 2004.

STUDY

Nurses' satisfaction with medication administration point-of-care technology.

Hurley AC, Bane A, Fotakis S, et al. J Nurs Adm. 2007;37:343-349.

STUDY

Nurses' clinical reasoning: processes and practices of medication safety.

Dickson GL, Flynn L. Qual Health Res. 2012;22:3-16.

SPECIAL OR THEME ISSUE

SafetyNet: Lessons Learned from Close Calls in the OR.

AORN J. 2006;84(suppl 1):S1-S63.

STUDY

Priority patient safety issues identified by perioperative nurses.

Steelman VM, Graling PR, Perkhounkova Y. AORN J. 2013;97:402-418.

STUDY

Enhancing patient safety with intelligent intravenous infusion devices: experience in a specialty cardiac hospital.

Wood JL, Burnette JS. Heart Lung. 2012;41:173-176.

STUDY

Effects of learning climate and registered nurse staffing on medication errors.

Chang Y, Mark B. Nurs Res. 2011;60:32-39.

STUDY

Interruptions and miscommunications in surgery: an observational study.

Gillespie BM, Chaboyer W, Fairweather N. AORN J. 2012;95:576-590.

REVIEW

Enhancing communication in surgery through team training interventions: a systematic literature review.

Gillespie BM, Chaboyer W, Murray P. AORN J. 2010;92:642-657.

STUDY

Improving patient safety by understanding past experiences in day surgery and PACU.

Ross J, Ranum D. J Perianesth Nurs. 2009;24:144-151.

ORGANIZATIONAL POLICY/GUIDELINES

AORN Guidance Statement: Safe Medication Practices in Perioperative Settings Across the Life Span.

AORN J. 2006;84:276-278, 280-283.

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