U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
2014 ANNUAL PERSPECTIVES
Australia and New Zealand (17)
Central and South America (4)
North America (286)
Clinical Guideline (1)
Journal Article (305)
Newspaper/Magazine Article (54)
Press Release/Announcement (8)
Special or Theme Issue (5)
Epidemiology of Errors and Adverse Events (124)
Active Errors (165)
Latent Errors (45)
Near Miss (13)
Approach to Improving Safety
Quality Improvement Strategies (102)
Legal and Policy Approaches (20)
Error Reporting and Analysis (106)
Communication Improvement (44)
Human Factors Engineering (104)
Specialization of Care (18)
Logistical Approaches (27)
Culture of Safety (21)
Technologic Approaches (106)
Education and Training (80)
Allied Health Services (1)
Health Care Providers (331)
Health Care Executives and Administrators (319)
Non-Health Care Professionals (121)
Setting of Care
Psychiatric Facilities (6)
Residential Facilities (13)
Ambulatory Care (30)
Outpatient Surgery (3)
Patient Transport (4)
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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.
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.
Implementing a safe and reliable process for medication administration.
Richardson B, Bromirski B, Hayden A. Clin Nurse Spec. 2012;26:169-176.
Design for reliability: barcoded medication administration.
Hayden AC, Lanoue ET, Still CJ. Patient Saf Qual Healthc. July/August 2011;8:12-20.
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.
Medication safety initiative in reducing medication errors.
Nguyen EE, Connolly PM, Wong V. J Nurs Care Qual. 2010;25:224-230.
Nursing care quality and adverse events in US hospitals.
Lucero RJ, Lake ET, Aiken LH. J Clin Nurs. 2010;19:2185-2195.
Medication Administration Time Study (MATS): nursing staff performance of medication administration.
Elganzouri ES, Standish CA, Androwich I. J Nurs Adm. 2009;39:204-210.
The application of Aronson's taxonomy to medication errors in nursing.
Johnson M, Young H. J Nurs Care Qual. 2011;26:128-135.
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.
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.
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.
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.
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.
Are interventions to reduce interruptions and errors during medication administration effective?: a systematic review.
Raban MZ, Westbrook JI. BMJ Qual Saf. 2014;23:414-421.
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.
Barcode medication administration work-arounds: a systematic review and implications for nurse executives.
Voshall B, Piscotty R, Lawrence J, Targosz M. J Nurs Adm. 2013;43:530-535.
Time to get off this pig's back?: the human factors aspects of the mismatch between device and real-world knowledge in the health care environment.
Nunnally ME, Bitan Y. J Patient Saf. 2006;2:124-131.
Outcomes of a quality improvement project for educating nurses on medication administration and errors in nursing homes.
Tenhunen ML, Tanner EK, Dahlen R. J Contin Educ Nurs. 2014;45:306-311.
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