PMID- 23460097

OWN - NLM
STAT- MEDLINE
DCOM- 20130426
LR - 20181202
IS - 1539-3704 (Electronic)
IS - 0003-4819 (Linking)
VI - 158
IP - 5 Pt 2
DP - 2013 Mar 5
TI - Nurse-patient ratios as a patient safety strategy: a systematic review.
PG - 404-9
LID - 10.7326/0003-4819-158-5-201303051-00007 [doi]
AB - A small percentage of patients die during hospitalization or shortly
thereafter, and
it is widely believed that more or better nursing care could prevent some of
these
deaths. The author systematically reviewed the evidence about nurse staffing
ratios
and in-hospital death through September 2012. From 550 titles, 87 articles
were
reviewed and 15 new studies that augmented the 2 existing reviews were
selected. The
strongest evidence supporting a causal relationship between higher nurse
staffing
levels and decreased inpatient mortality comes from a longitudinal study in a
single
hospital that carefully accounted for nurse staffing and patient comorbid
conditions
and a meta-analysis that found a "dose-response relationship" in
observational
studies of nurse staffing and death. No studies reported any serious harms
associated with an increase in nurse staffing. Limiting any stronger
conclusions is
the lack of an evaluation of an intervention to increase nurse staffing
ratios. The
formal costs of increasing the nurse-patient ratio cannot be calculated
because
there has been no evaluation of an intentional change in nurse staffing to
improve
patient outcomes.
FAU - Shekelle, Paul G
AU - Shekelle PG
AD - RAND Corporation, 1776 Main Street, Santa Monica, CA 90401, USA.
shekelle@rand.org
LA - eng
GR - HHSA-290-2007-10062I/PHS HHS/United States
PT - Journal Article
PT - Research Support, U.S. Gov't, P.H.S.
PT - Review
PT - Systematic Review
PL - United States
TA - Ann Intern Med
JT - Annals of internal medicine
JID - 0372351
SB - AIM
SB - IM
MH - Cost-Benefit Analysis
MH - Hospital Costs
MH - *Hospital Mortality
MH - Humans
MH - *Inpatients
MH - Nursing Staff, Hospital/economics/*supply & distribution
MH - Patient Safety/*standards
MH - *Personnel Staffing and Scheduling
MH - *Quality of Health Care
MH - Risk Assessment
EDAT- 2013/03/06 06:00
MHDA- 2013/04/27 06:00
CRDT- 2013/03/06 06:00
PHST- 2013/03/06 06:00 [entrez]
PHST- 2013/03/06 06:00 [pubmed]
PHST- 2013/04/27 06:00 [medline]
AID - 1656445 [pii]
AID - 10.7326/0003-4819-158-5-201303051-00007 [doi]
PST - ppublish
SO - Ann Intern Med. 2013 Mar 5;158(5 Pt 2):404-9. doi:
10.7326/0003-4819-158-5-201303051-00007.

PMID- 28802348
OWN - NLM
STAT- MEDLINE
DCOM- 20180507
LR - 20180904
IS - 1557-9840 (Electronic)
IS - 0095-5108 (Linking)
VI - 44
IP - 3
DP - 2017 Sep
TI - Alarm Safety and Alarm Fatigue.
PG - 713-728
LID - S0095-5108(17)30049-0 [pii]
LID - 10.1016/j.clp.2017.05.005 [doi]
AB - Clinical alarm systems have received significant attention in recent years
following
warnings from hospital accrediting and health care technology organizations
regarding patient harm caused by unsafe practices. Alarm desensitization or
fatigue
from frequent, false, or unnecessary alarms, has led to serious events and
even
patient deaths. Other concerns include settings inappropriate to patient
population
or condition, inadequate staff training, and improper use or disabling.
Research on
human factors in alarm response and of functionality of medical devices will
help
clinicians develop appropriate policies, practices, and device settings for
clinical
alarms in neonatal intensive care units.
CI - Copyright © 2017 Elsevier Inc. All rights reserved.
FAU - Johnson, Kendall R
AU - Johnson KR
AD - Department of Pediatrics, University of Connecticut School of Medicine, 263
Farmington Avenue, Farmington, CT 06030, USA; Division of Neonatology,
Connecticut
Children's Medical Center, 282 Washington Street, Hartford, CT 06106, USA.
FAU - Hagadorn, James I
AU - Hagadorn JI
AD - Department of Pediatrics, University of Connecticut School of Medicine, 263
Farmington Avenue, Farmington, CT 06030, USA; Division of Neonatology,
Connecticut
Children's Medical Center, 282 Washington Street, Hartford, CT 06106, USA.
FAU - Sink, David W
AU - Sink DW
AD - Department of Pediatrics, University of Connecticut School of Medicine, 263
Farmington Avenue, Farmington, CT 06030, USA; Division of Neonatology,
Connecticut
Children's Medical Center, 282 Washington Street, Hartford, CT 06106, USA.
Electronic address: dsink@connecticutchildrens.org.
LA - eng
PT - Journal Article
PT - Review
DEP - 20170714
PL - United States
TA - Clin Perinatol
JT - Clinics in perinatology
JID - 7501306
SB - IM
MH - *Alert Fatigue, Health Personnel
MH - *Clinical Alarms
MH - Humans
MH - *Intensive Care Units, Neonatal
MH - *Quality Improvement
OTO - NOTNLM
OT - *Alarm fatigue
OT - *Alarm safety
OT - *Clinical alarms
OT - *Neonatal intensive care
OT - *Quality improvement
EDAT- 2017/08/15 06:00
MHDA- 2018/05/08 06:00
CRDT- 2017/08/14 06:00
PHST- 2017/08/14 06:00 [entrez]
PHST- 2017/08/15 06:00 [pubmed]
PHST- 2018/05/08 06:00 [medline]
AID - S0095-5108(17)30049-0 [pii]
AID - 10.1016/j.clp.2017.05.005 [doi]
PST - ppublish
SO - Clin Perinatol. 2017 Sep;44(3):713-728. doi: 10.1016/j.clp.2017.05.005. Epub
2017
Jul 14.

PMID- 30929887
OWN - NLM
STAT- MEDLINE
DCOM- 20191202
LR - 20191202
IS - 1879-8853 (Electronic)
IS - 0749-0690 (Linking)
VI - 35
IP - 2
DP - 2019 May
TI - Redesigning a Fall Prevention Program in Acute Care: Building on Evidence.
PG - 265-271
LID - S0749-0690(19)30007-2 [pii]
LID - 10.1016/j.cger.2019.01.006 [doi]
AB - Through education, frontline nurse involvement, and redesigning fall
prevention
approach, hourly rounding was promoted as a proactive falls prevention
strategy with
the goal of decreasing falls and promoting patient safety, health, and
comfort.
Nurses in health care organizations increase patient safety and reduce
patient falls
in the hospital setting through hourly rounding with a purpose. Current
practices
must be redesigned to ensure that acute care fall prevention initiatives are
consistent and transformational.
CI - Copyright © 2019 Elsevier Inc. All rights reserved.
FAU - Fridman, Viktoriya
AU - Fridman V
AD - Hunter-Bellevue School of Nursing, New York, NY, USA. Electronic address:
viktoriya.fridman@hunter.cuny.edu.
LA - eng
PT - Journal Article
PT - Review
DEP - 20190301
PL - United States
TA - Clin Geriatr Med
JT - Clinics in geriatric medicine
JID - 8603766
SB - IM
MH - Accident Prevention/*methods
MH - Accidental Falls/*prevention & control
MH - Aged
MH - Aged, 80 and over
MH - Evidence-Based Medicine
MH - *Hospitalization
MH - Humans
OTO - NOTNLM
OT - *Fall prevention
OT - *Patient safety
OT - *Purposeful rounding
OT - *Toileting
EDAT- 2019/04/02 06:00
MHDA- 2019/12/04 06:00
CRDT- 2019/04/02 06:00
PHST- 2019/04/02 06:00 [entrez]
PHST- 2019/04/02 06:00 [pubmed]
PHST- 2019/12/04 06:00 [medline]
AID - S0749-0690(19)30007-2 [pii]
AID - 10.1016/j.cger.2019.01.006 [doi]
PST - ppublish
SO - Clin Geriatr Med. 2019 May;35(2):265-271. doi: 10.1016/j.cger.2019.01.006.
Epub 2019
Mar 1.

PMID- 24583952
OWN - NLM
STAT- MEDLINE
DCOM- 20160315
LR - 20181202
IS - 1549-8425 (Electronic)
IS - 1549-8417 (Linking)
VI - 11
IP - 3
DP - 2015 Sep
TI - The Relationship Between Patient Safety Culture and Patient Outcomes: A
Systematic
Review.
PG - 135-42
LID - 10.1097/PTS.0000000000000058 [doi]
AB - CONTEXT: In the past 13 years since the Institute of Medicine report, To Err
is
Human, was published, considerable attention was placed on the relationship
between
patient safety culture and patient outcomes. Research to understand this
relationship has been conducted; however, now, it is important to
systematically
review these studies to determine if there are tools, levels of measure and
outcomes
that have been shown to result in significant correlations. OBJECTIVE: The
purpose
of this review is to evaluate the state of research connecting patient safety

culture and patient outcomes to determine nurse-sensitive patient outcomes

that have
been significantly correlated to culture of safety and commonly used tools to

measure culture of safety in the studies with significant correlations. DATA

SOURCES: Published English only research articles were considered for the
review.
Only studies that directly measured patient outcomes in relationship to
patient
safety culture in hospitals involving registered nurses as a participant were

included. RESULTS: Evidence of relationships between patient safety culture

and
patient outcomes exist at the hospital and nursing unit level of analysis;
however,
the number of studies finding statistically significant correlations
particularly
using nurse-sensitive outcomes is limited. CONCLUSIONS: The findings from
this
review suggest that there are emerging trends indicating that the specific
patient
safety culture measurement tools, the level of analysis, and selection of
outcome
measures are important considerations in study design. More research is
needed to
determine interventions that improve patient safety culture and outcomes.
FAU - DiCuccio, Margaret Hardt
AU - DiCuccio MH
AD - From the University of Pittsburgh Medical Center Mercy, Pittsburgh,
Pennsylvania.
LA - eng
PT - Journal Article
PT - Review
PT - Systematic Review
PL - United States
TA - J Patient Saf
JT - Journal of patient safety
JID - 101233393
SB - IM
MH - England
MH - Humans
MH - *Organizational Culture
MH - *Patient Outcome Assessment
MH - Patient Safety/*standards
MH - Practice Patterns, Nurses'
MH - Safety Management/*standards/trends
EDAT- 2014/03/04 06:00
MHDA- 2016/03/16 06:00
CRDT- 2014/03/04 06:00
PHST- 2014/03/04 06:00 [entrez]
PHST- 2014/03/04 06:00 [pubmed]
PHST- 2016/03/16 06:00 [medline]
AID - 10.1097/PTS.0000000000000058 [doi]
PST - ppublish
SO - J Patient Saf. 2015 Sep;11(3):135-42. doi: 10.1097/PTS.0000000000000058.

PMID- 26010281
OWN - NLM
STAT- MEDLINE
DCOM- 20150803
LR - 20151119
IS - 1539-0721 (Electronic)
IS - 0002-0443 (Linking)
VI - 45
IP - 6
DP - 2015 Jun
TI - Leadership style and patient safety: implications for nurse managers.
PG - 319-24
LID - 10.1097/NNA.0000000000000207 [doi]
AB - OBJECTIVE: The purpose of this study was to explore the relationship between
nurse
manager (NM) leadership style and safety climate. BACKGROUND: Nursing leaders
are
needed who will change the environment and increase patient safety. Hospital
NMs are
positioned to impact day-to-day operations. Therefore, it is essential to
inform
nurse executives regarding the impact of leadership style on patient safety.
METHODS: A descriptive correlational study was conducted in 41 nursing
departments
across 9 hospitals. The hospital unit safety climate survey and
multifactorial
leadership questionnaire were completed by 466 staff nurses. Bivariate and
regression analyses were conducted to determine how well leadership style
predicted
safety climate. RESULTS: Transformational leadership style was demonstrated
as a
positive contributor to safety climate, whereas laissez-faire leadership
style was
shown to negatively contribute to unit socialization and a culture of blame.
CONCLUSIONS: Nursing leaders must concentrate on developing transformational
leadership skills while also diminishing negative leadership styles.
FAU - Merrill, Katreena Collette
AU - Merrill KC
AD - Author Affiliation: Assistant Professor, Brigham Young University, Provo,
Utah.
LA - eng
PT - Journal Article
PT - Research Support, Non-U.S. Gov't
PL - United States
TA - J Nurs Adm
JT - The Journal of nursing administration
JID - 1263116
SB - AIM
SB - IM
SB - N
MH - Adult
MH - *Attitude of Health Personnel
MH - Data Collection
MH - Female
MH - Humans
MH - *Leadership
MH - Male
MH - Middle Aged
MH - Nurse Administrators/*organization & administration
MH - Nursing Staff, Hospital/*organization & administration
MH - Organizational Culture
MH - Organizational Objectives
MH - *Patient Safety
MH - Statistics as Topic
MH - Surveys and Questionnaires
MH - United States
EDAT- 2015/05/27 06:00
MHDA- 2015/08/04 06:00
CRDT- 2015/05/27 06:00
PHST- 2015/05/27 06:00 [entrez]
PHST- 2015/05/27 06:00 [pubmed]
PHST- 2015/08/04 06:00 [medline]
AID - 00005110-201506000-00008 [pii]
AID - 10.1097/NNA.0000000000000207 [doi]
PST - ppublish
SO - J Nurs Adm. 2015 Jun;45(6):319-24. doi: 10.1097/NNA.0000000000000207.

PMID- 29871729
OWN - NLM
STAT- MEDLINE
DCOM- 20190923
LR - 20190923
IS - 1078-4535 (Print)
IS - 1078-4535 (Linking)
VI - 24
IP - 2
DP - 2018 May 1
TI - SBAR Tool Implementation to Advance Communication, Teamwork, and the
Perception of
Patient Safety Culture.
PG - 116-123
LID - 10.1891/1078-4535.24.2.116 [doi]
AB - Current evidence reveals that surgical patients are more prone to adverse
events
when compared to any other population in the acute care setting. In a
military
training hospital, handoff communication between surgical intensive care unit
(SICU)
nurses, physicians, and anesthesia providers (certified registered nurse
anesthetists and anesthesiologists) about patients being prepared for surgery
was
identified as a problem by an initial inquiry of the staff. This article
discusses
an evidence-based project (EBP) that utilized a standardized
multidisciplinary
Situation, Background, Assessment, Recommendation (SBAR) tool to improve
communication, teamwork, and the perception of a patient safety culture
between the
SICU nurses and physicians and the anesthesia providers in preparation for
surgery.
The SICU and anesthesia departments received training on the SBAR tool,
followed by
a 7-week implementation period. Standardized handoff communication utilizing
the
SBAR method increased by 100%, and documentation of intraoperative
antibiotics on
the electronic medication administration record increased by 43%.
Postimplementation
results from the Agency for Healthcare Research and Quality Hospital Survey
on
Patient Safety Culture surpassed database benchmarks for handoffs and
transitions,
overall perception of patient safety culture, and teamwork across units. This

project reinforced current evidence supporting the use of standardized

handoff
communication.
FAU - Bonds, Raymond L
AU - Bonds RL
LA - eng
PT - Journal Article
PL - United States
TA - Creat Nurs
JT - Creative nursing
JID - 9505022
SB - N
MH - Adult
MH - Anesthesiologists/*psychology
MH - Female
MH - Humans
MH - *Interdisciplinary Communication
MH - *Intersectoral Collaboration
MH - Male
MH - Middle Aged
MH - Nursing Staff, Hospital/*psychology
MH - *Patient Handoff
MH - Patient Safety
MH - Physicians/*psychology
MH - Safety Management
EDAT- 2018/06/07 06:00
MHDA- 2019/09/24 06:00
CRDT- 2018/06/07 06:00
PHST- 2018/06/07 06:00 [entrez]
PHST- 2018/06/07 06:00 [pubmed]
PHST- 2019/09/24 06:00 [medline]
AID - 10.1891/1078-4535.24.2.116 [doi]
PST - ppublish
SO - Creat Nurs. 2018 May 1;24(2):116-123. doi: 10.1891/1078-4535.24.2.116.

PMID- 29889724
OWN - NLM
STAT- MEDLINE
DCOM- 20190204
LR - 20200102
IS - 1550-5065 (Electronic)
IS - 1057-3631 (Print)
IS - 1057-3631 (Linking)
VI - 34
IP - 1
DP - 2019 Jan/Mar
TI - Association of Nurse Engagement and Nurse Staffing on Patient Safety.
PG - 40-46
LID - 10.1097/NCQ.0000000000000334 [doi]
AB - BACKGROUND: Nurse engagement is a modifiable element of the work environment
and has
shown promise as a potential safety intervention. PURPOSE: Our study examined
the
relationship between the level of engagement, staffing, and assessments of
patient
safety among nurses working in hospital settings. METHODS: A secondary
analysis of
linked cross-sectional data was conducted using survey data of 26 960 nurses
across
599 hospitals in 4 states. Logistic regression models were used to examine
the
association between nurse engagement, staffing, and nurse assessments of
patient
safety. RESULTS: Thirty-two percent of nurses gave their hospital a poor or
failing
patient safety grade. In 25% of hospitals, nurses fell in the least or only
somewhat
engaged categories. A 1-unit increase in engagement lowered the odds of an
unfavorable safety grade by 29% (P < .001). Hospitals where nurses reported
higher
levels of engagement were 19% (P < .001) less likely to report that mistakes
were
held against them. Nurses in poorly staffed hospitals were 6% more likely to
report
that important information about patients "fell through the cracks" when
transferring patients across units (P < .001). CONCLUSIONS: Interventions to
improve
nurse engagement and adequate staffing serve as strategies to improve patient

safety.
FAU - Brooks Carthon, J Margo
AU - Brooks Carthon JM
AD - Center for Health Outcomes and Policy Research, and School of Nursing,
University of
Pennsylvania, Philadelphia (Drs Brooks Carthon, Hatfield and Aiken and Messrs

Dierkes and Plover); Pennsylvania Hospital, Philadelphia (Dr Hatfield, Mss

Sanders
and Del Guidice and Mr Visco); and Penn Presbyterian Medical Center,
Philadelphia,
Pennsylvania (Dr Holland, Messrs Davis and Ballinghoff, and Ms Hedgeland).
FAU - Hatfield, Linda
AU - Hatfield L
FAU - Plover, Colin
AU - Plover C
FAU - Dierkes, Andrew
AU - Dierkes A
FAU - Davis, Lawrence
AU - Davis L
FAU - Hedgeland, Taylor
AU - Hedgeland T
FAU - Sanders, Anne Marie
AU - Sanders AM
FAU - Visco, Frank
AU - Visco F
FAU - Holland, Sara
AU - Holland S
FAU - Ballinghoff, Jim
AU - Ballinghoff J
FAU - Del Guidice, Mary
AU - Del Guidice M
FAU - Aiken, Linda H
AU - Aiken LH
LA - eng
GR - R01 NR004513/NR/NINR NIH HHS/United States
GR - R01 NR014855/NR/NINR NIH HHS/United States
GR - T32 NR007104/NR/NINR NIH HHS/United States
PT - Journal Article
TA - J Nurs Care Qual
JT - Journal of nursing care quality
JID - 9200672
SB - IM
SB - N
MH - Cross-Sectional Studies
MH - Hospitals
MH - Humans
MH - Nursing Staff, Hospital/psychology/*supply & distribution
MH - *Patient Safety
MH - *Personnel Staffing and Scheduling
MH - Quality of Health Care/*statistics & numerical data
MH - Surveys and Questionnaires
MH - Workplace/psychology
PMC - PMC6263830
MID - NIHMS953218
COIS- The authors declare no conflicts of interest.
EDAT- 2018/06/12 06:00
MHDA- 2019/02/05 06:00
CRDT- 2018/06/12 06:00
PHST- 2018/06/12 06:00 [pubmed]
PHST- 2019/02/05 06:00 [medline]
PHST- 2018/06/12 06:00 [entrez]
AID - 10.1097/NCQ.0000000000000334 [doi]
PST - ppublish
SO - J Nurs Care Qual. 2019 Jan/Mar;34(1):40-46. doi:
10.1097/NCQ.0000000000000334.

PMID- 26913812
OWN - NLM
STAT- MEDLINE
DCOM- 20170103
LR - 20181202
IS - 1365-2710 (Electronic)
IS - 0269-4727 (Linking)
VI - 41
IP - 2
DP - 2016 Apr
TI - Pharmacy-led medication reconciliation programmes at hospital transitions: a
systematic review and meta-analysis.
PG - 128-44
LID - 10.1111/jcpt.12364 [doi]
AB - WHAT IS KNOWN AND OBJECTIVE: Medication reconciliation is recognized as an
important
tool for the prevention of medication discrepancies and subsequent patient
harm at
care transitions. However, there is inconclusive evidence as to the impact of

medication reconciliation at hospital transitions overall, as well as

pharmacy-led
medication reconciliation services. This review sought to evaluate the impact
of
pharmacy-led medication reconciliation interventions on medication
discrepancies at
hospital transitions and to categorize these interventions as single
transition
interventions or multiple transitions interventions. METHODS: PubMed,
MEDLINE,
EMBASE, IPA, CINHAL and PsycINFO databases, inclusive from inception to
December
2014, were searched. Included studies were published studies in English that
compared the effectiveness of pharmacy-led medication reconciliation
interventions
to usual care and that aimed to assess medication discrepancies at hospital
transitions. 'Usual care' was defined as any care where targeted medication
reconciliation was not undertaken as an intervention, or if an intervention
was
conducted, it was not provided by a pharmacist/pharmacy technician. RESULTS
AND
DISCUSSION: Nineteen studies which involved a total of 15 525 adult patients
were
included. Eleven studies were randomized controlled trials. Overall,
pharmacy-led
medication reconciliation intervention usually revealed a trend towards
reduction in
medication discrepancies, compared with usual care. Seventeen studies
involving 18
medication reconciliation interventions targeting the various transitions
(admission, 9; discharge, 4; and multiple transitions, 5) were included in
the
meta-analysis. Compared with usual care, single medication reconciliation
interventions at transitions in care (either admission or discharge) showed a

significant reduction of 66% in patients with medication discrepancies (RR

0·34; 95%
CI: 0·23-0·50) in favour of the intervention. There was no difference between
groups
for interventions targeting multiple transitions (RR 0·88; 95% CI: 0·77-
1·02).
Subgroup analyses confined to RCTs showed that there were no differences for
target
of transition (admission vs. discharge), type of intervention (multifaceted
intervention vs. medication reconciliation) and setting (single centre vs.
multicentre), nor pharmacists vs. pharmacy technicians (non-RCTs only).
Importantly,
medication discrepancies of higher clinical impact were more easily
identified
through pharmacy-led interventions than with usual care. WHAT IS NEW AND
CONCLUSION:
Pharmacy-led medication reconciliation interventions were found to be an
effective
strategy to reduce medication discrepancies, and had a greater impact when
conducted
at either admission or discharge but were less effective during multiple
transitions
in care. Further studies that are designed to assess the impact of the
involvement
of pharmacy technicians in medication reconciliation are also needed.
CI - © 2016 John Wiley & Sons Ltd.
FAU - Mekonnen, Alemayehu B
AU - Mekonnen AB
AD - Faculty of Pharmacy, University of Sydney, Sydney, NSW, Australia.
AD - School of Pharmacy, University of Gondar, Gondar, Ethiopia.
FAU - McLachlan, Andrew J
AU - McLachlan AJ
AD - Faculty of Pharmacy, University of Sydney, Sydney, NSW, Australia.
AD - Centre for Education and Research on Ageing, Concord Hospital, Sydney, NSW,
Australia.
FAU - Brien, Jo-Anne E
AU - Brien JA
AD - Faculty of Pharmacy, University of Sydney, Sydney, NSW, Australia.
AD - Faculty of Medicine, St Vincent's Hospital Clinical School, University of New
South
Wales, Sydney, NSW, Australia.
LA - eng
PT - Journal Article
PT - Meta-Analysis
PT - Review
PT - Systematic Review
DEP - 20160223
PL - England
TA - J Clin Pharm Ther
JT - Journal of clinical pharmacy and therapeutics
JID - 8704308
SB - IM
MH - Hospitals
MH - Humans
MH - Medication Reconciliation/*methods
MH - Multicenter Studies as Topic
MH - Patient Admission
MH - Patient Discharge
MH - Patient Transfer/*methods
MH - Pharmacists
MH - Pharmacy Service, Hospital/*methods
MH - Randomized Controlled Trials as Topic
OTO - NOTNLM
OT - care transition
OT - hospital
OT - medication discrepancies
OT - medication errors
OT - medication reconciliation
OT - medication review
OT - pharmacy
EDAT- 2016/02/26 06:00
MHDA- 2017/01/04 06:00
CRDT- 2016/02/26 06:00
PHST- 2015/08/12 00:00 [received]
PHST- 2016/01/21 00:00 [accepted]
PHST- 2016/02/26 06:00 [entrez]
PHST- 2016/02/26 06:00 [pubmed]
PHST- 2017/01/04 06:00 [medline]
AID - 10.1111/jcpt.12364 [doi]
PST - ppublish
SO - J Clin Pharm Ther. 2016 Apr;41(2):128-44. doi: 10.1111/jcpt.12364. Epub 2016
Feb 23.

PMID- 29495119
OWN - NLM
STAT- MEDLINE
DCOM- 20181003
LR - 20190318
IS - 1365-2702 (Electronic)
IS - 0962-1067 (Linking)
VI - 27
IP - 9-10
DP - 2018 May
TI - Barriers to medication error reporting among hospital nurses.
PG - 1941-1949
LID - 10.1111/jocn.14335 [doi]
AB - AIMS AND OBJECTIVES: The study purpose was to report medication error
reporting
barriers among hospital nurses, and to determine validity and reliability of
an
existing medication error reporting barriers questionnaire. BACKGROUND:
Hospital
medication errors typically occur between ordering of a medication to its
receipt by
the patient with subsequent staff monitoring. To decrease medication errors,
factors
surrounding medication errors must be understood; this requires reporting by
employees. Under-reporting can compromise patient safety by disabling
improvement
efforts. DESIGN: This 2017 descriptive study was part of a larger workforce
engagement study at a faith-based Magnet(®) -accredited community hospital in

California (United States). METHODS: Registered nurses (~1,000) were invited

to
participate in the online survey via email. Reported here are sample
demographics
(n = 357) and responses to the 20-item medication error reporting barriers
questionnaire. Using factor analysis, four factors that accounted for 67.5%
of the
variance were extracted. These factors (subscales) were labelled Fear,
Cultural
Barriers, Lack of Knowledge/Feedback and Practical/Utility Barriers; each
demonstrated excellent internal consistency. RESULTS: The medication error
reporting
barriers questionnaire, originally developed in long-term care, demonstrated
good
validity and excellent reliability among hospital nurses. Substantial
proportions of
American hospital nurses (11%-48%) considered specific factors as likely
reporting
barriers. Average scores on most barrier items were categorised "somewhat
unlikely."
The highest six included two barriers concerning the time-consuming nature of

medication error reporting and four related to nurses' fear of repercussions.

CONCLUSIONS: Hospitals need to determine the presence of perceived barriers

among
nurses using questionnaires such as the medication error reporting barriers
and work
to encourage better reporting. RELEVANCE TO CLINICAL PRACTICE: Barriers to
medication error reporting make it less likely that nurses will report
medication
errors, especially errors where patient harm is not apparent or where an
error might
be hidden. Such under-reporting impedes collection of accurate medication
error data
and prevents hospitals from changing harmful practices.
CI - © 2018 John Wiley & Sons Ltd.
FAU - Rutledge, Dana N
AU - Rutledge DN
AUID- ORCID: 0000-0002-8414-2676
AD - St. Joseph Hospital, Orange, CA, USA.
AD - California State University Fullerton, Fullerton, CA, USA.
FAU - Retrosi, Tina
AU - Retrosi T
AD - St. Joseph Hospital, Orange, CA, USA.
FAU - Ostrowski, Gary
AU - Ostrowski G
AD - St. Joseph Hospital, Orange, CA, USA.
LA - eng
PT - Journal Article
DEP - 20180419
PL - England
TA - J Clin Nurs
JT - Journal of clinical nursing
JID - 9207302
SB - N
MH - Adult
MH - California
MH - Clinical Competence
MH - Fear/*psychology
MH - Humans
MH - Male
MH - Medication Errors/*nursing/psychology
MH - Nursing Staff, Hospital/*psychology/statistics & numerical data
MH - Patient Safety/statistics & numerical data
MH - Reproducibility of Results
MH - Risk Management
MH - Safety Management/methods
MH - Surveys and Questionnaires
MH - *Truth Disclosure
MH - United States
OTO - NOTNLM
OT - hospital
OT - medication error
OT - medication error reporting
OT - nurse
OT - patient safety
OT - psychometrics
EDAT- 2018/03/02 06:00
MHDA- 2018/10/04 06:00
CRDT- 2018/03/02 06:00
PHST- 2018/02/16 00:00 [accepted]
PHST- 2018/03/02 06:00 [pubmed]
PHST- 2018/10/04 06:00 [medline]
PHST- 2018/03/02 06:00 [entrez]
AID - 10.1111/jocn.14335 [doi]
PST - ppublish
SO - J Clin Nurs. 2018 May;27(9-10):1941-1949. doi: 10.1111/jocn.14335. Epub 2018
Apr 19.

PMID- 22434089
OWN - NLM
STAT- MEDLINE
DCOM- 20120426
LR - 20190614
IS - 1756-1833 (Electronic)
IS - 0959-8138 (Print)
IS - 0959-8138 (Linking)
VI - 344
DP - 2012 Mar 20
TI - Patient safety, satisfaction, and quality of hospital care: cross sectional
surveys
of nurses and patients in 12 countries in Europe and the United States.
PG - e1717
LID - bmj.e1717 [pii]
LID - 10.1136/bmj.e1717 [doi]
LID - e1717
AB - OBJECTIVE: To determine whether hospitals with a good organisation of care
(such as
improved nurse staffing and work environments) can affect patient care and
nurse
workforce stability in European countries. DESIGN: Cross sectional surveys of

patients and nurses. SETTING: Nurses were surveyed in general acute care
hospitals
(488 in 12 European countries; 617 in the United States); patients were
surveyed in
210 European hospitals and 430 US hospitals. PARTICIPANTS: 33 659 nurses and
11 318
patients in Europe; 27 509 nurses and more than 120 000 patients in the US.
MAIN
OUTCOME MEASURES: Nurse outcomes (hospital staffing, work environments,
burnout,
dissatisfaction, intention to leave job in the next year, patient safety,
quality of
care), patient outcomes (satisfaction overall and with nursing care,
willingness to
recommend hospitals). RESULTS: The percentage of nurses reporting poor or
fair
quality of patient care varied substantially by country (from 11% (Ireland)
to 47%
(Greece)), as did rates for nurses who gave their hospital a poor or failing
safety
grade (4% (Switzerland) to 18% (Poland)). We found high rates of nurse
burnout (10%
(Netherlands) to 78% (Greece)), job dissatisfaction (11% (Netherlands) to 56%
 (Greece)), and intention to leave (14% (US) to 49% (Finland, Greece)).
Patients'
high ratings of their hospitals also varied considerably (35% (Spain) to 61%
(Finland, Ireland)), as did rates of patients willing to recommend their
hospital
(53% (Greece) to 78% (Switzerland)). Improved work environments and reduced
ratios
of patients to nurses were associated with increased care quality and patient

satisfaction. In European hospitals, after adjusting for hospital and nurse

characteristics, nurses with better work environments were half as likely to
report
poor or fair care quality (adjusted odds ratio 0.56, 95% confidence interval
0.51 to
0.61) and give their hospitals poor or failing grades on patient safety
(0.50, 0.44
to 0.56). Each additional patient per nurse increased the odds of nurses
reporting
poor or fair quality care (1.11, 1.07 to 1.15) and poor or failing safety
grades
(1.10, 1.05 to 1.16). Patients in hospitals with better work environments
were more
likely to rate their hospital highly (1.16, 1.03 to 1.32) and recommend their

hospitals (1.20, 1.05 to 1.37), whereas those with higher ratios of patients
to
nurses were less likely to rate them highly (0.94, 0.91 to 0.97) or recommend
them
(0.95, 0.91 to 0.98). Results were similar in the US. Nurses and patients
agreed on
which hospitals provided good care and could be recommended. CONCLUSIONS:
Deficits
in hospital care quality were common in all countries. Improvement of
hospital work
environments might be a relatively low cost strategy to improve safety and
quality
in hospital care and to increase patient satisfaction.
FAU - Aiken, Linda H
AU - Aiken LH
AD - Center for Health Outcomes and Policy Research, University of Pennsylvania
School of
Nursing, Philadelphia, PA 19104, USA. laiken@nursing.upenn.edu
FAU - Sermeus, Walter
AU - Sermeus W
FAU - Van den Heede, Koen
AU - Van den Heede K
FAU - Sloane, Douglas M
AU - Sloane DM
FAU - Busse, Reinhard
AU - Busse R
FAU - McKee, Martin
AU - McKee M
FAU - Bruyneel, Luk
AU - Bruyneel L
FAU - Rafferty, Anne Marie
AU - Rafferty AM
FAU - Griffiths, Peter
AU - Griffiths P
FAU - Moreno-Casbas, Maria Teresa
AU - Moreno-Casbas MT
FAU - Tishelman, Carol
AU - Tishelman C
FAU - Scott, Anne
AU - Scott A
FAU - Brzostek, Tomasz
AU - Brzostek T
FAU - Kinnunen, Juha
AU - Kinnunen J
FAU - Schwendimann, Rene
AU - Schwendimann R
FAU - Heinen, Maud
AU - Heinen M
FAU - Zikos, Dimitris
AU - Zikos D
FAU - Sjetne, Ingeborg Strømseng
AU - Sjetne IS
FAU - Smith, Herbert L
AU - Smith HL
FAU - Kutney-Lee, Ann
AU - Kutney-Lee A
LA - eng
GR - P2C HD044964/HD/NICHD NIH HHS/United States
GR - R01 NR004513/NR/NINR NIH HHS/United States
GR - R24 HD044964/HD/NICHD NIH HHS/United States
GR - R01NR004513/NR/NINR NIH HHS/United States
PT - Journal Article
PT - Research Support, N.I.H., Extramural
PT - Research Support, Non-U.S. Gov't
DEP - 20120320
TA - BMJ
JT - BMJ (Clinical research ed.)
JID - 8900488
SB - AIM
SB - IM
CIN - Enferm Clin. 2012 May-Jun;22(3):170-2. PMID: 22575792
CIN - J Nurs Manag. 2017 Apr;25(3):163-166. PMID: 28374444
MH - Adult
MH - Aged
MH - Burnout, Professional/epidemiology
MH - Cross-Sectional Studies
MH - Europe/epidemiology
MH - Female
MH - Health Care Surveys
MH - Hospitals/*standards/*statistics & numerical data
MH - Humans
MH - Job Satisfaction
MH - Male
MH - Middle Aged
MH - Nursing Staff, Hospital/*statistics & numerical data/supply & distribution
MH - *Patient Safety
MH - *Patient Satisfaction
MH - Patients/statistics & numerical data
MH - Personnel Staffing and Scheduling
MH - Quality of Health Care/standards/*statistics & numerical data
MH - Surveys and Questionnaires
MH - United States/epidemiology
MH - Workplace/standards
PMC - PMC3308724
COIS- Competing interests: All authors have completed the Unified Competing
Interest form
at www.icmje.org/coi_disclosure.pdf (available on request from the
corresponding
author) and declare: funding from the European Union’s Seventh Framework
Programme
and the National Institute of Nursing Research, National Institutes of
Health; no
financial relationships with any organisations that might have an interest in
the
submitted work in the previous three years; no other relationships or
activities
that could appear to have influenced the submitted work.
EDAT- 2012/03/22 06:00
MHDA- 2012/04/27 06:00
CRDT- 2012/03/22 06:00
PHST- 2012/03/22 06:00 [entrez]
PHST- 2012/03/22 06:00 [pubmed]
PHST- 2012/04/27 06:00 [medline]
AID - bmj.e1717 [pii]
AID - aikl000694 [pii]
AID - 10.1136/bmj.e1717 [doi]
PST - epublish
SO - BMJ. 2012 Mar 20;344:e1717. doi: 10.1136/bmj.e1717.