The role of nurses in minimizing adverse events: A

Systematic Review

Jurlina Birro*, Kuswantoro Rusca Putra, Yulian Wiji Utami

jurlina.rsud@gmail.com, torro.fk@ub.ac.id , yulian.fk@ub.ac.id
Nursing School, Faculty of Health Science, Brawijaya University, Indonesia

Abstract. Adverse events (AE) frequently ensue in primary health services. There is a gap in
information from the published literature concerning factors that recreate a part in adverse events and
how nurses carry out their role in efforts to reduce adverse events in health care. This systematic review
uses the Preferred Reporting Items for Systematic Review and Meta-analyses (PRISMA) statement 2020,
involving studies published in peer-reviewed journals from 2012 to 2022. The databases used in the
literature search include Sciencedirect, Cochrane library, Pubmed, and the Wiley Online Library. The
quality of the studies included in the review was assessed using the NIH quality assessment tool for
observational studies. Two authors carried out data extraction independently, and the first author made
the final decision. A systematic electronic search identified that 2,004 publications were found through a
backward search of the relevant articles. The full-text screening was carried out on 32 articles. Eighteen
articles failed to meet the eligibility criteria at the full-text screening stage, and only 14 were ultimately
eligible for further analysis. Based on data extraction, the categories of factors involved in adverse events
are adverse events related to treatment delivery, patient monitoring, and factors from nurses. Numerous
factors correlate to hospital services' adverse events, including drug supply (label, prescription, drugs
name), nurse competence, communication between care teams, and working conditions (workload, work
environment, working hours). Nurses' role is vital to these factors to minimise adverse events.

Keywords: AE, Nurse Role, Competence, Working Condition, Teamwork